Inspection Reports for The Grand Marquis
300 E WASHINGTON BLVD, FORT WAYNE, IN, 46802
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 21, 2025 found no deficiencies related to the complaints investigated. Earlier inspections showed a pattern of deficiencies involving resident financial protections, fire safety practices, kitchen sanitation, verbal abuse, clinical documentation, and medication management. Notable substantiated complaints included misappropriation of resident funds by a former staff member, verbal abuse by a medication aide, and exploitation involving a staff member borrowing money from a resident. Complaint investigations were mostly unsubstantiated aside from these cases, and enforcement actions such as staff termination were reported but no fines or license suspensions were listed in the available reports. The facility’s record shows some ongoing challenges with resident protections and safety, though recent inspections indicate corrective actions and compliance with regulations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
7% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
93 residents
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 93
Deficiencies: 0
Date: Apr 21, 2025
Visit Reason
This visit was conducted for the investigation of five complaints: IN00455712, IN00457492, IN00457568, IN00457708, and IN00457745.
Complaint Details
Complaints IN00455712, IN00457492, IN00457568, IN00457708, and IN00457745 were investigated and no deficiencies related to the allegations were cited.
Findings
No deficiencies related to the allegations were cited for any of the complaints investigated. The facility was found to be in compliance with applicable regulations regarding these complaints.
Report Facts
Residential Census: 93
Inspection Report
Complaint Investigation
Census: 96
Deficiencies: 3
Date: Feb 4, 2025
Visit Reason
This visit was for a State Residential Licensure Survey that included the investigation of complaints IN00452756 and IN00451795. Complaint IN00452756 resulted in state deficiencies related to allegations, while complaint IN00451795 had no deficiencies cited.
Complaint Details
Complaint IN00452756 was substantiated with state deficiencies cited related to misappropriation of resident funds by a former activities director. Complaint IN00451795 had no deficiencies related to the allegations.
Findings
The facility failed to protect resident money cards from loss and theft for 5 of 6 residents reviewed, involving misappropriation of funds by a former activities director. Additionally, the facility failed to conduct fire drills on 3rd shift, document fire drills properly, invite the fire department to drills, and maintain a sanitary kitchen environment with proper cleaning and equipment maintenance.
Deficiencies (3)
Failed to ensure resident money cards were protected from loss and theft for 5 residents.
Failed to ensure fire drills were conducted on 3rd shift, properly documented, and fire department invited.
Failed to maintain sanitary kitchen environment with food particles on floor and inoperable equipment.
Report Facts
Residents affected: 5
Resident census: 96
Misappropriated amounts: 2377.37
Misappropriated amounts: 2772
Misappropriated amounts: 2894.68
Misappropriated amounts: 442.34
Misappropriated amounts: 2391.81
Fire drills missing: 1
Residents affected by kitchen sanitation: 95
Residents total: 97
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jina Babani | Administrator | Signed report and involved in corrective actions |
| Unnamed Executive Director | Executive Director | Interviewed regarding misappropriation investigation |
| Unnamed Maintenance Director | Maintenance Director | Interviewed regarding fire drills and responsible for fire drill audits |
| Unnamed Dietary Worker 2 | Dietary Worker | Observed kitchen sanitation issues and dishwasher temperature recording |
| Unnamed Dietary Manager | Dietary Manager | Responsible for weekly sanitation audits of kitchen |
Inspection Report
Complaint Investigation
Census: 99
Deficiencies: 1
Date: Dec 23, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00437649, IN00448201, and IN00449376 at the facility.
Complaint Details
Complaint IN00449376 was substantiated with state deficiencies cited related to verbal abuse. Complaints IN00437649 and IN00448201 had no deficiencies related to the allegations.
Findings
The facility was found to have failed to ensure residents were free from verbal abuse for one of six residents reviewed (Resident B), with documented verbal abuse by a Qualified Medication Aide (QMA 2) toward Resident B.
Deficiencies (1)
Facility failed to ensure residents were free of verbal abuse for 1 of 6 residents reviewed (Resident B), including cursing and derogatory language by QMA 2.
Report Facts
Residential Census: 99
Deficiency completion date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jina Babani | Administrator | Administrator provided incident report and interviews related to verbal abuse complaint |
Inspection Report
Complaint Investigation
Census: 101
Deficiencies: 0
Date: Oct 11, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00444436 and IN00444991.
Complaint Details
Investigation of Complaints IN00444436 and IN00444991 found no deficiencies related to the allegations; facility was compliant.
Findings
No deficiencies related to the allegations in complaints IN00444436 and IN00444991 were cited. The facility was found to be in compliance with applicable regulations regarding these complaints.
Inspection Report
Complaint Investigation
Census: 104
Deficiencies: 0
Date: Sep 13, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00440196.
Complaint Details
Complaint IN00440196 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.
Report Facts
Residential Census: 104
Inspection Report
Complaint Investigation
Census: 102
Deficiencies: 0
Date: Jul 1, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00436361.
