Inspection Reports for Heritage Pointe of Fort Wayne
5250 Heritage Pkwy, Fort Wayne, IN 46835, United States, IN, 46835
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 4, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a pattern of isolated deficiencies involving emergency preparedness training, infection control practices, and abuse reporting and investigation. Prior issues included failure to report and investigate an allegation of physical abuse, incomplete emergency preparedness training documentation, and lapses in infection control related to COVID-19 precautions. Complaint investigations were mostly unsubstantiated, except for substantiated cases involving medication misappropriation by a nurse and failure to implement fall prevention care plans. The facility’s recent inspections indicate some improvement, particularly with no deficiencies cited in the latest complaint investigations and corrective actions implemented for prior issues.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a June 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 57
Capacity: 57
Deficiencies: 0
Date: Jun 4, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00459635.
Complaint Details
Complaint IN00459635 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census SNF/NF beds: 57
Census Medicare residents: 6
Census Medicaid residents: 24
Census Other residents: 27
Total Census: 57
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 0
Date: May 15, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00456774.
Complaint Details
Complaint IN00456774 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census: 59
Census Bed Type - SNF/NF: 50
Census Bed Type - SNF: 9
Census Payor Type - Medicare: 5
Census Payor Type - Medicaid: 33
Census Payor Type - Other: 21
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 0
Date: Apr 2, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00455206.
Complaint Details
Complaint IN00455206 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census: 57
SNF/NF beds: 49
SNF beds: 8
Medicare residents: 2
Medicaid residents: 21
Other payor residents: 34
Inspection Report
Deficiencies: 0
Date: Apr 1, 2025
Visit Reason
The visit was conducted to assess compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers.
Findings
Heritage of Fort Wayne was found in compliance with the Emergency Preparedness Requirements under 42 CFR Subpart 483.73.
Report Facts
Facility Number: 12931
Provider Number: 155828
AIM Number: 201278730
Inspection Report
Life Safety
Census: 58
Capacity: 68
Deficiencies: 1
Date: Mar 11, 2025
Visit Reason
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.
Findings
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.
Deficiencies (1)
Failed to conduct annual training for the Emergency Preparedness Program (EPP), including lack of documentation of training and staff knowledge demonstration.
Report Facts
Facility capacity: 68
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Craft | Executive Director | Signed the report and mentioned in relation to findings |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 25, 2025
Visit Reason
The visit was conducted as a paper compliance review for the Annual Recertification and State Licensure survey.
Findings
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.
Inspection Report
Annual Inspection
Census: 55
Capacity: 55
Deficiencies: 1
Date: Feb 10, 2025
Visit Reason
This visit was for Recertification and State Licensure Survey, including a State Residential Licensure Survey and the Investigation of Healthcare Complaints IN00451501 and IN00451713.
Complaint Details
Two complaints (IN00451501 and IN00451713) were investigated with no deficiencies related to the allegations cited.
Findings
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.
Deficiencies (1)
Failed to ensure enhanced barrier precautions were maintained for 1 of 1 resident related to infection control; staff used surgical masks instead of required N-95 masks when entering a COVID-19 positive resident's room.
Report Facts
Survey dates: February 4, 5, 6, 7 and 10, 2024
Census: 55
Total capacity: 55
Resident COVID-19 diagnosis goal date: 2/17/25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Craft | Executive Director | Signed the report |
| Assistant Director of Nursing | Interviewed regarding PPE use and infection control policy | |
| Certified Nurse Aide (CNA) 2 | Observed entering COVID-19 positive resident's room wearing surgical mask instead of N-95 |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 75
Deficiencies: 0
Date: Jan 10, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00449349.
Complaint Details
Complaint IN00449349 was investigated and found to have no deficiencies related to the allegations.
Findings
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.
Report Facts
Census Bed Type: 75
Census Payor Type: 75
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 2, 2025
Visit Reason
The visit was conducted as a paper compliance review related to the Investigation of Complaint IN00447537 completed on December 12, 2024.
Complaint Details
Investigation of Complaint IN00447537 completed and corrected; facility found in compliance.
Findings
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.
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 2
Date: Dec 12, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00447537 regarding allegations of physical abuse involving Resident B.
Complaint Details
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.
Findings
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.
Deficiencies (2)
Failed to ensure an allegation of physical abuse was reported for 1 of 3 residents reviewed for abuse (Resident B).
