Fort Wayne, IN

Life Care Center Of Fort Wayne

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

1649 Spy Run Avenue, Fort Wayne, IN

(260) 422-8520

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

115

Certified beds

Average residents

82

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1985-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

194 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

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

1.07

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.39

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.62

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.81

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.98

CMS adjusted RN staffing hours

Adjusted total hours

3.31

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,593

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.14

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

0

Performance 7.81% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

3.93

Performance 47.62% · Measure score 3.93 · Achievement 3.93 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0.91

Baseline 3.27 hours · Performance 3.34 hours · Measure score 0.91 · Achievement 0.91 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.76%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 39 · Observed rate 5.13% · Lower 95% interval 6.27%
Discharge to community	46.77%	50.57% 3.8 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 36.67% · Lower 95% interval 32.3%
Medicare spending per beneficiary	1.24	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 21 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.81%	7.12% 0.7 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 11.54% · Lower 95% interval 4.4%
Staff COVID-19 vaccination coverage	6.9%	8.2% 1.3 pts worse	Numerator 8 · Denominator 116
Staff flu vaccination coverage	11.18%	42% 30.8 pts worse	Numerator 19 · Denominator 170
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
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	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.6 0.9 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.3%	93.6% 1.3 pts worse	93.4% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 72.7% · Q2 100.0% · Q3 100.0% · Q4 97.4% · 4Q avg 92.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	95.4% 2.1 pts better	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	3.8% 0.6 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 4.2% · Q3 2.7% · Q4 5.3% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	19.3%	24.6% 5.3 pts better	11.4% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 15.9% · Q3 17.9% · Q4 27.8% · 4Q avg 19.3%
Percentage of long-stay residents who lose too much weight	3.2%	5.6% 2.4 pts better	5.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 7.2% · Q3 2.8% · Q4 0.0% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.6%	23.5% 4.9 pts better	19.6% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 21.4% · Q3 19.2% · Q4 16.4% · 4Q avg 18.6%
Percentage of long-stay residents who received an antipsychotic medication	18.9%	14.8% 4.1 pts worse	16.7% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 19.6% · Q3 16.0% · Q4 18.2% · 4Q avg 18.9% · 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	5.8%	13.3% 7.5 pts better	16.3% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 10.0% · Q3 2.2% · Q4 6.2% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.9%	11.7% 5.8 pts better	14.9% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 10.0% · Q3 4.1% · Q4 4.2% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.4% 0.3 pts worse	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	24.7%	24.2% 0.5 pts worse	19.8% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 21.9% · Q3 17.7% · Q4 32.8% · 4Q avg 24.7%
Percentage of long-stay residents with pressure ulcers	9.3%	4.1% 5.2 pts worse	5.1% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 5.2% · Q3 13.0% · Q4 12.0% · 4Q avg 9.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.2%	81.6% 4.4 pts worse	81.7% 4.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 53.2% · Q2 77.1% · Q3 88.0% · Q4 88.5% · 4Q avg 77.2%
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.3% 0.7 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.3% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.5%	79.0% 2.5 pts worse	79.7% 3.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

2 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-05-17 · Fire 2024-05-17

1 health deficiencies

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

12 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-05-03 · Fire 2023-05-03

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-24

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-04-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-04-24

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-04-24

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-04-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-04-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-06-13

C · Minimal harm 2025-04-24

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-06-13

C · Minimal harm 2025-04-24

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-06-13

F · Potential for more than minimal harm 2024-05-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-15

F · Potential for more than minimal harm 2024-05-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-07-15

F · Potential for more than minimal harm 2024-05-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-15

E · Potential for more than minimal harm 2024-05-17

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-15

E · Potential for more than minimal harm 2024-05-17

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-07-15

E · Potential for more than minimal harm 2024-05-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-15

E · Potential for more than minimal harm 2024-05-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-15

E · Potential for more than minimal harm 2024-05-17

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-17

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-15

C · Minimal harm 2024-05-17

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-07-15

B · Minimal harm 2024-05-17

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-07-15

F · Potential for more than minimal harm 2023-05-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-05

E · Potential for more than minimal harm 2023-05-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-07-05

E · Potential for more than minimal harm 2023-05-03

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-07-05

C · Minimal harm 2023-05-03

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-07-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-02-13

D · Potential for more than minimal harm 2025-04-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-16

D · Potential for more than minimal harm 2024-05-17

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-06-14

E · Potential for more than minimal harm 2023-05-03

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 2023-05-19

Penalties and ownership

What sits behind the stars

Ownership

Hendricks County Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 44 facilities 2018-08-01

Fenoughty, Deanna