Complaint Details
Complaint IN00436361 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00436361 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Report Facts
Residential Census: 102
Inspection Report
Renewal
Census: 100
Deficiencies: 4
Date: Apr 24, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 22, 23, and 24, 2024 to assess compliance with state regulations.
Findings
The facility was found deficient in ensuring timely family and physician notification of resident condition changes, failure to weigh a resident upon admission, incomplete and inaccurate clinical records including documentation related to a resident's death, and failure to maintain a complete list of diagnoses in resident records.
Deficiencies (4)
Failed to ensure family and physician notification of a change in resident condition for 1 of 8 residents reviewed (Resident 7).
Failed to ensure a resident was weighed upon admission for 1 of 4 residents reviewed (Resident 4).
Failed to ensure 1 of 8 residents reviewed had complete, accurate, and easily compiled clinical records (Resident 7).
Failed to ensure documentation was complete in the resident chart concerning the resident's death for 1 of 2 residents reviewed (Resident 7).
Report Facts
Residential Census: 100
Survey Dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jina Babani | Administrator | Signed the report and involved in audits and policy reviews |
| QMA 3 | Interviewed regarding medication refusal and notification procedures | |
| Director of Nursing | DON | Interviewed regarding weighing policies, notification procedures, and clinical documentation |
| CNA 2 | Interviewed regarding resident death documentation and charting limitations |
Inspection Report
Complaint Investigation
Census: 103
Deficiencies: 0
Date: Mar 8, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00426789 and IN00427130.
Complaint Details
Investigation of Complaints IN00426789 and IN00427130 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in complaints IN00426789 and IN00427130 were cited. The facility was found to be in compliance with applicable regulations.
Inspection Report
Complaint Investigation
Census: 102
Deficiencies: 0
Date: Sep 15, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00416836.
Complaint Details
Complaint IN00416836 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: 100
Deficiencies: 0
Date: Aug 25, 2023
Visit Reason
This visit was for the investigation of complaints IN00415265 and IN00415715.
Complaint Details
Investigation of Complaint IN00415265 and IN00415715 found no deficiencies related to the allegations; both complaints were not substantiated.
Findings
No deficiencies related to the allegations were cited for either complaint. The facility was found to be in compliance with applicable regulations regarding the complaints investigated.
Report Facts
Residential Census: 100
Inspection Report
Complaint Investigation
Census: 97
Deficiencies: 0
Date: Aug 10, 2023
Visit Reason
This visit was for the investigation of two complaints, IN00412969 and IN00414442.
Complaint Details
Complaint IN00412969 and Complaint IN00414442 were investigated with no deficiencies found related to the allegations.
Findings
No deficiencies related to the allegations in either complaint were cited. The facility was found to be in compliance with applicable regulations regarding these complaints.
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 0
Date: May 22, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00407497.
Complaint Details
Complaint IN00407497 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Renewal
Census: 76
Deficiencies: 4
Date: Apr 6, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 3, 4, 5, and 6, 2023 to assess compliance with state residential licensure requirements.
Findings
The facility was found deficient in several areas including failure to complete repairs after water damage on the 8th floor, failure to monitor resident weights routinely, failure to ensure physician orders were followed for medications, and failure to ensure safe storage of self-administered medications by a resident.
Deficiencies (4)
Facility failed to ensure repairs after water damage were completed for the 8th floor hallway, including missing cove base and holes in drywall.
Facility failed to monitor weight routinely for 1 of 7 residents reviewed (Resident 5).
Facility failed to ensure physician orders were followed for 1 of 5 residents (Resident 17), resulting in medication errors.
Facility failed to ensure a resident who self-administered medication was safely storing medications (Resident 5).
Report Facts
Residential Census: 76
Survey Dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jina Babani | Administrator | Signed the inspection report |
| Assistant Director of Nursing | ADON | Involved in medication order review, audits, and corrective actions |
| Director of Nursing | DON | Oversight of audits and corrective actions related to medication and resident care |
| Maintenance Director | Provided information about water damage repairs and maintenance work orders | |
| Qualified Medication Aide 1 | QMA | Observed medication administration and resident medication concerns |
Inspection Report
Complaint Investigation
Census: 74
Deficiencies: 0
Date: Feb 21, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00400134 and Complaint IN00400249.
Complaint Details
Complaint IN00400134 and Complaint IN00400249 were investigated and found unsubstantiated due to lack of evidence.
Findings
Both complaints were found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaints.
Report Facts
Residential Census: 74
Inspection Report
Complaint Investigation
Census: 74
Deficiencies: 0
Date: Jan 18, 2023
Visit Reason
This visit was conducted for the investigation of two complaints, IN00398609 and IN00399380.
Complaint Details
Complaint IN00398609 was substantiated with no deficiencies cited. Complaint IN00399380 was unsubstantiated due to lack of evidence.
Findings
Complaint IN00398609 was substantiated with no deficiencies related to the allegations cited, while Complaint IN00399380 was unsubstantiated due to lack of evidence. The facility was found to be in compliance with applicable regulations regarding these complaints.