Failed to ensure a thorough investigation of alleged physical abuse was conducted for 1 of 3 residents reviewed for abuse (Resident B).
Report Facts
Census Bed Type - SNF/NF: 31
Census Bed Type - SNF: 25
Total Census: 56
Census Payor Type - Medicare: 4
Census Payor Type - Medicaid: 22
Census Payor Type - Other: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Craft | Executive Director | Signed the report |
| Director of Nursing | Interviewed regarding the abuse allegation and investigation; involved in failure to suspend CNA 3 and incomplete investigation | |
| CNA 3 | Certified Nurse Aide | Alleged staff member involved in physical abuse incident with Resident B |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 0
Date: Aug 29, 2024
Visit Reason
This visit was conducted for the investigation of Complaints IN00440407 and IN00440595.
Complaint Details
Complaint IN00440407 - No deficiencies related to the allegations are cited. Complaint IN00440595 - No deficiencies related to the allegations are cited.
Findings
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.
Report Facts
Census Bed Type - SNF/NF: 18
Census Bed Type - SNF: 32
Census Bed Type - Total: 50
Census Payor Type - Medicare: 11
Census Payor Type - Medicaid: 13
Census Payor Type - Other: 26
Census Payor Type - Total: 50
Inspection Report
Complaint Investigation
Census: 74
Deficiencies: 0
Date: Jun 5, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00435010.
Complaint Details
Investigation of Complaint IN00435010 with no deficiencies related to the allegations cited.
Findings
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.
Report Facts
Census: 74
Census Bed Type - SNF/NF: 20
Census Bed Type - SNF: 34
Census Bed Type - Residential: 20
Census Payor Type - Medicare: 5
Census Payor Type - Medicaid: 8
Census Payor Type - Other: 61
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 10, 2024
Visit Reason
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.
Findings
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.
Inspection Report
Life Safety
Census: 52
Capacity: 68
Deficiencies: 0
Date: Mar 25, 2024
Visit Reason
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.
Findings
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.
Report Facts
Facility capacity: 68
Census: 52
Inspection Report
Renewal
Census: 54
Capacity: 71
Deficiencies: 2
Date: Mar 6, 2024
Visit Reason
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.
Findings
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.
Deficiencies (2)
Failed to ensure opened food items were dated and labeled.
Failed to ensure baking pans were thoroughly dried prior to storage.
Report Facts
Residents consuming food prepared in kitchen: 54
Residents consuming food prepared in kitchen: 17
Total licensed capacity: 71
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Edwin T. Rice | Administrator | Signed the report as Laboratory Director or Provider/Supplier Representative. |
| Director of Dining Services (DDS) | Interviewed regarding food labeling and storage deficiencies. | |
| Chef 3 | Observed separating baking sheets and interviewed about drying procedures. |
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 0
Date: Dec 27, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00423469.
Complaint Details
Complaint IN00423469 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census Bed Type Total: 77
Census Bed Type SNF/NF: 32
Census Bed Type SNF: 6
Census Bed Type NF: 17
Census Bed Type Residential: 22
Census Payor Type Medicare: 6
Census Payor Type Medicaid: 17
Census Payor Type Other: 54
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 1
Date: Oct 20, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00418966 regarding allegations related to staff competency and resident safety.
Complaint Details
Investigation of Complaint IN00418966 found deficiencies related to staff competency and resident safety. The complaint was substantiated with findings of noncompliance.
Findings
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.
Deficiencies (1)
Failure to ensure staff competency for one staff member (Activity Assistant) who assisted a resident with a transfer without proper training, causing a skin tear injury.
Report Facts
Census: 58
Skin tear size: 6
Skin tear size: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Souder | Executive Director | Signed report and interviewed regarding lack of completed job specific orientation for Activity Assistant |
| Activity Assistant 1 | Staff member who assisted resident with transfer without proper training, causing injury |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 20, 2023
Visit Reason
Paper compliance review to the Investigation of Complaint IN00418966 completed on October 20, 2023.
Complaint Details
Investigation of Complaint IN00418966; paper compliance review completed with findings of compliance.
Findings
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.
Inspection Report
Re-Inspection
Census: 54
Capacity: 84
Deficiencies: 0
Date: May 23, 2023
Visit Reason
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.
Findings
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.
