Indiana State Department of Health


Division of Long Term Care

 

CONSUMER REPORT

 

UNIVERSITY PARK REHABILITATION AND HEALTHCARE

 

NURSING HOME


SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED

Created on: 07/25/2025

 
Posted to the Web on: 08/06/2025
 
 






Basic Information


FACILITY CONTACT INFORMATION:
Address: 1400 MEDICAL PARK DR
City: FORT WAYNE
Telephone: (260) 484-1558
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000459-1
  License effective date: 09/01/2024
  License expiration date: 08/31/2025
 




Administration and Staff


Administrator: GORAN PRENTOSKI
  Start date: 06/02/2025
 
Director of Nursing: ALYSSA COCHRAN
  Start date: 04/23/2024
 
Medical director: Rutvik Patel
  Start date:   /  /  
 
Wound care specialist: Christina Salazar
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 




Ownership


CURENT OWNERSHIP:
 
Owning corporation: HENRY COUNTY MEMORIAL HOSPITAL
798 NORTH 16TH ST
NEW CASTLE IN 47362
 
Ownership type:  OTHER
 
Officer(s): JOHN PIDGEON
            SHELDON DYNES
            DEBI WARE
            BUD SHORE
            BRIAN RING
            MARK DICE
            DAVID BARR
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: COVENANT CARE INDIANA INC
Date of last change of ownership: 09/04/2014
 




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):        104
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     104
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            104
 
CENSUS:
Facility census:  65
As reported by the facility on: 01/03/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/03/2025
 
Residential care beds occupied:  0
As reported by the facility on: 01/03/2025
 
Alzheimer Beds:  0
Alzheimer Beds Occupied:  0
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: 55
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 55
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - DANE MAGGART
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 04/14/2025
 




Nurse Aide Training


NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 03/10/1998
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2000
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 02/13/2026
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: 11/06/2008
         Terminated: 03/31/2015
     MANNIA GREEN HEALTHCARE ADVANTAGE, INC
         Approved: 03/16/2001
         Terminated: 12/21/2001
     FWCS CAREER ACADEMY AT ANTHIS
         Approved: 02/17/1998
         Terminated: 11/03/2006
     COTTON CARE LLC
         Approved: 09/03/2021
         Terminated: 07/16/2021
     COTTON CARE LLC
         Approved: 09/03/2021
         Terminated: 07/16/2021
     COTTON CARE LLC
         Approved: 08/11/2023
         Terminated: 02/14/2024
 




Complaints



NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  1


 




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
366
391
385
399




Rank of Score
45
32
39
30




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 grid
 
View the scoring methodology
 






Overview of Survey findings








 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set


Immediate Jeopardy
No
Yes
No




 Substandard Quality of Care 
No
Yes
No




Administrator Change
No
Yes
Yes




Owner Change
No
No
No




Number of Substantiated Complaints With Deficiencies
0
0
0




Deficiency Free Standard Health Survey
No
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
     Civil Money Penalty
     Date Imposed: 02/14/2024  Date Ended: 02/14/2024
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 12/07/2022  Date Ended: 12/22/2022
 
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.




 
Event ID
Survey Type
Exit Date


XBYQ12
Complaint, Follow Up, Recertification, State Licensure
05/23/2025




T7MM11
Complaint
05/20/2025




XBYQ21
Recertification, Life Safety Code
05/15/2025




XBYQ11
Recertification, Complaint, State Licensure
04/11/2025




V1VF11
Complaint
01/15/2025




1DXY12
Complaint, Follow Up
01/03/2025




UQZ612
Complaint, Follow Up
01/03/2025




UQZ611
Complaint
12/16/2024




1DXY11
Complaint
11/25/2024




VMN511
Complaint
10/31/2024




CPM622
Recertification, Follow Up, Life Safety Code
08/23/2024




532411
Complaint
08/06/2024




CPM621
Recertification, Life Safety Code
07/18/2024




0J5G12
Complaint, Follow Up
07/16/2024




CPM612
Recertification, Follow Up, State Licensure
07/16/2024




0J5G11
Complaint
06/25/2024




CPM611
Recertification, Complaint, State Licensure
06/06/2024




9MUE21
Complaint, Life Safety Code
05/14/2024




XN9012
Complaint, Follow Up
04/09/2024




XN9011
Complaint
03/26/2024




KUDW11
Complaint
02/29/2024




G9LN12
Complaint, Follow Up
02/29/2024




G9LN11
Complaint
02/14/2024




5QT611
Complaint
01/18/2024




2ZGS12
Complaint, Follow Up
12/21/2023




2ZGS11
Complaint
12/06/2023




8WNB12
Complaint, Follow Up
11/02/2023




8WNB11
Complaint
10/12/2023




5KCL11
Complaint
09/14/2023




GGJV22
Recertification, Follow Up, Life Safety Code
09/06/2023




GGJV12
Recertification, Complaint, Follow Up, State Licensure
07/10/2023




B86612
Complaint, Follow Up
07/10/2023




GGJV21
Recertification, Life Safety Code
07/06/2023




GGJV11
Recertification, Complaint, State Licensure
06/16/2023




481J22
Complaint, Follow Up, Life Safety Code
06/14/2023




B86611
Complaint
05/25/2023




481J21
Complaint, Life Safety Code
04/28/2023




OBN811
Complaint
04/14/2023




EIXG11
Complaint
03/09/2023




DJRN11
Complaint, Other
01/27/2023




PSWI23
Recertification, Follow Up, Life Safety Code
01/03/2023




BCKU12
Complaint, Follow Up
12/16/2022




9EMT11
Complaint
12/12/2022




BCKU11
Complaint
12/01/2022




PSWI22
Recertification, Follow Up, Life Safety Code
11/16/2022




J2PR12
Complaint, Follow Up
10/18/2022




PSWI21
Recertification, Life Safety Code
10/04/2022




J2PR11
Complaint
09/28/2022




PSWI12
Recertification, Complaint, Follow Up, State Licensure
09/22/2022




OKJR11
Complaint
09/01/2022




PSWI11
Recertification, Complaint, State Licensure
08/23/2022





 
 




Links and Resources


 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.