Fair Havens Senior Living: Hygiene Neglect Violation - IL
Federal inspectors cited Fair Havens following a complaint inspection completed September 2, 2025, documenting that the facility failed to provide timely personal hygiene care to at least one resident. The violation was cited under F0677, which covers basic personal hygiene and grooming, and was assigned a harm level of minimal harm or potential for actual harm.
The resident, identified in inspection records as R7, had been cussing out staff. A nurse, identified as V8, said she spoke with R7 directly, and R7 made clear what the problem was. R7 was dirty and wanted up. V8 told R7 she would locate someone to help and return.
She did not return.
Instead, V8 said she advised the oncoming nurse about R7's behavior, specifically the cursing, and then went to finish her medication pass. When her shift ended at 6 a.m., V8 said she still did not know whether anyone had changed R7. "I don't know if they got to change them," V8 told inspectors. "I don't know what time they got to change them."
That is the full extent of what the record shows. Not that care was delayed by minutes. Not that a colleague stepped in promptly. Only that a nurse finished her rounds, clocked out, and left behind a resident who had told her, in plain terms, that they were lying in their own waste and needed help.
What makes the account striking is not that V8 was indifferent in any obvious way. She spoke to R7. She said she would help. She told the next nurse about the behavior. She moved through the motions of a handoff. But the thing R7 actually needed, to be cleaned and repositioned, never made it to the top of anyone's list before V8 walked out the door. Whether it made it to the top of anyone's list after that is something nobody in the inspection record could answer.
Inspectors noted that a few residents were affected.
There is a particular kind of harm that does not show up on a body. R7's situation, as inspectors classified it, rose only to minimal harm or potential for actual harm, the lowest rung of a federal harm scale. No wound, no hospitalization, no documented injury. But the resident was awake, alert enough to ask for help, and aware enough to be frustrated when it did not come. Aware enough to curse. That awareness cuts both ways. It means R7 understood exactly what was happening, and exactly how long it was taking.
V8's account, as captured by inspectors, has the texture of someone describing a reasonable night. Difficult resident. Busy shift. Medication pass that couldn't wait. A word to the next nurse. A shift that ended at 6. From inside that logic, nothing went wrong. The problem is that the logic has no room in it for the person in the bed.
Fair Havens Senior Living is a senior living facility in Decatur, in central Illinois. The inspection was triggered by a complaint, meaning someone, a resident, a family member, or another party, contacted regulators before inspectors arrived. The report does not say who filed the complaint or what specifically prompted it.
What the report does say is that a nurse stood in a resident's room, heard the resident say they were dirty and wanted to get up, promised to return, and did not. And that when inspectors asked her about it later, the most she could offer was that she didn't know what time, if ever, someone got around to it.
R7 was still waiting when V8's shift ended. Whether anyone came after that, the record does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Fair Havens Senior Living from 2025-09-02 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 26, 2026 · Our methodology
FAIR HAVENS SENIOR LIVING in DECATUR, IL was cited for neglect violations during a health inspection on September 2, 2025.
The resident, identified in inspection records as R7, had been cussing out staff.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.