Report Facts
Facility capacity: 84
Census: 54
Inspection Report
Life Safety
Census: 54
Capacity: 84
Deficiencies: 2
Date: Apr 26, 2023
Visit Reason
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.
Findings
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.
Deficiencies (2)
Failed to maintain documentation of all required Emergency Preparedness Program training and to demonstrate staff knowledge of emergency procedures.
Sprinkler head spray pattern obstructed by resident personal items stored less than 18 inches from the sprinkler deflector in room 302.
Report Facts
Facility capacity: 84
Census: 54
Deficiency completion date: May 3, 2023
Deficiency completion date: Apr 27, 2023
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 3, 2023
Visit Reason
The visit was conducted as a paper compliance review for the Annual Recertification and State Licensure survey completed on March 17, 2023.
Findings
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.
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Mar 17, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00400592 in conjunction with Recertification and State Licensure Survey and a State Residential Licensure Survey.
Complaint Details
Complaint IN00400592 was investigated and found to have no deficiencies related to the allegations.
Findings
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.
Report Facts
Census SNF/NF: 51
Census Residential: 23
Total Census: 74
Census Payor Medicare: 3
Census Payor Medicaid: 17
Census Payor Other: 31
Total Census Payor: 51
Inspection Report
Recertification
Census: 23
Capacity: 74
Deficiencies: 3
Date: Mar 17, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey in conjunction with the Investigation of Complaint IN00400592.
Complaint Details
The visit was conducted in conjunction with the Investigation of Complaint IN00400592.
Findings
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.
Deficiencies (3)
Failure to document and monitor behaviors for residents with mental disorders or psychosocial adjustment difficulties (Residents 38 and 48).
Failure to ensure monitoring of opioid medication side effects for 4 residents (Residents 3, 38, 48, and 201).
Failure to ensure monitoring of psychotropic medications for 3 residents (Residents 3, 38, and 201).
Report Facts
Survey dates: 5
Census SNF/NF: 51
Census Residential: 23
Total Capacity: 74
Medicare Census: 3
Medicaid Census: 17
Other Payor Census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Souder | Executive Director | Signed the report and provided plan of correction. |
| LPN 2 | Licensed Practical Nurse | Interviewed regarding resident behaviors and medication monitoring. |
| SS 5 | Social Services | Interviewed regarding behavioral documentation and monitoring. |
| RN 9 | Registered Nurse | Interviewed regarding monitoring for adverse medication side effects. |
| LPN 3 | Licensed Practical Nurse | Interviewed regarding monitoring for adverse medication side effects and documentation. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 12, 2023
Visit Reason
The visit was a paper compliance review related to the investigation of Complaint IN00395994 completed on December 29, 2022.
Complaint Details
Investigation of Complaint IN00395994 completed on December 29, 2022, with paper compliance review conducted.
Findings
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.
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 1
Date: Dec 28, 2022
Visit Reason
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.
Complaint Details
Complaint IN00395994 was substantiated with federal/state deficiencies cited at F689. Complaint IN00397132 was substantiated with no deficiencies related to the allegations cited.
Findings
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.
Deficiencies (1)
Failed to implement care plan interventions to prevent falls for 1 of 5 residents reviewed (Resident T).
Report Facts
Census: 47
SNF/NF beds: 17
SNF beds: 30
Medicare residents: 5
Medicaid residents: 17
Other residents: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Souder | Executive Director | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 70
Deficiencies: 1
Date: Sep 22, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00388472, which was substantiated with federal and state deficiencies cited related to the allegation.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Failure to ensure a resident's narcotic medication was not misappropriated by a facility nurse.
Report Facts
Resident census: 51
Total licensed capacity: 70
Medication doses missing: 10
Medication doses wasted/documented: 2
Medication doses signed off without administration: 2
Duration of narcotic order: 14
Date of narcotic order discontinuation: 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 1 | Licensed Practical Nurse | Named in medication misappropriation finding; documented medication discrepancies and observed on security footage |
| LPN 2 | Licensed Practical Nurse | Provided statements regarding medication delivery and discovery of missing medication |
| LPN 3 | Licensed Practical Nurse | Provided statements regarding narcotic counts and resident medication concerns |
| Administrator | Facility Administrator | Interviewed regarding investigation and facility policies |
| DON | Director of Nursing | Interviewed about staff education and narcotic count audits |
Viewing
Loading inspection reports...
