Inspection Reports for Heritage Pointe of Fort Wayne

This visit was conducted for the investigation of Complaint IN00459635.

No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00459635 was investigated and found to have no deficiencies related to the allegations.

This visit was conducted for the investigation of Complaint IN00456774.

No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00456774 was investigated and found to have no deficiencies related to the allegations.

This visit was conducted for the investigation of Complaint IN00455206.

No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00455206 was investigated and found to have no deficiencies related to the allegations.

The visit was conducted to assess compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers.

Heritage of Fort Wayne was found in compliance with the Emergency Preparedness Requirements under 42 CFR Subpart 483.73.

An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health on 03/11/2025.

The facility was found not in compliance with Emergency Preparedness Requirements due to failure to conduct annual training for the Emergency Preparedness Program. However, the facility was found in compliance with Life Safety Code requirements.

The visit was conducted as a paper compliance review for the Annual Recertification and State Licensure survey.

Heritage Pointe of Fort Wayne was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.

This visit was for Recertification and State Licensure Survey, including a State Residential Licensure Survey and the Investigation of Healthcare Complaints IN00451501 and IN00451713.

The facility was found to have no deficiencies related to the healthcare complaints investigated. However, a deficiency was cited for failure to ensure enhanced barrier precautions for infection control related to one resident with COVID-19, specifically improper mask use by staff. The facility implemented corrective actions including staff re-education and audits to ensure proper PPE use.

Two complaints (IN00451501 and IN00451713) were investigated with no deficiencies related to the allegations cited.

This visit was conducted for the investigation of Complaint IN00449349.

No deficiencies related to the allegations of Complaint IN00449349 were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1.

Complaint IN00449349 was investigated and found to have no deficiencies related to the allegations.

The visit was conducted as a paper compliance review related to the Investigation of Complaint IN00447537 completed on December 12, 2024.

Heritage Pointe of Fort Wayne was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper review of the complaint investigation.

Investigation of Complaint IN00447537 completed and corrected; facility found in compliance.

This visit was conducted for the investigation of Complaint IN00447537 regarding allegations of physical abuse involving Resident B.

The facility failed to report an allegation of physical abuse and failed to conduct a thorough investigation of the alleged abuse involving Resident B. The Director of Nursing did not suspend the alleged staff member pending investigation, and there was no documentation or follow-up in the resident's record regarding the abuse allegation.

Complaint IN00447537 was an anonymous complaint reported to the Indiana Department of Health alleging that on 11/12/24, Resident B reported to family that a Certified Nurse Aide (CNA 3) was rough and slapped her during care. The family reported the incident to the Director of Nursing, but no follow-up or proper reporting was done. The resident had moderately impaired cognition and was unable to describe the incident at the time of investigation. The facility failed to suspend the alleged CNA pending investigation and did not conduct interviews with other residents or perform skin assessments on non-interviewable residents.

This visit was conducted for the investigation of Complaints IN00440407 and IN00440595.

No deficiencies related to the allegations in either complaint were cited. The facility was found to be in compliance with applicable regulations regarding the complaints investigated.

Complaint IN00440407 - No deficiencies related to the allegations are cited. Complaint IN00440595 - No deficiencies related to the allegations are cited.

This visit was for the Investigation of Complaint IN00435010.

No deficiencies related to the allegations are cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Investigation of Complaint IN00435010.

Investigation of Complaint IN00435010 with no deficiencies related to the allegations cited.

The inspection was conducted as a paper compliance review for the Annual Recertification and State Licensure survey, including a review of the State Residential Licensure Survey completed on March 6, 2024.

Heritage Pointe of Fort Wayne was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.

An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively.

Heritage Pointe of Fort Wayne was found in compliance with Emergency Preparedness Requirements and Life Safety Code Requirements for Medicare and Medicaid Participating Providers and Suppliers. The facility is a one-story, fully sprinklered Type V (111) construction with a fire alarm system and smoke detection throughout.

This visit was for Recertification and State Licensure Survey, including a State Residential Licensure Survey conducted on February 29, March 1, 4, 5, and 6, 2024.

