Celebrate Senior Living Of Fort Wayne
3420 East State Blvd, Fort Wayne, IN 46805 · For profit - Limited Liability company · 118 certified beds · (260) 206-6075 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.4% | 11.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 8.9% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.4% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.4% | 1.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 66.7% | 25.2% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.9% | 3.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 8.1% | 11.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 24.9% | 23.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 93.5% | 95.4% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.8% | 3.6% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 21.8% | 23.3% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 24.0% | 13.6% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 67.6% | 79.0% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 14.5% | 22.2% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 13.3% | 10.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.29 | 1.61 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.69 | 1.44 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 67% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.0%CMS range 7.6–14.2 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.08 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 118 beds and averages 74.5 residents a day — about 63% occupied, or roughly 44 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.25 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.86 hrs/resident/day on weekends vs 3.41 on weekdays — 16% thinner on weekends. RN hours go from 0.47 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 37% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.
- Potential for harm · Ecited before2026-04-16 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure dignity for 4 of 5 residents reviewed. (Resident 3, Resident 11, Resident 16, and Resident 54)Findings include: 1) Resident 3's record review began on 4/12/2026 at 11:31 AM. Diagnosis included lung disease, heart disease, and diabetes.In an interview, on 4/13/26 at 10:03AM, Resident 3 complained of staff not knocking on doors prior to entering.2) Resident 11's record review began on 4/12/2026 at 10:02 AM. Diagnosis included lung disease and anxiety.In an interview, on 4/13/26 at 10:03AM, Resident 11 complained of staff not knocking on her door prior to entering.3) Resident 16's record review began on 04/14/2026 at 2:25 PM. Diagnosis included lung disease, hypertension, and depression.In an interview, on 4/13/26 at 10:03AM, Resident 16 complained of staff not knocking on her door prior to entering. 4) Resident 54's record review began on 04/12/2026 at 11:07 AM. Diagnosis included hypertension and schizophrenia. During an observation,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-16 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to provide the bed hold notification to 2 of 5 residents reviewed. (Resident 3 and Resident 6)Findings include:Resident 3's record review began on 04/12/2026 at 11:31 AM. Resident 3's diagnosis included diabetes, lung disease, and stroke.Resident 3 was sent to the hospital on the following dates according to his census; 7/1/25, 7/14/25, 8/14/25, 8/26/25, and 12/29/25.One hospital nursing transfer form was available to review. The form was dated for the hospitalization 7/14/25 and included demographics, transfer details, key clinical information, key contacts, and bed hold notice.The nursing transfer form and bed hold notice was not available for review related to hospitalizations on 7/1/25, 8/14/25, 8/26/25, and 12/29/25.A review of Resident 3's progress notes did not indicate a bed hold notice was discussed or given on the dates of 7/1/25, 8/14/25, 8/26/25, and 12/29/25 hospitalizations or within the 24 hours following.2. Resident 6's record review began on 04/12/2026 at 11:41 AM. Resident 6's diagnosis included Cerebral…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure proper technique during wound care treatment for 1 of 1 residents reviewed. (Resident 4)Findings include:During an observation, on 04/14/2026 at 10:09 AM: Employee 2 set up the supplies with no clean barrier between the supplies and the bedside table. She picked up a stack of 4x4 gauze pads from the treatment cart with bare hands and then placed the pads on the table. Employee 2 then donned a protective gown, sanitized her hands, and donned gloves. The 4X4 gauze was removed from the wound bed, gloves were removed, hands sanitized and gloves donned. Santyl cream (an agent to remove dead tissue) was applied to wound bed, then wet gauze soaked in Dakins (a wound care solution to decrease infective material in the wound) was packed into the wound. The wound was then covered with an Allevyn foam dressing.Resident 4's record was reviewed on 04/14/2026 at 12:00 PM. Diagnoses included Multiple Sclerosis, chronic pain, and decreased mobility.A review of Resident 4's current quarterly MDS indicated their BIMS was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-16 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure proper labeling and dating for tube feeding for 1 of 1 resident reviewed (Resident 6).Findings include:During an observation, on April 12, 2026, at 10:40 AM, Resident 6 was observed in her room. Her tube feeding bag was not labeled or dated to indicate when it was hung. The tube feed flush syringe was dated 04/10/2026.During an observation, on April 12, 2026, at 10:54 AM, Resident 6 was observed in her room. Her tube feeding bag was not labeled or dated to indicate