Cycle 1
Health 2026-01-20 · Fire 2026-01-20
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fort Wayne, IN
Heritage Pointe Of Fort Wayne
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
5250 Heritage Parkway, Fort Wayne, IN
(260) 209-6279
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
68
Certified beds
Average residents
58
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2015-02-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.74
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.45
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
4.05
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.81
CMS adjusted RN staffing hours
Adjusted total hours
4.86
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
20%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
756
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.21
Composite VBP score used to determine payment impact.
Payment multiplier
1.0188
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.08
Baseline 20.74% · Performance 19.08% · Measure score 5.08 · Achievement 5.08 · Improvement 3.98
Healthcare-associated infections
6.43
Baseline 6.60% · Performance 5.91% · Measure score 6.43 · Achievement 6.43 · Improvement 3.78
Total nurse turnover
6.32
Baseline 47.62% · Performance 37.84% · Measure score 6.32 · Achievement 6.32 · Improvement 3.80
Adjusted total nurse staffing
7.85
Baseline 5.82 hours · Performance 5.31 hours · Measure score 7.85 · Achievement 7.85 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.18% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 6.33% · Lower 95% interval 5.76% |
| Discharge to community | 51.45% |
50.57%
0.9 pts better
|
No Different than the National Rate · Eligible stays 74 · Observed rate 51.35% · Lower 95% interval 42.42% |
| Medicare spending per beneficiary | 0.7 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 62.96% |
95.27%
32.3 pts worse
|
Numerator 34 · Denominator 54 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 54 |
| Discharge self-care score | 55.26% |
53.69%
1.6 pts better
|
Numerator 21 · Denominator 38 |
| Discharge mobility score | 57.89% |
50.94%
7 pts better
|
Numerator 22 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 54 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.91% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 0% · Lower 95% interval 3.14% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 122 |
| Staff flu vaccination coverage | 12.3% |
42%
29.7 pts worse
|
Numerator 15 · Denominator 122 |
| Discharge function score | 63.16% |
56.45%
6.7 pts better
|
Numerator 24 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 90.91% |
96.28%
5.4 pts worse
|
Numerator 30 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 13.79% |
25.2%
11.4 pts worse
|
Numerator 4 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.5
1.1 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
93.6%
5.3 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.5% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
95.4%
2.6 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.6% |
3.8%
6.8 pts worse
|
3.3%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 13.6% · Q3 8.5% · Q4 8.7% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
24.6%
24 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 2.4% |
5.6%
3.2 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.4% |
23.5%
14.1 pts better
|
19.6%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 13.9% · Q4 12.5% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.1% |
14.8%
7.7 pts better
|
16.7%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 9.7% · Q3 6.7% · Q4 7.1% · 4Q avg 7.1% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.2% |
13.3%
7.9 pts worse
|
16.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 20.5% · Q3 16.1% · Q4 13.8% · 4Q avg 21.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.4% |
11.7%
11.7 pts worse
|
14.9%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.7% · Q2 27.3% · Q3 16.7% · Q4 12.5% · 4Q avg 23.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
1.2%
2.2 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 0.0% · Q3 6.4% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.0% |
24.2%
5.8 pts worse
|
19.8%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.8% · Q2 22.5% · Q3 27.7% · Q4 29.9% · 4Q avg 30.0% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
4.1%
2.6 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
81.6%
16.3 pts better
|
81.7%
16.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 94.4% · Q3 100.0% · Q4 100.0% · 4Q avg 97.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.2% |
10.5%
8.3 pts better
|
12.0%
9.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.2% · Observed 1.9% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.3%
0.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
79.0%
21 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.4% |
22.4%
5 pts better
|
23.9%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 13.2% · Expected 18.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-02-10 · Fire 2025-02-10
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2024-03-06 · Fire 2024-03-06
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-01-20
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Not marked corrected
F · Potential for more than minimal harm
2026-01-20
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Not marked corrected
F · Potential for more than minimal harm
2026-01-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Not marked corrected
F · Potential for more than minimal harm
2026-01-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Not marked corrected
F · Potential for more than minimal harm
2025-02-10
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-03-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-23
D · Potential for more than minimal harm
2024-12-12
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-30
D · Potential for more than minimal harm
2024-12-12
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-30
F · Potential for more than minimal harm
2024-03-06
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 2024-03-07
D · Potential for more than minimal harm
2023-10-20
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-10-30
Penalties and ownership
What sits behind the stars
Ownership
Adams County Memorial Hospital
5% Or Greater Direct Ownership Interest · Organization
Adams County Memorial Hospital
Operational/Managerial Control · Organization
Borne-Bauman, Candice
Operational/Managerial Control · Individual
Boxell, Jeffery
Operational/Managerial Control · Individual
Brothers, Alfred
Operational/Managerial Control · Individual
Carmer, Toni
Operational/Managerial Control · Individual
Conner, Steven
Operational/Managerial Control · Individual
Craft, Rodney
Operational/Managerial Control · Individual
Fenstermacher, Marlene
Operational/Managerial Control · Individual
Flueckiger, Russell
Operational/Managerial Control · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Fullbright, Shelly
Operational/Managerial Control · Individual
Healthcare Therapy Services Inc
Operational/Managerial Control · Organization
Horizon Bank
5% Or Greater Mortgage Interest · Organization
Hoy, Marcelline
Operational/Managerial Control · Individual
Jones, Jeffery
Operational/Managerial Control · Individual
Knepp, Glenn
Operational/Managerial Control · Individual
Lehman, Scott
Operational/Managerial Control · Individual
Macklin, Larry
Operational/Managerial Control · Individual
Mcintire, David
Operational/Managerial Control · Individual
Morrison Management Specialists Inc
Operational/Managerial Control · Organization
Proactive Medical Review And Consultants LLC
Operational/Managerial Control · Organization
Ream, Thomas
Operational/Managerial Control · Individual
Rice, Edwin
Operational/Managerial Control · Individual
Rolf, Ryan
Operational/Managerial Control · Individual
Smith, Scott
Operational/Managerial Control · Individual
Sprunger, Kyle
Operational/Managerial Control · Individual
United Methodist Memorial Home
Operational/Managerial Control · Organization
Wheeler, Dane
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Bethlehem Woods Nursing And Rehabilitation
Fort Wayne, IN
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Grey Stone Health & Rehabilitation Center
Fort Wayne, IN
1-star overall rating with 1-star inspections with $165,757 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Ashton Creek Health And Rehabilitation Center
Fort Wayne, IN
4-star overall rating with 4-star inspections
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