Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
ASHTON CREEK HEALTH AND REHABILITATION CENTER
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 4111 PARK PLACE DRIVE
City: FORT WAYNE
Telephone: (260) 373-2111
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-012861-1
  License effective date: 08/01/2024
  License expiration date: 07/31/2025
 


Administration and Staff

Administrator: DEREK GIBSON
  Start date: 08/14/2023
 
Director of Nursing: STEPHANIE SLATE
  Start date: 04/10/2023
 
Medical director: Brian Adams
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist: Shakeela Woodard
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
 
Ownership type:  NON-PROFIT
 
Officer(s): WILLIAM KIRSCH
            GREG MURRAY
            LEEANN MURRAY
            CHARLES MULRY
            SAM MISHELOW
            MICHAEL DAUGHERTY
            JAYNA L FRIEND
            DAVE HYATT
            DAN STEVENS
            DOUG MYERS
            AMY CROUCH
            ERIC MARCOTTE
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: ASHTON CREEK HEALTHCARE OPERATIONS COMPANY LLC
Date of last change of ownership: 08/01/2014
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    50
Number of Medicare/Medicaid beds (SNF/NF):        89
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     139
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            139
 
CENSUS:
Facility census:  111
As reported by the facility on: 07/01/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/01/2025
 
Residential care beds occupied:  0
As reported by the facility on: 07/01/2025
 
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: 73
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 0
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 73
 
  If hard wired and/or wireless smoke detectors are provided in resident's room, do they:
    (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes
    (B) Transmit to a central station service - Yes
    (C) Connect to the health facility's fire alarm system - Yes
 
Person completing form - DEREK GIBSON
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 04/03/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 07/06/2018
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2020
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 03/14/2023
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     PREMIER NURSING ACADEMY
         Approved: 11/23/2016
         Terminated: 03/15/2021
     ASHTON CREEK HEALTH AND REHABILITATION CENTER
         Approved: 07/06/2018
         Terminated: 04/29/2021
     ESSENTIAL HEALTHCARE ACADEMY, LLC
         Approved: 12/29/2023
         Terminated: N/A
     IVY TECH COMMUNITY COLLEGE
         Approved: 07/23/2025
         Terminated: N/A
     IVY TECH COMMUNITY COLLEGE
         Approved: 04/01/2020
         Terminated: 03/15/2021
     RISE UP HEALTH CARE ACADEMY
         Approved: 11/04/2022
         Terminated: N/A
     FWCS CAREER ACADEMY AT ANTHIS
         Approved: 11/20/2023
         Terminated: N/A
 


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
338
338
341
380


Rank of Score
55
54
55
41


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
No
No


 Substandard Quality of Care 
No
No
No


Administrator Change
Yes
No
No


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
     Directed Plan of Correction
     Date Imposed: 01/05/2023  Date Ended: 12/28/2022
 
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

GC7M11
Complaint
05/19/2025


ELHE11
Complaint
02/21/2025


H5XU11
Complaint
10/28/2024


OZVD12
Complaint, Follow Up
09/30/2024


OZVD11
Complaint
09/11/2024


K5AZ12
Recertification, Complaint, Follow Up, State Licensure
08/27/2024


K5AZ21
Recertification, Life Safety Code
08/06/2024


K5AZ11
Recertification, Complaint, State Licensure
07/22/2024


KPO511
Complaint
04/19/2024


0RGX11
Complaint, Other
04/03/2024


1WC111
Complaint
03/15/2024


T6R012
Complaint, Follow Up
12/08/2023


T6R011
Complaint
11/17/2023


P3M311
Complaint, Other
10/14/2023


LD6U23
Recertification, Follow Up, Life Safety Code
10/03/2023


WR8412
Complaint, Follow Up
09/18/2023


LD6U22
Recertification, Follow Up, Life Safety Code
09/06/2023


WR8411
Complaint
08/23/2023


LD6U12
Recertification, Follow Up, State Licensure
08/14/2023


KFNT11
Complaint
08/11/2023


LD6U21
Recertification, Life Safety Code
07/19/2023


LD6U11
Recertification, State Licensure
07/11/2023


B7VM11
Complaint
05/17/2023


4Y9D12
Complaint, Follow Up
05/03/2023


4Y9D11
Complaint
04/12/2023


JSGU12
Complaint, Follow Up
02/14/2023


JSGU11
Complaint
01/26/2023


7REM23
Recertification, Follow Up, Life Safety Code
01/17/2023


7REM22
Recertification, Follow Up, Life Safety Code
12/12/2022


119J11
Complaint
11/21/2022


7REM21
Recertification, Follow Up, Life Safety Code
10/20/2022


7REM12
Recertification, Follow Up, State Licensure
10/13/2022


CSHE11
Complaint
10/06/2022


7REM11
Recertification, State Licensure
09/13/2022


 
 


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.