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Silver Birch At Cook Road

3731 West Cook Road, Fort Wayne, IN 46818 · Residential care · 125 licensed beds · Licensed

32 deficiency citation(s) on recent state surveys

What the licence record says about this community

Indiana licence type
Residential care. One of 229 in Indiana with this licence.
Licensed beds
125 — a large community, usually with more services and more residents per caregiver at night. Larger than 66% of licensed communities in Indiana (state median 102).
Choices in this town
19 licensed communities in Fort Wayne. None with a memory-care designation.

Indiana publishes memory-care designations and this community does not carry one. If dementia is part of the picture, ask what happens as it progresses — and ask what behaviour triggers a discharge notice, in writing.

State inspection record

Assisted living is licensed and inspected by the state, not by Medicare/Medicaid — so there is no federal 5-star rating. Below is this community’s record from the state licensing agency.

33
state surveys on record
32
deficiency citations
12/25/2022
most recent survey

Deficiencies cited

32 citations from recent state surveys, with the rule cited.

  • R 0273 · Food and Nutritional Services02/13/2026
    Deficiency 410 IAC 16.2-5-5.1(f) (f) All food preparation and serving areas (excluding areas in residents ' units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24. Based on interview, observation and record review the facility failed to follow sanitation methods to maintain a clean environment in the kitchen. 111 of 111 resident
  • R 0147 · Sanitation and Safety Standards10/16/2025
    Deficiency 410 IAC 16.2-5-1.5(d) (d) The facility shall comply with fire and safety standards, including the applicable rules of the state fire prevention and building safety commission (675 IAC) where applicable to health facilities. Based on interview and record review, the facility failed to ensure fire drills were completed quarterly on each shift. 115 of 115 residents resided in the facility.
  • R 0216 · Evaluation - Noncompliance10/16/2025
    410 IAC 16.2-5-2(c)(1-4)(d) (c) The scope and content of the evaluation shall be delineated in the facility policy manual, but at a minimum the needs assessment shall include an evaluation of the following: (1) The resident ' s physical, cognitive, and mental status. (2) The resident ' s independence in the activities of daily living. (3) The resident ' s weight taken on admission and semiannually
  • R 0353 · Clinical Records - Noncompliance10/16/2025
    410 IAC 16.2-5-8.1(f) (f) The facility shall have a policy that ensures the staff has sufficient information to meet the residents ' needs. Based on interview and record review, the facility failed to ensure current information was maintined in the emergency file book related to hospital preference, for 6 of 10 residents reviewed ( Resident 2, Resident 4, Resident 5, Resident 8, Resident 11, and R
  • R 0027 · Residents' Rights - Deficiency01/15/2025
    410 IAC 16.2-5-1.2(b) (b) Residents have the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. Residents have the right to exercise their rights as a resident of the facility and as a citizen or resident of the United States. Based on interview and record review, the facility failed to ensure notify a resi
  • R 0149 · Sanitation and Safety Standards01/15/2025
    Deficiency 410 IAC 16.2-5-1.5(f) (f) The facility shall have a pest control program in operation in compliance with 410 IAC 7-24. Based on interview and record review, the facility failed to ensure adequate pest control was provided timely. This affected 12 of 107 residents who resided in the facility (Resident B, Resident C, Resident D, Resident E, Resident F, Resident G, Resident H, Resident J,
  • R 0090 · Administration and Management03/14/2024
    Deficiency 410 IAC 16.2-5-1.3(g)(1-6) (g) The administrator is responsible for the overall management of the facility. The responsibilities of the administrator shall include, but are not limited to, the following: (1) Informing the division within twenty-four (24) hours of becoming aware of an unusual occurrence that directly threatens the welfare, safety, or health of a resident. Notice of unusu
  • R 0240 · Health Services - Deficiency03/14/2024
    410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on observation, record review and interview the facility failed to ensure blood pressure was monitored and physician was notified as ordered for 2 of 4 residents reviewed. (Resident 9). Findings include: 1. Resident 9's record was reviewed on 3
  • R 0273 · Food and Nutritional Services03/14/2024
    Deficiency 410 IAC 16.2-5-5.1(f) (f) All food preparation and serving areas (excluding areas in residents ' units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24. Based on observation, interview, and record review the facility failed to ensure opened food items were labeled and dated and a drip pan was emptied and cleaned in th
