Fort Wayne, IN

Byron Health Center

1-star overall rating with 1-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1661 Beacon Street, Fort Wayne, IN

(260) 637-3166

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

103

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-08-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.6
0.1 pts worse
1.9
0.2 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.5
1 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
93.6%
3.3 pts better
93.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
95.4%
3.6 pts better
95.5%
3.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.8%
3.8%
About the same
3.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
24.6%
24.6 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.6%
5.6%
1 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.4%
23.5%
10.9 pts worse
19.6%
14.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 44.0%
14.8%
29.2 pts worse
16.7%
27.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 14.3%
13.3%
1 pts worse
16.3%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 28.6%
11.7%
16.9 pts worse
14.9%
13.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.4%
0.1 pts worse
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.8%
1.2%
0.4 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.9%
24.2%
3.7 pts worse
19.8%
8.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.9%
4.1%
0.8 pts worse
5.1%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.5%
81.6%
8.1 pts worse
81.7%
8.2 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-19 · Fire 2025-05-19

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-13 · Fire 2024-06-13

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-06-16 · Fire 2023-06-16

4 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-19

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-07-04

E · Potential for more than minimal harm 2025-05-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-04

F · Potential for more than minimal harm 2024-06-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-23

F · Potential for more than minimal harm 2024-06-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-06-13

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-06-13

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-06-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-06-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-23

E · Potential for more than minimal harm 2023-06-16

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-08-12

Inspection history

Recent health citations

J · Immediate jeopardy 2025-06-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-05-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-19

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-19

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-19

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-02-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-06

D · Potential for more than minimal harm 2024-02-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-01

D · Potential for more than minimal harm 2023-06-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-06-16

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-06-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-06

Penalties and ownership

What sits behind the stars

Ownership

Brounts, Lionel

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Brown, Therese

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Clark, Charles

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Eakin, John

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Fenoughty, Deanna

Operational/Managerial Control · Individual

0% 45 facilities 2023-07-10
Guy, Audra

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Kattman, Dodd

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Lambert, Debra

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Martin, Kristina

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01
Recovery Health Services, Inc

Operational/Managerial Control · Organization

0% 1 facilities 2020-08-01
Starcher, Sarah

Operational/Managerial Control · Individual

0% 1 facilities 2020-08-01

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