Fair Haven Home Inc — nursing home in Bostic, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 30 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 26.0 CMS, MDS-derived
CMS Certification Number: 345425
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 25, 1992
Ownership type: For profit - Corporation
Operator (legal business name): Fair Haven Home, Inc
CMS chain: Not part of a CMS-reported chain
Phone: (828) 245-9095
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Sep 10, 2026

Citations

5

2 health · 3 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D4	E1	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345425
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 30
First approved: Jun 25, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 10, 2026	Health	Health Standard	0	No citations	—	Open →
Jul 8, 2025	Health	Health Standard	1	Potential harm	—	Open →
May 8, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 8, 2024	Health	Health Standard	1	Potential harm	—	Open →
Jan 4, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jan 22, 2021	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D4	E1	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jul 8, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 25, 2025
May 8, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 23, 2024
May 8, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 23, 2024
May 8, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 31, 2024
Jan 4, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 17, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.21

State avg 3.87US avg 3.90

Registered nurse (RN)0.49

State avg 0.62US avg 0.69

Licensed practical nurse1.47

State avg 0.88US avg 0.86

Nurse aide2.26

State avg 2.37US avg 2.35

Weekend total nurse3.95

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.64 (case-mix index 1.27).

Staff turnover

Total nursing staff turnover31.4%

State avg 48.7%US avg 45.3%

Registered nurse turnoverNot reported

State avg 45.7%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 10, 2026
Cycle 1 health score: 0
Total weighted score: 1

Operating entity

Fair Haven Home, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

8

Organizations

0

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Emmett Mckeithan	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 1992

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Emmett Mckeithan	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 1992
Trenton Dorsey	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 11, 2025
Trenton Dorsey	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 11, 2025
Emmett Mckeithan	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 15, 1972
Emmett Mckeithan	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Apr 1, 1992
Emmett Mckeithan	Individual	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Dec 1, 2007
Trenton Dorsey	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 11, 2025
Emmett Mckeithan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 1992

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 149 Fair Haven Drive, Bostic, NC 28018
ZIP: 28018
County: Rutherford County FIPS 37161
State: North Carolina
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Fair Haven of Forest City, LLC 830 Bethany Church Road, Forest City, NC 28043 CCN 345314	8.8 km	100		Apr 2, 2026	154 open	—
Hilltop Health and Rehabilitation 188 Oscar Justice Road, Rutherfordton, NC 28139 CCN 345083	13.4 km	80		Mar 12, 2026	262 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345425	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345425	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345425

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction