Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 2209 ST JOE CENTER RD
City: FORT WAYNE
Telephone: (260) 483-3116
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 23-000541-1
License effective date: 10/1/2023
License expiration date: 9/30/2024
Administration and Staff
Administrator: MARK A. PRICE
Start date: 11/25/2023
Director of Nursing: KATHRYN S BRADY
Start date: 12/18/2018
Medical director: Robert Wilkins
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: BHI SENIOR LIVING, INC
5415 BEARBERRY LIVING INC.
INDIANAPOLIS IN 46268
Ownership type: NON-PROFIT
Officer(s): LOWELL DEAN JONES
ROGER MILLER
JOHN DATTILO
ROGER WEIDEMAN II
WILLIAM HURT
JANE SEIGEL
WENDY MEREDITH
HARRY KENNERK
JOHN LIPSON
JANE RICHARDSON
JEFFREY A TERP
DEXTER COOLEY
JEFFREY CALDWELL
SHAWNA GOTTLIEB
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: N/A
Date of last change of ownership: N/A
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 32
Number of Medicare/Medicaid beds (SNF/NF): 0
Number of non-certified comprehensive care beds (State Licensed only): 75
Total number of comprehensive care beds: 32
RESIDENTIAL CARE BEDS:
Total number of residential beds: 340
Total number of beds in facility: 447
CENSUS:
Facility census: 220
As reported by the facility on: 1/17/2024
Number of comprehensive care beds occupied in this facility. 40
As reported by the facility on: 1/17/2024
Residential care beds occupied: 172
As reported by the facility on: 1/17/2024
Alzheimer Beds: 18
Alzheimer Beds Occupied: 15
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: 42
Number of comprehensive care resident rooms with battery
operated smoke detectors: 42
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - MIKE PRICE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ASSOC. EXEC. DIR.
Date form completed - 3/27/2023
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 3/23/2006
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2024
Nurse aide training and competency evaluation program (NATCEP) banned: No
Nurse aide training and competency evaluation program (NATCEP) ban expires: N/A
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
TOWNE HOUSE RETIREMENT COMMUNITY
Approved: 7/29/2021
Terminated: N/A
Approved: 10/28/1997
Terminated: N/A
FORT WAYNE COMMUNITY SCHOOLS NEIGHBORHOOD CONNECTI
Approved: 9/14/2010
Terminated: N/A
FWCS CAREER ACADEMY AT ANTHIS
Approved: 2/17/1998
Terminated: N/A
WESLEY MANOR HEALTH CENTER
Approved: 11/17/2022
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 0
Facility Report Card
3/1/2020 Current QTR
12/1/2019 Previous QTR
9/1/2019 Previous QTR
6/1/2019 Previous QTR
Report Card Score
458
452
434
434
Rank of Score
6
6
12
12
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
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: 9/30/2022 Date Ended: 10/5/2022
Directed Plan of Correction
Date Imposed: 10/12/2021 Date Ended: 10/11/2021
Civil Money Penalty
Date Imposed: 9/21/2021 Date Ended: 9/21/2021
Amount proposed per day:
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.