  • R 0275 · Food and Nutritional Services03/14/2024
    Deficiency 410 IAC 16.2-5-5.1(h) (h) Diet orders shall be reviewed and revised by the physician as the resident ' s condition requires. Based on interview and record review the facility failed to ensure diet orders were obtained and reviewed for 4 of 16 residents reviewed (Resident 13, Resident 14, Resident 15, and Resident 16). Findings include: 1) Resident 13's record was reviewed on 3/14/24 at
  • R 0354 · Clinical Records - Noncompliance03/14/2024
    410 IAC 16.2-5-8.1(g)(1-7) (g) A transfer form shall include the following: (1) Identification data. (2) Name of the transferring institution. (3) Name of the receiving institution and date of transfer. (4) Resident ' s personal property when transferred to an acute care facility. (5) Nurses ' notes relating to the resident ' s: (A) functional abilities and physical limitations; (B) nursing care;
  • R 0357 · Clinical Records - Noncompliance03/14/2024
    410 IAC 16.2-5-8.1(j)(1-3) (j) If a death occurs, information concerning the resident ' s death shall include the following: (1) Notification of the physician, family, responsible person, and legal representative. (2) The disposition of the body, personal possessions, and medications. (3) A complete and accurate notation of the resident ' s condition and most recent vital signs and symptoms preced
  • R 0240 · Health Services - Deficiency10/30/2023
    410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on interview and record review, the facility failed to provide care based on individual needs and service plans for 1 of 2 residents reviewed (Resident F). Findings include: On 10/30/23 at 2:39 P.M., Resident F's family member was interviewed.
  • R 0216 · Evaluation - Noncompliance02/06/2023
    410 IAC 16.2-5-2(c)(1-4)(d) (c) The scope and content of the evaluation shall be delineated in the facility policy manual, but at a minimum the needs assessment shall include an evaluation of the following: (1) The resident ' s physical, cognitive, and mental status. (2) The resident ' s independence in the activities of daily living. (3) The resident ' s weight taken on admission and semiannually
  • R 0243 · Health Services - Deficiency02/06/2023
    410 IAC 16.2-5-4(e)(3) (3) The individual administering the medication shall document the administration in the individual ' s medication and treatment records that indicate the: (A) time; (B) name of medication or treatment; (C) dosage (if applicable); and (D) name or initials of the person administering the drug or treatment. Based on interview and record review the facility failed to ensure doc
  • R 0064 · Residents' Rights- Noncompliance08/25/2022
    410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on interview and record review, the facility failed to ensure contro
  • R 0304 · Pharmaceutical Services08/25/2022
    Deficiency 410 IAC 16.2-5-6(e) (e) Medicine or treatment cabinets or rooms shall be appropriately locked at all times except when authorized personnel are present. All Schedule II drugs administered by the facility shall be kept in individual containers under double lock and stored in a substantially constructed box, cabinet, or mobile drug storage unit. Based on interview and record review, the f
  • R 0216 · Evaluation - Noncompliance05/26/2022
    410 IAC 16.2-5-2(c)(1-4)(d) (c) The scope and content of the evaluation shall be delineated in the facility policy manual, but at a minimum the needs assessment shall include an evaluation of the following: (1) The resident ' s physical, cognitive, and mental status. (2) The resident ' s independence in the activities of daily living. (3) The resident ' s weight taken on admission and semiannually
  • R 0217 · Evaluation - Deficiency05/26/2022
    410 IAC 16.2-5-2(e)(1-5) (e) Following completion of an evaluation, the facility, using appropriately trained staff members, shall identify and document the services to be provided by the facility, as follows: (1) The services offered to the individual resident shall be appropriate to the: (A) scope; (B) frequency; (C) need; and (D) preference; of the resident. (2) The services offered shall be re
  • R 0273 · Food and Nutritional Services05/26/2022
    Deficiency 410 IAC 16.2-5-5.1(f) (f) All food preparation and serving areas (excluding areas in residents ' units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24. Based on observations, interviews and record reviews the facility failed to ensure sanitary conditions, safe food temperatures, and proper labeling of food. 117 of 11
  • R 0275 · Food and Nutritional Services05/26/2022