when it was hung. The tube feed flush syringe was dated 04/10/2026.Resident 6's record was reviewed on April 13, 2026, at 12:14 PM. Diagnoses included cerebral palsy and severe protein calorie malnutrition.A physicians orders, dated 5/23/2024, included a regular, pureed textured, and thin consistency diet. An enteral feeding order, dated 10/6/2025, indicated to administer Vital 1.5 calorie (cal) at 30 milliliters (ml) per hour with a fluid flush of 100 ml while running continuously every 2 hours every shift for nutritional supplement.In an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-11-19 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure the physician was notified of a resident's daily refusal of prescribed medication for 1 of 3 residents reviewed (Resident T).Findings include:On 11/17/25 at 2:00 p.m., Resident T's record was reviewed. Diagnoses included schizophrenia, heart failure, high blood pressure, and overactive bladder.A quarterly Minimum Data Set (MDS) assessment, dated 9/17/25, indicated Resident T had no cognitive impairment nor indicators of delirium. She had mood indicators of feeling down, depressed, and hopeless; trouble sleeping; feeling tired with little energy; and poor appetite or overeating almost every day. She had no indicators of psychosis, behaviors, nor rejection of care. She was frequently incontinent of bladder and was prescribed diuretics (water pills).Care plans indicated Resident T was prescribed anti-hypertensive and diuretic medications to treat high blood pressure. Interventions included giving the medications as ordered and monitoring side effects. The resident had behaviors including frequently refusing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-11-19 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure labs were completed as ordered by the physician for 1 of 3 residents reviewed (Resident T).Findings include:On 11/17/25 at 2:00 p.m., Resident T's record was reviewed. Diagnoses included schizophrenia, heart failure, high blood pressure, and overactive bladder.Care plans indicated Resident T was prescribed anti-hypertensive and diuretic medications to treat high blood pressure. She was at risk for fluctuations in fluid balance and complications from bladder incontinence. Interventions included obtaining and monitoring lab/diagnostic work as ordered.A physician order, dated 10/10/25, was to collect a urinalysis (UA) for culture and sensitivity.A physician's progress note, dated 10/10/25, indicated Resident T had been seen by the Nurse Practitioner (NP) due to abnormal kidney function. The resident had lab work completed on 10/8/25. The lab results indicated blood creatinine level was elevated at 2.17. The resident did not have a history of chronic kidney disease, and her baseline creatinine was <1.0. When asked, the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-01 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure treatment for a non-pressure related wound was completed as ordered for 1 of 3 residents reviewed (Resident K).Findings include:On 7/30/25 at 11:10 A.M., Resident K was observed seated in his electric wheelchair, his right leg dressed with an ace wrap from his toes to his knee. His toes were covered with a white thick bandage coming loose out from below the ace wrap. Resident K indicated he was very upset about his toes being amputated. He'd already lost his left leg (below left knee amputation) due to a wound and now, had lost all the toes on his right foot. He indicated he developed a sore to his outer right foot, by his 5th toe, the sore became infected and the toe had to be removed. The surgical site, where the 5th toe had been removed, got infected, split open and he had to go back to the hospital to have it repaired. He indicated the infection continued and he had to have his 2 remaining toes amputated. He was worried about…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-05-01 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and observations the facility failed to ensure sanitation measures were followed for 2 of 3 observations. 71 of 71 residents who resided in the facility received food prepared in the kitchen. Findings include: During an observation on 4/28/25 at 9:30 AM, a medal scoop was observed inside a tub of brown sugar. There was debris of grease like food around and under the sink. There were dried noodles, raisins and plastic debris observed under the racks in the pantry. There were small pieces of paper, dust in the corners, and unidentifiable small particles observed in the chemical room on the floor. During an observation on 4/29/25 at 10 AM, there were small cereal particles, dried meat of different shapes/sizes observed under the stand-up cooler, meal carts and stove area. In an interview on 4/28/25 at 9:30 AM, the Dietary Manager (DM) indicated the facility did not have a cleaning schedule. DM indicated the scoop from the brown sugar tub should not be left inside the tub. The DM indicated there should not be debris or dried particles on the floor or around/under the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-01 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure dignity was maintained for 1 of 18 residents reviewed. (Resident 52) Findings include: During an observation on the secured unit, on 4/28/25 at 10:11 AM, Licensed Practical Nurse (LPN) 4 was heard yelling from across the hall inside room [ROOM NUMBER] to another staff member at the nurses' station. LPN 4 yelled over to the other staff member at the station, Resident 52 has a boil the doctor wants to take a look at; he has to be laid down. There were 3 unidenified residents in close proximity to room [ROOM NUMBER] and could hear LPN 4. During an