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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 37th out of 267 homes in Indiana.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ▼ 30% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 5m per day | ▲ 41% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 29m per day | ▲ 10% State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 53m per day | ▲ 20% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 26% State avg: 27m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
19% of new residents, usually for short-term rehab.
76% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 267Payroll — state benchmarkedThis home is ranked 85th out of 267 homes in Indiana.Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Indiana average: 68.1%Lutheran Life Villages is legally operated by Adams County Memorial Hospital, and administrated by Matthew Souder.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
The data displayed corresponds to the last 5 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
22 total visits · Indiana avg: 19
Ranked 241st of 388 in Indiana
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Indiana average: 5 complaints
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
The most recent inspection on June 19, 2025, was a complaint investigation with no deficiencies cited. Earlier inspections showed a mixed record, with some deficiencies noted in resident care and life safety issues, such as restricted egress through magnetically locked exit doors and incomplete electrical equipment documentation in April 2025, as well as medication and monitoring concerns in early 2025 and 2024. Complaint investigations were mostly unsubstantiated or found no related deficiencies, though a substantiated complaint in late 2022 involved inadequate grievance investigations and documentation, which the facility addressed with training and audits. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The trend suggests some improvement in compliance with life safety and care requirements in the most recent inspections.
Indiana average 6
Last Health inspection on Mar 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 8 citations resulted from standard inspections; and 1 of 8 resulted from complaint investigations.
100% better than Indiana averageIndiana average: 0.2
0
100% better than Indiana averageIndiana average: 0.6
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 19, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 19, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 19, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 19, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Lutheran Life Villages is located in FORT WAYNE, Indiana.
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91.2 miles from city center
Estimated distance in miles from FORT WAYNE's city center to Lutheran Life Villages's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
1554117% better than Indiana averageIndiana average ratio: 0.00:1
5% worse than Indiana averageIndiana average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Total hours from contractors
2,522 contractor hours this quarter
| Certified Nursing Assistant | 32 | 0 | 32 | 10,838 | 91 | 100% | 7.4 |
| Medication Aide/Technician | 23 | 0 | 23 | 8,304 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 17 | 0 | 17 | 6,080 | 91 | 100% | 8.3 |
| Registered Nurse | 15 | 0 | 15 | 3,068 | 91 | 100% | 7 |
| RN Director of Nursing | 5 | 0 | 5 | 1,538 | 73 | 80% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 979 | 81 | 89% | 7.7 |
| Physical Therapy Aide | 0 | 5 | 5 | 834 | 69 | 76% | 5.6 |
| Speech Language Pathologist | 0 | 9 | 9 | 705 | 67 | 74% | 6 |
| Administrator | 1 | 0 | 1 | 503 | 63 | 69% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 489 | 73 | 80% | 5 |
| Mental Health Service Worker | 1 | 0 | 1 | 487 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 447 | 56 | 62% | 8 |
| Dietitian | 1 | 0 | 1 | 431 | 54 | 59% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 190 | 64 | 70% | 2.6 |
| Nurse Aide in Training | 3 | 0 | 3 | 154 | 10 | 11% | 7.3 |
| Medical Director | 0 | 2 | 2 | 129 | 63 | 69% | 1.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 96 | 13 | 14% | 7.4 |
| Qualified Social Worker | 0 | 2 | 2 | 46 | 48 | 53% | 0.9 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 34 | 41 | 45% | 0.8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
In line with Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
15% worse than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.7%
19% better than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
17.1%
19% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.9%
30% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
24% better than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.6%
6% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.7%
39% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
3.7%
35% better than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.4%
98% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
6.1%
51% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.1%
In line with Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.37
14% better than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.54
64% better than Indiana averageIndiana average: 1.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
19% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
20% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.8%
34% better than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.3%
55% worse than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
61.2%
14% better than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.8%
8% better than Indiana averageIndiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| Lutheran Life Villages |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Wayne | 84 | 95.2% | +37% | 4.22 | +23% | +23% | 0 | 8 | 2.0 | - | 93 | - | 9 | Kiefer, Alexander | $13.9M | $5.0M | 36% | 155800 | ||||
| Englewood Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fort Wayne (Sand Point) | 64 | 85.9% | +24% | 3.86 | -17% | +12% | 0 | 6 | 1.2 | - | 52 | - | 50 | Riverview Hospital | $7.7M | $2.9M | 37.1% | 155654 | ||||
| Canterbury Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fort Wayne | 142 | 66.9% | -4% | 3.06 | +50% | -11% | 0 | 14 | 2.3 | - | 111 | A+ | 62 | Anand, Meeta | $13.8M | $5.4M | 39% | 155656 | ||||
| Ashton Creek Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Wayne | 139 | 79.9% | +15% | 3.44 | -31% | 0% | 0 | 15 | 2.1 | - | 110 | - | 1 | Grindstaff, Aaron | $20.0M | $6.2M | 30.9% | 155798 | ||||
| Chateau Rehabilitation and Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Wayne | 99 | 93.9% | +35% | 3.07 | -61% | -11% | 1 | 37 | 2.9 | 1 | 84 | - | 68 | Chateau Rehabilitation And Healthcare Center, Llc | $14.5M | $4.4M | 30.4% | 155249 |
Historical financial and operational data for Lutheran Life Villages based on CMS SNF Cost Reports.
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Dana Roach is the Director of Nursing at Lutheran Life Villages.
The legal owner and operator of Lutheran Life Villages is Adams County Memorial Hospital.
Lutheran Life Villages has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IN state health department records, Lutheran Life Villages's license number is 25-012657-1.
According to IN state health department records, Lutheran Life Villages's license expires on June 30, 2026.
Lutheran Life Villages's occupancy is 80%.
Matthew Souder is the administrator of Lutheran Life Villages.
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