    Deficiency 410 IAC 16.2-5-5.1(h) (h) Diet orders shall be reviewed and revised by the physician as the resident ' s condition requires. Based on record review and interview the facility failed to ensure residents had a diet ordered by the physician and updated as needs changed for 3 of 6 residents reviewed. (Resident 5, Resident 10 and Resident 9) Findings include: 1) A record review for Resident
  • R 0087 · Administration and Management12/09/2021
    Noncompliance 410 IAC 16.2-5-1.3(b)(1-3) (b) The licensee shall provide the number of staff as required to carry out all the functions of the facility, including the following: (1) Initial orientation of all employees. (2) A continuing inservice education and training program for all employees. (3) Provision of supervision for all employees. Based on interview and record review the facility failed
  • R 0240 · Health Services - Deficiency12/01/2021
    410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on interview and record review, the facility failed to esure medications were given as ordered for 2 of 3 residents reviewed ( Resident X and Resident Y) Findings include: 1. In an interview on 12-1-21 at 10:45 AM, Resident Y indicated he was n
  • R0090 · , and10/15/2021
    Complaint IN00364274- Substantiated. State deficiencies related to the allegations are cited at R0246. Complaint IN00364441 - Substantiated. State deficiencies related to the allegation is cited at R0036,
  • R0246 · , and .10/15/2021
    Complaint IN00364663 - Substantiated. State deficiencies related to the allegations are cited at R0246, and R0407. Complaint IN00364798 - Substantiated. State deficiencies related to the allegations are cited at R0090 and R0246. Unrelated deficiency cited. Survey dates: October 13, 14 and 15, 2021 Facility number: 014553 Residential Census: 99 These state residential findings are cited in accordan
  • R 0030 · Residents' Rights - Noncompliance10/15/2021
    410 IAC 16.2-5-1.2(e)(1-6) (e) Residents have the right to be provided, at the time of admission to the facility, the following: (1) A copy of his or her admission agreement. (2) A written notice of the facility ' s basic daily or monthly rates. (3) A written statement of all facility services (including those offered on an as needed basis). (4) Information on related charges, admission, readmissi
  • R 0036 · Residents' Rights- Deficiency10/15/2021
    410 IAC 16.2-5-1.2(k)(1-2) (k) The facility must immediately consult the resident ' s physician and the resident ' s legal representative when the facility has noticed: (1) a significant decline in the resident ' s physical, mental, or psychosocial status; or (2) a need to alter treatment significantly, that is, a need to discontinue an existing form of treatment due to adverse consequences or to
  • R 0053 · Residents' Rights - Deficiency10/15/2021
    410 IAC 16.2-5-1.2(w) (w) Residents have the right to be free from verbal abuse. Based on interview and record review, failed to ensure a resident was free from verbal abuse by a staff member for 1 of 3 residents reviewed for abuse (Resident F, QMA 1). Findings include: During an interview on 10/13/21 at 10:21 a.m., Resident F indicated she filed a complaint related to verbal abuse by a Qualified
  • R 0090 · Administration and Management10/15/2021
    Deficiency 410 IAC 16.2-5-1.3(g)(1-6) (g) The administrator is responsible for the overall management of the facility. The responsibilities of the administrator shall include, but are not limited to, the following: (1) Informing the division within twenty-four (24) hours of becoming aware of an unusual occurrence that directly threatens the welfare, safety, or health of a resident. Notice of unusu
  • R 0246 · Health Services - Deficiency10/15/2021
    410 IAC 16.2-5-4(e)(6) (6) PRN medications may be administered by a qualified medication aide (QMA) only upon authorization by a licensed nurse or physician. The QMA must receive appropriate authorization for each administration of a PRN medication. All contacts with a nurse or physician not on the premises for authorization to administer PRNs shall be documented in the nursing notes indicating th
  • R 0297 · Pharmaceutical Services10/15/2021
    Noncompliance 410 IAC 16.2-5-6(c)(1) (c) If the facility controls, handles, and administers medications for a resident, the facility shall do the following for that resident: (1) Make arrangements to ensure that pharmaceutical services are available to provide residents with prescribed medications in accordance with applicable laws of Indiana. Based on observation, interview and record the review,
  • R 0407 · Infection Control - Noncompliance10/15/2021
    410 IAC 16.2-5-12(b)(1-4) (b) The facility must establish an infection control program that includes the following: (1) A system that enables the facility to analyze patterns of known infectious symptoms. (2) Provides orientation and in-service education on infection prevention and control, including universal precautions. (3) Offering health information to residents, including, but not limited to

