Inspection Reports for Kingston Residence of Fort Wayne

7515 WINCHESTER RD, FORT WAYNE, IN, 46819

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Inspection Report Summary

The most recent inspection on March 4, 2025, found no deficiencies related to the complaint investigated. Earlier inspections were mostly free of deficiencies, with the exception of a few reports in early 2024 that cited issues with service plan documentation, kitchen sanitation, prevention of resident elopement, and theft of personal property. Complaint investigations were generally unsubstantiated, except for one substantiated case involving misappropriation of a resident’s credit card by a contracted employee, which was addressed by the facility with police involvement and employee removal. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows improvement over time, with recent inspections showing compliance after earlier citations.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

69% better than Indiana average
Indiana average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Census

Latest occupancy rate 55 residents

Based on a March 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

30 40 50 60 70 Mar 2023 Dec 2023 Mar 2024 Jul 2024 Oct 2024 Mar 2025

Inspection Report

Complaint Investigation
Census: 55 Deficiencies: 0 Date: Mar 4, 2025

Visit Reason
This visit was for the Investigation of Complaint IN00453406.

Complaint Details
Complaint IN00453406-No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. The facility was found to be compliant with 42 CFR Parts 483.10, 483.12, 483.25 and 483.35 in regard to the Investigation of Complaint IN00453406.

Inspection Report

Complaint Investigation
Census: 62 Deficiencies: 0 Date: Dec 12, 2024

Visit Reason
This visit was conducted for the investigation of Complaint IN00446298.

Complaint Details
Complaint IN00446298 was investigated and found to have no related deficiencies; the complaint was not substantiated.
Findings
No deficiencies related to the allegations in Complaint IN00446298 were cited. The facility was found to be in compliance with applicable regulations.

Inspection Report

Census: 60 Deficiencies: 0 Date: Oct 24, 2024

Visit Reason
This visit was for a State Residential Licensure Survey conducted on October 24, 2024.

Findings
Kingston Residence of Fort Wayne was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.

Inspection Report

Complaint Investigation
Census: 57 Deficiencies: 0 Date: Sep 24, 2024

Visit Reason
This visit was for the Investigation of Residential Complaint IN00441193.

Complaint Details
Investigation of Residential Complaint IN00441193 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.

Inspection Report

Complaint Investigation
Census: 59 Deficiencies: 0 Date: Jul 26, 2024

Visit Reason
This visit was for the Investigation of Complaint IN00438594.

Complaint Details
Investigation of Complaint IN00438594 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations are cited. Kingston Residence of Fort Wayne was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00438594.

Inspection Report

Complaint Investigation
Census: 56 Deficiencies: 0 Date: Jun 26, 2024

Visit Reason
This visit was conducted for the investigation of Complaint IN00436932.

Complaint Details
Complaint IN00436932 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.

Inspection Report

Complaint Investigation
Census: 56 Deficiencies: 0 Date: Mar 18, 2024

Visit Reason
This visit was conducted for the investigation of Complaint IN00430404.

Complaint Details
Investigation of Complaint IN00430404 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.

Inspection Report

Complaint Investigation
Census: 50 Deficiencies: 3 Date: Jan 29, 2024

Visit Reason
This visit was for a State Residential Licensure Survey including the Investigation of Complaints IN00424237 and IN00426197.

Complaint Details
Complaint IN00424237 involved misappropriation of Resident H's credit card by a Certified Nursing Assistant (CNA 7) contracted through an agency. The facility investigated, involved police, and removed the employee from shifts. Resident was reimbursed. Complaint IN00426197 involved failure to prevent elopement of Resident 7 who left the facility unsupervised in cold weather without a wander guard in place. The facility lacked adequate documentation and interventions to prevent elopement.
Findings
The facility failed to prevent theft of personal property for one resident and failed to implement interventions to prevent elopement of another resident. Additionally, the facility failed to maintain kitchen sanitation standards.

Deficiencies (3)
Failed to ensure prevention of theft of personal property for 1 of 1 Resident (Resident H).
Failed to implement interventions to prevent elopement of 1 of 5 residents reviewed (Resident 7).
Failed to ensure kitchen sanitation was maintained; issues included leaking sink, food particles and debris under equipment, and lack of hairnets outside pantry area.
Report Facts
Resident Census: 50 Credit Card Charges: 5 Elopement Risk Score: 24

Employees mentioned
NameTitleContext
Amanda CraigExecutive DirectorSigned the report and involved in facility administration.
CNA 7Certified Nursing AssistantEmployee contracted through an agency who misappropriated Resident H's credit card.

Inspection Report

Complaint Investigation
Census: 52 Deficiencies: 0 Date: Dec 14, 2023

Visit Reason
This visit was for the Investigation of Complaint IN00422317 and included a Residential COVID-19 Quality Assurance Walk Through.

Complaint Details
Complaint IN00422317 was investigated and no deficiencies related to the allegations were cited.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation and the COVID-19 quality assurance walk through.

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 0 Date: Sep 13, 2023

Visit Reason
This visit was for the Investigation of Complaint IN00416677.

Complaint Details
Complaint IN00416677- No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. Kingston Residence of Fort Wayne was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00416677.

Inspection Report

Census: 39 Deficiencies: 1 Date: Mar 7, 2023

Visit Reason
This visit was for a State Residential Licensure Survey conducted on March 6 and 7, 2023 to assess compliance with state regulations.

Findings
The facility failed to ensure that service plans were reviewed and signed by residents or their responsible parties for 7 of 7 residents reviewed. Service plans lacked signatures and dates from residents or responsible parties, and the facility did not have a formal policy for service plans at the time of the survey.

Deficiencies (1)
Failed to ensure service plans were reviewed and signed for 7 of 7 residents reviewed (Residents 2, 3, 4, 5, 6, 7, and 8).
Report Facts
Residents with unsigned service plans: 7 Residential Census: 39

Employees mentioned
NameTitleContext
Hugo MataExecutive DirectorSigned the report and provided information about the facility's plan of correction
Director of Nurses (DON)Interviewed regarding service plan procedures and resident evaluations; name not fully provided

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