The facility failed to ensure that opened food items were properly dated and labeled, and that baking pans were thoroughly dried prior to storage in the kitchen. Observations included unlabeled opened food packages and wet baking pans stacked for storage. The facility implemented corrective actions including re-education of kitchen staff and weekly audits to ensure compliance.

This visit was conducted for the investigation of Complaint IN00423469.

No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with relevant regulations.

Complaint IN00423469 was investigated and found to have no deficiencies related to the allegations.

This visit was conducted for the investigation of Complaint IN00418966 regarding allegations related to staff competency and resident safety.

The facility was found noncompliant with nursing services regulations due to failure to ensure staff competency for one staff member (Activity Assistant) who assisted a resident with a transfer without proper training, resulting in a skin tear injury to the resident.

Investigation of Complaint IN00418966 found deficiencies related to staff competency and resident safety. The complaint was substantiated with findings of noncompliance.

Paper compliance review to the Investigation of Complaint IN00418966 completed on October 20, 2023.

Heritage Pointe of Fort Wayne was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review to the Complaint Investigation.

Investigation of Complaint IN00418966; paper compliance review completed with findings of compliance.

A Post Survey Revisit (PSR) was conducted to the Emergency Preparedness Survey and the Life Safety Code Recertification and State Licensure Survey originally conducted on 04/26/23.

At this PSR survey, Heritage Pointe of Fort Wayne was found in compliance with Emergency Preparedness Requirements and Life Safety Code Requirements for Medicare and Medicaid Participating Providers and Suppliers.

An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively.

The facility was found not in compliance with Emergency Preparedness Requirements due to failure to maintain documentation of required Emergency Preparedness Program training and failure to demonstrate staff knowledge of emergency procedures. Additionally, the facility failed to ensure sprinkler head spray pattern was not obstructed, with resident personal items stored less than 18 inches from a sprinkler head in room 302.

The visit was conducted as a paper compliance review for the Annual Recertification and State Licensure survey completed on March 17, 2023.

Heritage Pointe of Fort Wayne was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.

This visit was for the Investigation of Complaint IN00400592 in conjunction with Recertification and State Licensure Survey and a State Residential Licensure Survey.

No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the complaint investigation.

Complaint IN00400592 was investigated and found to have no deficiencies related to the allegations.

This visit was for a Recertification and State Licensure Survey in conjunction with the Investigation of Complaint IN00400592.

The facility was found deficient in documenting and monitoring behaviors for residents with mental health diagnoses, monitoring opioid medication side effects, and monitoring psychotropic medication side effects. Plans of correction included updating policies, education, and implementation of monitoring tools.

The visit was conducted in conjunction with the Investigation of Complaint IN00400592.

The visit was a paper compliance review related to the investigation of Complaint IN00395994 completed on December 29, 2022.

Heritage Pointe of Fort Wayne was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review of the complaint investigation.

Investigation of Complaint IN00395994 completed on December 29, 2022, with paper compliance review conducted.

This visit was conducted for the investigation of Complaints IN00395994 and IN00397132. Complaint IN00395994 was substantiated with related deficiencies cited, while Complaint IN00397132 was substantiated with no deficiencies cited.

The facility failed to implement care plan interventions to prevent falls for 1 of 5 residents reviewed (Resident T). Multiple falls were documented involving Resident T, with inadequate adherence to care plans requiring extensive assistance for transfers. The facility's fall prevention policy and corrective actions were reviewed and updated accordingly.

Complaint IN00395994 was substantiated with federal/state deficiencies cited at F689. Complaint IN00397132 was substantiated with no deficiencies related to the allegations cited.

This visit was conducted for the investigation of Complaint IN00388472, which was substantiated with federal and state deficiencies cited related to the allegation.

The facility failed to ensure a resident's narcotic medication was not misappropriated by a facility nurse for 1 of 3 resident medications reviewed. The investigation revealed missing oxycodone tablets, discrepancies in medication administration records, and evidence from security cameras indicating possible diversion by a nurse. The facility implemented corrective actions including staff education, audits, and policy reinforcement.

Complaint IN00388472 was substantiated. The investigation found misappropriation of narcotic medication (oxycodone) involving a licensed practical nurse. The facility conducted an investigation including review of medication records, staff interviews, and security camera footage.