observation, on 04/28/25 at 10:22 AM, LPN 4 was easily overheard telling the Wound Nurse Practitioner Resident 52 was now laying down if she also wanted to look at the boil. In an interview, on 4/30/25 at 10:05 AM, the Unit Manager of the secured unit indicated LPN 4 was disciplined for his inappropriate behavior. The Unit Manager indicated the facility recently held an in-service regarding…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-01 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to report a fall with a fracture to the Indiana Department of Health (IDOH) for 1 of 3 falls reviewed (Resident H). Findings Include: A facility reported incident was provided by the Administrator on 10/1/24 at 10:14 AM. The report, dated 9/25/24 at 10:01 AM, indicated Resident H was found on the floor in her room in a pool of blood coming from her nose. The report indicated Resident H was sent to the hospital and was found to have a probable subtle acute nondisplaced bilateral nasal bone fracture. Resident H's record was reviewed on 10/1/24 at 1:33 PM. Diagnosis included chronic pulmonary disease and type 2 diabetes mellitus. A nursing note, dated 9/22/2024 at 3:22 PM, indicated Resident H was found on the floor in her room in a pool of blood. The note indicated Resident H had a hematoma to her head and a swollen/bruised nose. The note also indicated Resident H was sent to the hospital. A nursing note, dated 9/22/24 at 10:19 PM, indicated a nurse spoke with the hospital regarding Resident H. The note indicated the nurse was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 6 citations
- Potential for harm · Dcited before2024-06-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility to ensure assessment for elopement risk was completed for 1 of 5 residents reviewed. (Resident 53) Findings include: A record review began on 5/29/24 at 10:41 AM. Resident 53 diagnoses include, unspecified dementia, severe with psychotic disturbance and generalized anxiety disorder. A MDS (minimum data set) assessment, dated 4/8/24, indicated Resident 53 had a BIMS (brief interview mental status) 3 of 15, indicated Resident 53 had severe cognitive impairment. Resident 53's care plan, titled Elopement, dated 4/8/24 indicated Resident 53's focus was high risk for elopement related to dementia. Due to his cognition and poor safety awareness resident would reside on the secure memory care unit. Resident 53's goal was to remain safe within the facility unless accompanied by staff or other authorized persons through the review date. Resident 53's interventions included, but were not limited to: assess, record, and report to physician, risk factors for potential elopement such as wandering, repeated requests to leave facility, statements…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-01-25 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure physician orders were followed for 1 of 4 residents reviewed. (Resident Y) Findings include: A list of facility appointments was received 1/24/24 at 9:32AM from SSD (Social Services Director). Resident Y was listed as having a dental appointment on 12/21/23 at 1pm. The special instructions were typed in all capitals; needs staff member to accompany. An interview on 1/24/24 at 12:15 PM, Driver 7 indicated she only drives on Wednesdays and Fridays. The remainder of her hours were used as a CNA (Certified Nursing Assistant). She indicated the scheduler let the driver know the scheduled appointments and any special instructions at the start of their shift. Driver 7 indicated residents from the dementia care unit and Resident Y always require an escort. She indicated when an escort was needed a second staff person was present and was expected to attend the entire appointment with the resident. Driver 7 indicated Resident Y required an escort because…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-01-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure fall prevention measures were in place for 3 of 4 residents reviewed. (Resident B, Resident C, and Resident D) Findings included: In an observation of Resident B and Resident C, on 1/24/24 at 9:52 AM, they were sitting on a couch. The couch had its back to the dining room tables. The couch area and dining room had the same flooring. Resident B and Resident C had on the same pair of fuzzy socks. The socks had no anti slip or grip to them. During an observation of Resident D on 1/24/24 at 9:52AM, Resident D was noted sitting in his wheelchair at a dining room table with staff. Resident D also had on fuzzy socks. The socks had no anti slip or grip to them. In an interview on 1/24/24 at 10:06 AM, CNA 6 (Certified Nursing Assistant) indicated all the residents should be wearing nonslip footwear unless laying in bed to prevent falls. During an observation on 1/24/24 from 9:52AM to 10:12AM there was no attempt by staff to ensure nonskid footwear was on the residents. 