Fair Havens Senior Living
FAIR HAVENS SENIOR LIVING in DECATUR, IL — inspection on May 29, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
his or her rights.
observation, interview and record review, the facility failed to place the call light within reach of one
sample of six residents.Findings include:The Facility Policy and Procedure for Call Light System dated 1/1/2025 documents that it is the policy of the facility to provide a means of communication to meet the needs of each resident.
Staff will follow established procedures to respond to the residents' requests and needs.
This policy further documents to assure the call light is within easy reach of the resident.R2's Care Plan dated 5/13/2026 documents admission date of 07/15/2025.
This Care plan documents a diagnosis of history of falling, anxiety disorder, cognitive impairment and dementia.R2's Minimum Data Set (MDS) dated [DATE] documents R2 has moderate cognitive impairment.R2's Care Plan dated 7/15/2025 documents R2 is at risk for falls related to deconditioning, gait/balance problem, unaware of safety needs, vision/hearing problems.
This Care plan documents a goal of R2 will be free of falls through the next review.
This care plan further documents an intervention to ensure R2's call light is within reach and encourage R2 to use it for assistance as needed. R2 needs prompt response to all requests for assistance.Facility's Incident log dated 5/28/2026 documents R2 had multiple incidents of falls on different dates; 4/25/2026, 5/8/2026, 5/12/2026, and 5/17/2026.On 5/28/2026 at 9:37am, R2 was sitting in R2's wheelchair in the room with the call light on the floor next to R2's bed. R2 was located in the middle of the room and was approximately seven feet away from the call light.On 5/28/2026 at 10:00 am, R2 was in R2's wheelchair in the room with the call light on the floor (same area as 9:37 am) and not within R2's reach.On 5/28/2026 at 11:47 am, R2 was in R2's wheelchair in the room with call light remaining on the floor next to the bed (same area as 9:37 am) and out of reach. R2 stated R2 does not know where the call light is.On 5/28/2026 at 12:15 pm, R2 was in R2's wheelchair in the middle of the room, call light remains on the floor next to the bed (same area as 9:37 am) and out of reach.On 5/28/2026 at 12:15 pm, V4 Certified Nurse Assistant (CNA) came into R2's room to talk to R2.
This surveyor asked V4 where the call light should be placed. V4 stated call lights should be where residents can see it and closer where residents do not need to move a lot to reach it. V4 confirmed R2's call light was on the floor and V4 stated R2's call light should not be on the floor. V4 did not pick up or move the call light at this time. On 5/28/2026 at 12:18 pm, V5 Registered Nurse (RN) stated call light should be next to the residents where the residents can reach it. V5 confirmed R2's call light was on the floor and V5 stated R2's call light should not be on the floor because R2 cannot reach it. V5 stated V5 will move the call light next to R2 at this time.On 5/29/2026 at 7:40 am, R2 was lying in bed at this time.
Call light was noted to be clipped to the privacy curtain approximately four feet from the floor and approximately five feet away from R2.On 5/29/2026 at 7:45 am, V13 Certified Nurse Assistant (CNA) confirmed call light was clipped to the privacy curtain and stated it should be next to R2 and not clipped to the curtain.On 5/29/2026 at 12:09 pm, V2 Director of Nursing stated V2 expects the call lights to be within resident's reach.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
145422 05/29/2026
Fair Havens Senior Living 1790 South Fairview Avenue Decatur, IL 62521
pm, V8 Licensed Practical Nurse (LPN) stated nurses applies the catheter anchoring devices and
a catheter anchoring device.On 5/29/2026 at 12:09 pm, V2 Director of Nursing stated V2 expects all
keep the catheter from getting pulled out of the bladder.Facility's Catheter Care, Urinary policy dated September 2005 documents ensure that the catheter remains secured with a leg strap to reduce friction and movement at the insertion site.
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.