Fair Haven Home Inc

Total Number of Beds: 30	Percent of Occupied Beds: 97%
Total Number of Residents: 29	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 08/12/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.67

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.86

Number of CNA Hours per Nursing Home Resident per Day: 1.77

Number of Staff Hours per Nursing Home Resident per Day: 3.3

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 20%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 0%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 8/12/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-08-02	2001-09-07	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2001-08-02	2001-09-07	Resident Rights Deficiencies	Protect the resident from a transfer or discharge that is not wanted or needed.	Isolated	Minimal harm or potential for actual harm
2001-08-02	2001-09-07	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
2001-08-02	2001-09-07	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2001-08-02	2001-09-07	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2002-09-12	2002-10-09	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
2002-09-12	2002-10-09	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
2002-09-12	2002-10-09	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for each resident who needs them.	Isolated	Minimal harm or potential for actual harm
2003-08-12	2003-09-08	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
2003-08-12	2003-09-08	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.