1) Resident B's record was reviewed 1/24/24…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2023-10-13 · tag F0726 — failed to have competent, trained nursing staff — widespreadEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure an employee had met the certification requirements to provide resident care as a Certified Nurse Aide. 79 residents lived in the facility. An anonymous complaint to the Indiana Department of Health indicated there was a concern for an unqualified staff member (Employee 3) who had provided resident care as a Certified Nurse Aide (CNA). A record review was completed on 10/13/23 at 11:21 AM. The facility schedule dated September 2023 indicated Employee 3 had worked as a CNA on 9/1, 9/2, 9/3, 9/4, 9/5, 9/6, 9/8, 9/12, 9/13, 9/15, 9/18, 9/19, 9/20, 9/22, 9/26, 9/27 and 9/29.The facility schedule dated October 2023 indicated Employee 3 had worked as a CNA on 10/2, 10/3, 10/4, 10/6, 10/7, 10/8, 10/10 and 10/11. The facility employee certification and licensure binder indicated Employee 3 did not have a certification to practice as a Certified Nurse Aide. The Indiana Certified Nurse Aide Registry did not indicate Employee 3 had a certification to practice as a CNA. Employee 3's employee file indicated Employee 3 had not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-29 · tag F0557 — isolatedHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure respect and dignity of personal belongings was maintained for 1 of 6 residents reviewed (Resident B). Findings include: During an observation 8/29/23 at 9:53 AM, there were 2 full black trash bags laying on Resident B's floor. In an interview on 8/29/23 at 9:53 AM, Resident B indicated the majority of her clothes were in 2 black trash bag laying on the floor due to not having access to the full wardrobe. Resident B indicated this made her feel like my personal belongings were trash. In an interview on 8/29/23 at 2:08 PM, the Social Worker indicated when Resident B moved into the current room the facility staff was supposed to put in a dresser for Resident B since the wardrobe was inaccessible. The Social Worker indicated she was unsure why the dresser had yet to placed in Resident B's room [ROOM NUMBER]-11/2 months later. The Social Worker indicated Resident B's personal belongings should not have been placed on the floor in trash bags. A record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure activities of daily living (ADL) were provided per resident's preference for 1 of 6 residents reviewed (Resident B). Finding include: 1. In an interview on 8/29/23 at 9:53 AM, Resident B was observed in her bed. Resident B indicated she preferred 3 showers weekly: Monday, Wednesday, and Friday. Resident B indicated she had not received her showers at least 3 times a week. A record review was completed on 8/29/23 at 1:22 PM. Resident B's diagnoses included: paraplegia and major depressive disorder. An order, dated 7/2/2023, indicated Resident B received showers Monday, Thursday and Sunday evening shift for personal hygiene. The Treatment Administration Record (TAR) and point of care report for Resident B, dated 8/1/23- 8/28/23, were provided by the Social Worker on 8/29/23 at 2:14 PM. The point of care report indicated Resident B received showers on Monday, Wednesday and Friday evenings. The reports indicated Resident B did not receive a shower at least 3 times during the following weeks: 8/6/23 -…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to CELEBRATE SENIOR LIVING — 3 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.7 | -0.7 vs chain |
| Health inspection | 3 of 5 | 4.0 | -1.0 vs chain |
| Staffing | 2 of 5 | 2.3 | -0.3 vs chain |
| Quality measures | 4 of 5 | 3.0 | +1.0 vs chain |
The other 2 homes this chain runs (chain average 3.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| BEATY, JEFF | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| BLACK, STEPHEN | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| BURTON, KAREN | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| CALDWELL, DANA | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| CLAXTON, RYAN | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/27/2025 |
| COFFIN, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| GUSTAFSON, PAULA | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| HAEHL, PHILLIP | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| KUHN, HEATHER | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| MERCURI, RALPH | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| SANDMAN, JAN | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| STEVENS, MELANIE | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| TANDY, SHERRI | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| ELEVATE WOODVIEW NURSING AND REHABILITATION LLC (OPCO) | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/20/2019 |
| BAINES, SEAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/15/2018 |
| CLARK, KURSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 04/04/2025 |
| CLARK, TARA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 04/21/2025 |
| DERRICK, CASSY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/05/2022 |
| EASTERLY, CHANEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/26/2023 |
| GOLDWOOD, DAKOTA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/15/2024 |
| HUNTER, TAMMY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/18/2022 |
| KEMP, ALISHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 09/26/2022 |
| LATHAM, KRISTEN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/28/2004 |
| MCDONALD, ZECH | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 08/16/2022 |
| MCGRAW, PETRECE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/27/2009 |
| MUNOZ, JAMIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/27/2023 |
| OFFERLE, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2018 |
| ONEIL, KIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 10/06/2022 |
| SHEPHERD, AMBER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/17/2019 |
| GS MANAGEMENT LLC | Organization | ADP OF THE SNF | since 03/29/2018 |
CMS files one row per role, so the 44 rows in the source record cover these 30 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in IN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.
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.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155255. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-16, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.