Survey history

What it costs around here

Typical monthly cost in Indiana
$5,639/mo
Assisted living
$6,839/mo
Memory care†our estimate — not surveyed

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.

Estimated cost range · regional

In Indiana, assisted living typically runs about $4,500–$6,750/month.

This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.

Does this community take Medicaid?

Not published. Indiana does not record Medicaid acceptance in its licensing file, so we do not know — and we will not infer it from Indiana’s waiver rules, because a state covering assisted living says nothing about whether this building accepts it. Ask the community directly, and get the run-out-of-money answer in writing.

Indiana Medicaid helps pay for assisted living only in limited circumstances. A waiver pays for care, never for room and board. Which Indiana waivers, waitlists and how to apply →

Cost

Assisted-living and memory-care prices are set by each community and not publicly disclosed — no state or federal source publishes them, and the “starting at” figures on referral sites are estimates, not this community’s real rate. Ask the community directly for its current monthly price and what it includes (base rent versus care-level add-ons and memory-care premiums).

Worried about someone here? How to report it

If you have seen something that concerns you — neglect, an injury, medication problems, or a resident who seems afraid — you do not need proof to report it. Reporting is what triggers an inspection, and inspections are what put a record on this page in the first place.

  • The state licensing agency — Indiana licenses this community and is the body that can inspect it and act on a complaint. Complaints can usually be made anonymously.
  • Your Long-Term Care Ombudsman — free, independent, and works for the resident, not the state or the company. They will visit and advocate. Find yours via the Eldercare Locator at 1-800-677-1116 or theconsumervoice.org/get_help ↗.
  • Adult Protective Services — for suspected abuse, neglect or financial exploitation of a vulnerable adult. The Eldercare Locator above routes you to your local APS office.
  • If someone is in immediate danger, call 911 first. Report to the agencies above afterwards — the two are separate, and one does not do the job of the other.

We are a data site, not a regulator: we cannot investigate or intervene, and there is no point reporting it to us. The three routes above are the ones with actual power.

Location & what’s nearby

Open in Google Maps ↗

Hospital
MAPLE HEIGHTS BEHAVIORAL HEALTH1.0 mi
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Health Now Urgent Care1.5 mi
6601-7129 Lima Rd · (260) 407-6207 · Call to confirm hours
Pharmacy
Grandview Pharmacy0.9 mi
6032 Highview Dr · (260) 444-3071 · Call to confirm hours
Grocery
Centier Bank1.5 mi
6309 Lima Rd · (260) 489-1105 · Call to confirm hours
Park
Ceruti's Summit Park0.8 mi
6601 Innovation Blvd · Typically dawn to dusk
Place of worship
Saint Vincent Church0.3 mi
 

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Source: Indiana Dept. of Health, QAMIS residential-care survey record (public record), last pulled from the state 2026-07-14.

What to do next

Understand itQuestions to ask on a tourThe things staffing brochures leave out — what to ask and what to watch for.→Afford itCan you afford it, long-term?Assisted living runs private-pay. Model the years and taxes in My Plan — free, private.→DecideIs assisted living the right fit?A two-minute check: assisted living, memory care, home help, or skilled nursing.→