Federal inspection record · CMS data as of October 1, 2026

University Park Rehabilitation And Healthcare

1400 Medical Park Dr, Fort Wayne, IN · (260) 484-1558

CMS overall rating

2 of 5

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Certified beds
104
Residents per day
78
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1995

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

University Park Rehabilitation And Healthcare carries 93.75 inspection points. That is fewer than 13% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 93.75 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–24 pts
  • 3★ 24–42 pts
  • 2★ 42–72 pts
  • 1★ over 72 pts

Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

35 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 22 4 pts
E 4 8 pts
F 7 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

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

    June 12, 2026 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

  2. J

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

    February 14, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 15, 2024

Everything else, by area of care

Quality of Life and Care13E
  1. E

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

    February 19, 2026 · Standard · F684 · Corrected March 4, 2026

  2. D

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

    February 19, 2026 · Standard · F689 · Corrected March 4, 2026

  3. D

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

    February 19, 2026 · Standard · F695 · Corrected March 4, 2026

  4. D

    Provide enough food/fluids to maintain a resident's health.

    April 11, 2025 · Standard · F692 · Corrected May 11, 2025

  5. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    April 11, 2025 · Standard · F740 · Corrected May 11, 2025

  6. D

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

    November 25, 2024 · Complaint · F684 · Corrected December 18, 2024

  7. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    June 25, 2024 · Complaint · F742 · Corrected July 9, 2024

  8. D

    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.

    June 6, 2024 · Standard · F688 · Corrected July 5, 2024

  9. D

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

    June 6, 2024 · Standard · F689 · Corrected July 5, 2024

  10. D

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

    June 6, 2024 · Standard · F695 · Corrected July 5, 2024

  11. D

    Provide care or services that was trauma informed and/or culturally competent.

    June 6, 2024 · Standard · F699 · Corrected July 5, 2024

  12. D

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

    December 6, 2023 · Complaint · F684 · Corrected December 15, 2023

  13. D

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

    October 12, 2023 · Complaint · F689 · Corrected October 31, 2023

Nutrition and Dietary7F
  1. F

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

    February 19, 2026 · Standard · F812 · Corrected March 4, 2026

  2. F

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

    April 11, 2025 · Standard · F812 · Corrected May 11, 2025

  3. D

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    April 11, 2025 · Complaint · F809 · Corrected May 11, 2025

  4. D

    Dispose of garbage and refuse properly.

    April 11, 2025 · Standard · F814 · Corrected May 11, 2025

  5. F

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

    June 6, 2024 · Standard · F812 · Corrected July 5, 2024

  6. D

    Dispose of garbage and refuse properly.

    June 6, 2024 · Standard · F814 · Corrected July 5, 2024

  7. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    March 26, 2024 · Complaint · F803 · Corrected April 4, 2024

Administration3F
  1. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    April 11, 2025 · Standard · F867 · Corrected May 11, 2025

  2. D

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    April 11, 2025 · Standard · F773 · Corrected May 11, 2025

  3. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    June 6, 2024 · Standard · F867 · Corrected July 5, 2024

Pharmacy Service3E
  1. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    April 11, 2025 · Standard · F761 · Corrected May 11, 2025

  2. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    June 6, 2024 · Standard · F761 · Corrected July 5, 2024

  3. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    December 6, 2023 · Complaint · F761 · Corrected December 15, 2023

Environmental2F
  1. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 11, 2025 · Complaint · F921 · Corrected May 11, 2025

  2. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    June 6, 2024 · Standard · F921 · Corrected July 5, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    August 11, 2026 · Complaint · F600 · Not yet marked corrected

Nursing and Physician Services1F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    April 11, 2025 · Complaint · F727 · Corrected May 11, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    April 11, 2025 · Standard · F880 · Corrected May 11, 2025

Resident Rights1D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    December 16, 2024 · Complaint · F580 · Corrected January 2, 2025

Resident Assessment and Care Planning1D
  1. D

    Ensure each resident receives an accurate assessment.

    November 25, 2024 · Complaint · F641 · Corrected December 18, 2024

Inspection history

  1. 2026-02-19

    6 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2025-04-11

    14 health deficiencies · 9 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

  3. 2024-06-06

    15 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 9 min of nursing staff time a day, 21 min of it from a registered nurse.

This home

3 h 9 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 52% of nursing staff and 33% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$15,646 in federal fines on record over the past three years.

DatePenaltyAmount
2024-02-14Fine$15,646

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.2 pts better0.31.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better0.71.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts worse89.5%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.9 pts worse81.2%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better0.7%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts worse27.8%25.5%13.5%
Percentage of long-stay residents who lose too much weight1 pts worse6.3%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts better20.4%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.6 pts better13.1%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.4 pts worse0.4%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better8.3%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better3.7%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.3%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts better16.4%22.4%18.3%
Percentage of long-stay residents with pressure ulcers2.9 pts better0.6%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts worse75.7%81.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccineAbout the same79.2%79.2%80.1%

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

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

    April 11, 2025 · K345 · Corrected June 20, 2025

  2. E

    Provide properly protected cooking facilities.

    April 11, 2025 · K324 · Corrected June 20, 2025

  3. E

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

    June 6, 2024 · K372 · Corrected August 17, 2024

Miscellaneous3E
  1. E

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

    April 11, 2025 · K741 · Corrected June 20, 2025

  2. E

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

    April 11, 2025 · K761 · Corrected June 20, 2025

  3. C

    Provide a written emergency evacuation plan.

    April 11, 2025 · K711 · Corrected June 20, 2025

Gas, Vacuum, and Electrical Systems2E
  1. E

    Ensure proper usage of power strips and extension cords.

    April 11, 2025 · K920 · Corrected June 20, 2025

  2. E

    Have proper medical gas storage and administration areas.

    April 11, 2025 · K923 · Corrected June 20, 2025

Egress1F
  1. F

    Meet other general requirements that are deficient.

    April 11, 2025 · K300 · Corrected June 20, 2025

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    April 11, 2025 · K511 · Corrected June 20, 2025

Emergency Preparedness1C
  1. C

    Provide primary/alternate means for communication.

    June 6, 2024 · E32 · Corrected August 17, 2024

·

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