Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 6701 S ANTHONY BLVD
City: FORT WAYNE
Telephone: (260) 447-1591
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 25-000283-1
License effective date: 07/01/2025
License expiration date: 06/30/2026
Administration and Staff
Administrator: MARK PRICE
Start date: 11/19/2024
Director of Nursing: KATHLEEN TOLIVER
Start date: 10/05/2024
Medical director:
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: ADAMS COUNTY MEMORIAL HOSPITAL
1100 MERCER AVENUE
DECATUR IN 46733
Ownership type: OTHER
Officer(s): RUSSELL FLUECKIGER
DANE WHEELER
SCOTT SMITH
LARRY MACKLIN
DAVID MCINTIRE
SCOTT LEHMAN
KYLE SPRUNGER
TIFFANY WILLIAMS
ELIZABETH FISHER
ADAM MILLER, J.D.
AMBER LAUTZENHEISE
CANDICE BORNE-BAUMAN
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: LUTHERAN HOMES INC
Date of last change of ownership:
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 0
Number of Medicare/Medicaid beds (SNF/NF): 120
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 120
RESIDENTIAL CARE BEDS:
Total number of residential beds: 107
Total number of beds in facility: 227
CENSUS:
Facility census: 122
As reported by the facility on: 07/15/2025
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/15/2025
Residential care beds occupied: 34
As reported by the facility on: 07/15/2025
Alzheimer Beds: 23
Alzheimer Beds Occupied: 17
As reported by the facility on: / /
Ventilator Beds: 0
Ventilator Beds Occupied: 0
As reported by the facility on: / /
Sprinklers and Smoke Detectors
This facility is: FULLY SPRINKLERED
Number of comprehensive care resident rooms: 97
Number of comprehensive care resident rooms with battery
operated smoke detectors: 97
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - MARC PRICE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. EXECUTIVE DIRECTOR
Date form completed - 06/09/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 10/30/2014
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2026
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 02/29/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
IVY TECH COMMUNITY COLLEGE
Approved: 03/18/2005
Terminated: 05/27/2005
LUTHERAN LIFE VILLAGES
Approved: 10/30/2014
Terminated: N/A
FWCS CAREER ACADEMY AT ANTHIS
Approved: 01/15/2016
Terminated: N/A
UNIVERSITY OF SAINT FRANCIS
Approved: 02/03/1997
Terminated: 05/27/2005
FORT WAYNE COMMUNITY SCHOOLS NEIGHBORHOOD CONNECTI
Approved: 02/08/2016
Terminated: N/A
FIRST CROWN HEALTH CARE
Approved: 09/03/2020
Terminated: N/A
LEGACY MEDICAL ACADEMY
Approved: 04/21/2022
Terminated: N/A
FREEDOM ACADEMY
Approved: 10/22/2021
Terminated: N/A
ESSENTIAL HEALTHCARE ACADEMY, LLC
Approved: 02/22/2024
Terminated: N/A
COTTON CARE LLC
Approved: 10/25/2023
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 0
Facility Report Card
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR
Report Card Score
359
314
314
335
Rank of Score
47
66
66
57
Average Score
302
296
295
296
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic.
The facility report card score is calculated four times per calendar year
for the two most recent nursing home health surveys. The facility report card score
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys,
and any follow-up surveys that occur within the two most recent nursing home health surveys.
The facility report card score ranges from 500 to 0, with 500 being the best score possible.
View the Scope and Severity gridView the scoring methodology
Overview of Survey findings
The Most Recent Set
2ND Most Recent Set
3RD Most Recent Set
Immediate Jeopardy
No
No
No
Substandard Quality of Care
No
No
No
Administrator Change
No
No
No
Owner Change
No
No
No
Number of Substantiated Complaints With Deficiencies
0
0
0
Deficiency Free Standard Health Survey
Yes
No
No
The term 'Recent Set' referenced above relates to the referenced annual survey,
and any other surveys performed between it and the previous annual survey.
Enforcement Actions
Federal Certification Actions Imposed
Date terminated from Medicare/Medicaid: N/A
Survey History
The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.