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 0
Date: Dec 5, 2022
Visit Reason
This visit was conducted for the investigation of two complaints, IN00394484 and IN00395249.
Complaint Details
Complaint IN00394484 was unsubstantiated due to lack of evidence. Complaint IN00395249 was substantiated but no state residential findings related to the allegations were cited.
Findings
Complaint IN00394484 was unsubstantiated due to lack of evidence. Complaint IN00395249 was substantiated but no state residential findings related to the allegations were cited. The facility was found to be in compliance with applicable regulations regarding these complaints.
Inspection Report
Follow-Up
Census: 81
Deficiencies: 0
Date: Nov 17, 2022
Visit Reason
This visit was a Post Survey Revisit (PSR) to investigate complaints IN00392342 and IN00392528 completed on October 18, 2022, and was conducted in conjunction with a PSR to complaint IN00389752 completed on September 29, 2022.
Complaint Details
This was a follow-up visit related to complaints IN00392342 and IN00392528, both of which were corrected. The visit was also in conjunction with a PSR for complaint IN00389752.
Findings
Noble Senior Living was found to be in compliance with 410 IAC 16.2-5 regarding the PSR to Investigations of Complaints IN00392342 and IN00392528. Both complaints were corrected.
Inspection Report
Follow-Up
Census: 81
Deficiencies: 0
Date: Nov 17, 2022
Visit Reason
This visit was a Post Survey Revisit (PSR) to Investigation of Complaint IN00389752 completed on September 29, 2022, and in conjunction with PSRs to Investigations of Complaints IN00392342 and IN00392528 completed on October 18, 2022.
Complaint Details
Complaint IN00389752 was corrected.
Findings
Noble Senior Living was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00389752.
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 5
Date: Oct 18, 2022
Visit Reason
This visit was for the investigation of complaints IN00392342 and IN00392528 regarding lack of hot water and pest infestations.
Complaint Details
Complaint IN00392342 and IN00392528 were substantiated with state deficiencies cited related to allegations of no hot water and pest infestations including bed bugs and cockroaches in resident rooms and food service areas.
Findings
The facility failed to ensure systemic neglect related to lack of hot water and pest infestations including bed bugs and cockroaches in resident rooms and food service areas, affecting all 81 residents. The facility had no hot water for weeks and chronic pest issues worsened due to lack of recent extermination services.
Deficiencies (5)
Failed to ensure systemic neglect did not occur related to lack of hot water and presence of bugs in resident rooms and food service areas.
Failed to report loss of hot water to the Indiana State Department of Health within required timeframe.
Failed to provide adequate pest control for residents, with ongoing bed bugs and cockroach infestations.
Failed to keep food preparation and serving areas clean and free from pests.
Failed to maintain infection control practices to prevent pests that could transmit disease to humans in resident rooms and food service areas.
Report Facts
Residents affected: 81
Dates of pest sightings: Bed bugs and cockroaches observed in resident rooms 312, 916, 917, 1120 and around front desk between 10/7/22 and 10/15/22.
Date hot water restored: Hot water was restored on 10/26/22 after repair of boiler system.
Date exterminator last visited before lapse: Exterminator had not been to the facility since 9/30/22 due to billing issues.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jina Robbins Babani | Administrator | Named in relation to reporting and corrective actions for hot water loss and pest control. |
| Director of Nursing | Interviewed regarding lack of hot water and pest infestations; provided Infection Control Manual. | |
| Dietary Manager | Interviewed during kitchen tour; described pest sightings and cleaning efforts. |
Inspection Report
Complaint Investigation
Census: 83
Deficiencies: 1
Date: Sep 29, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00389752, which was substantiated with a related state deficiency cited.
Complaint Details
Complaint IN00389752 was substantiated. The allegation involved exploitation where Receptionist 2 borrowed $35 from Resident B and only partially repaid $15. The facility reported the incident to ISDH and terminated the staff member.
Findings
The facility failed to ensure residents were free from exploitation for 1 of 3 residents reviewed (Resident B). The investigation found that a staff member (Receptionist 2) borrowed money from Resident B and was subsequently terminated. Staff were educated on abuse policies and monthly audits were planned to ensure compliance.
Deficiencies (1)
Failure to ensure residents were free from exploitation related to a staff member borrowing money from a resident.
Report Facts
Residential Census: 83
Loan amount: 35
Partial repayment amount: 15
Outstanding loan amount: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Receptionist 2 | Staff member who borrowed money from Resident B and was terminated | |
| Business Office Manager | BOM | Provided incident report and interviewed Receptionist 2 |
| Assistant Director of Nursing | ADON | Provided investigation file and interviewed staff |
| Certified Nurse Aide 3 | CNA | Interviewed regarding reporting procedures for staff borrowing money |
| Certified Nurse Aide 4 | CNA | Interviewed regarding policy on staff borrowing money from residents |
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