Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Celebrate Senior Living Of Fort Wayne during CMS and state inspections, most recent first.
Failure to knock or announce before entering resident rooms. Multiple residents reported that staff entered without knocking, and during observation a CNA entered a resident’s room without knocking, introducing herself, or asking permission. The CNA made a comment about the resident needing a shower after the resident said her legs were hurting, and later observations showed a CNA, an LPN, and transportation staff entering rooms without knocking or announcing themselves.
Failure to Document Bed Hold Notifications: The facility did not provide or document bed hold notices for two residents with repeated hospital transfers. One resident had DM, lung disease, and stroke, and the other had CP, malnutrition, and constipation. Records lacked transfer forms or progress note evidence that bed hold notices were discussed or given, and staff reported keeping copies in a binder without signatures or proof of receipt.
Improper Wound Care Technique During Dressing Change: An LPN failed to use a clean barrier when setting up wound care supplies and handled gauze with bare hands before donning gloves during a resident’s dressing change. The resident had MS, chronic pain, decreased mobility, and a pressure ulcer with a history of wound infection, and the treatment included Santyl, Dakins-soaked gauze, and a foam dressing.
Tube Feeding Not Properly Labeled or Dated: A resident with cerebral palsy and severe protein calorie malnutrition had a tube feeding bag in her room that was not labeled or dated to show when it was hung, and the flush syringe was dated several days earlier. The resident had an enteral feeding order for Vital 1.5 cal at 30 ml/hr with scheduled flushes, and the ADON stated the nurse may have been busy and forgot to make a label for the feeding.
A resident with schizophrenia, HF, HTN, and overactive bladder repeatedly refused prescribed oral meds, including Losartan and Spironolactone, over multiple months. Although the resident was later seen for AKI with elevated creatinine and the NP ordered the meds held briefly, the record contained no documentation that the MD or NP was notified of the ongoing refusals, despite facility policy requiring notification after repeated refusals.
Failure to Complete Ordered Urine Testing: A resident with schizophrenia, HF, HTN, and overactive bladder had an elevated creatinine level, and the NP ordered a UA with culture and sensitivity follow-up. Nursing documentation later stated UA results were available, but the DON confirmed only a culture and sensitivity was completed and no UA was performed as ordered; the NP said he expected the lab to complete both parts of the test.
Surveyors observed unsanitary kitchen conditions, including food debris, dust, and improper storage of utensils, with no cleaning schedule or sanitation policy in place. Both the DM and DON confirmed these deficiencies, affecting all residents who received food from the kitchen.
An LPN was overheard loudly discussing a resident's medical condition, specifically a boil, in a public area where other residents could hear. The resident involved had dementia. This breached facility policy requiring dignity, respect, and confidentiality for all residents.
A resident with chronic pulmonary disease and type 2 diabetes mellitus was found on the floor with a nasal fracture and subdural hematoma. The facility failed to report the fall with fracture to the IDOH within the required 24-hour timeframe. The facility's policy did not specify when such incidents should be reported, contributing to the delay.
A facility failed to complete a required elopement risk assessment for a resident with severe cognitive impairment and dementia, who was at high risk for elopement. Despite previous assessments indicating the need for elopement risk protocol, a quarterly assessment was not conducted between August and October. Interviews revealed uncertainty about the missing assessment, contrary to the facility's policy requiring regular evaluations.
Failure to Knock or Announce Before Entering Resident Rooms
Penalty
Summary
The facility failed to ensure dignity for 4 of 5 residents reviewed. Resident 3, who had lung disease, heart disease, and diabetes, told the surveyor on 4/13/26 that staff did not knock before entering the room. Resident 11, who had lung disease and anxiety, also stated on 4/13/26 that staff did not knock before entering her room. Resident 16, who had lung disease, hypertension, and depression, likewise reported on 4/13/26 that staff did not knock before entering the room. During observation, CNA 5 entered Resident 54’s room without knocking, introducing herself, or asking permission to enter. CNA 5 asked if Resident 54 was ready for a shower, and when Resident 54 said her legs were hurting, CNA 5 replied, “it smells like you need a shower. I will be back.” Resident 54 then put a blanket over her head and did not respond. During a later continuous observation, CNA 6, an LPN, and transportation staff were observed entering resident rooms without knocking, announcing themselves, or asking for admittance, and in one instance CNA 6 removed a meal tray from a room without speaking.
Failure to Document Bed Hold Notifications
Penalty
Summary
The facility failed to provide bed hold notification for 2 of 5 residents reviewed. Resident 3 had diagnoses of diabetes, lung disease, and stroke and was sent to the hospital on multiple occasions, including 7/1/25, 7/14/25, 8/14/25, 8/26/25, and 12/29/25. Only one hospital nursing transfer form was available for review, dated 7/14/25, and it included a bed hold notice. No nursing transfer form or bed hold notice was available for the other hospitalizations, and Resident 3's progress notes did not show that a bed hold notice was discussed or given on those dates or within 24 hours afterward. Resident 6 had diagnoses of cerebral palsy, malnutrition, and constipation and was sent to the hospital on 5/18/25, 6/2/25, 7/16/25, and 2/11/26. Her medical record did not contain nursing transfer forms for any of those hospitalizations, and her progress notes did not indicate that a bed hold notice was discussed or given on those dates or within 24 hours. During interview, the Administrator stated the facility could scan in the transfer or discharge notice that included the bed hold policy, but the notices did not require a signature or proof of receipt. Nursing Supervisor 2 stated staff made a copy of the bed hold when sending the resident out and kept the notices in a binder, believing this served as proof of receipt. No other documentation or signed bed hold notices were provided.
Improper Wound Care Technique During Dressing Change
Penalty
Summary
The facility failed to ensure proper technique during wound care treatment for one resident with Multiple Sclerosis, chronic pain, and decreased mobility. During an observation, Employee 2 set up wound care supplies with no clean barrier between the supplies and the bedside table, picked up a stack of 4x4 gauze pads from the treatment cart with bare hands, and placed the pads on the table before donning a protective gown, sanitizing hands, and putting on gloves. During the treatment, the 4x4 gauze was removed from the wound bed, gloves were removed, hands were sanitized, and new gloves were donned. Santyl cream was applied to the wound bed, wet gauze soaked in Dakins solution was packed into the wound, and the wound was covered with an Allevyn foam dressing. The resident’s record showed a care plan for pressure ulcer infections, physician orders for Dakins solution and protein supplements, and progress notes indicating wound infection in January, February, and March 2026. Employee 2 stated they should have used a barrier between the table and supplies and should not have picked up the gauze with an ungloved bare hand.
Tube Feeding Not Properly Labeled or Dated
Penalty
Summary
The facility failed to ensure proper labeling and dating for tube feeding for one resident with a feeding tube. During two observations on April 12, 2026, the resident was seen in her room with a tube feeding bag that was not labeled or dated to show when it had been hung. The tube feed flush syringe was dated 04/10/2026 during both observations. The resident's record showed diagnoses of cerebral palsy and severe protein calorie malnutrition. Physician's orders included a regular, pureed, thin consistency diet and an enteral feeding order for Vital 1.5 cal at 30 ml per hour with a 100 ml fluid flush every 2 hours every shift for nutritional supplement. In interview, the ADON stated she had watched the nurse hang the tube feeding and otherwise would not have known when it was hung, and said the facility labeled and dated tube feedings, though the nurse may have been busy and forgot to make a label. The facility policy stated that the manufacturer's written recommendations regarding hanging time are consulted when determining the schedule for enteral feeding administration, and the Vital 1.5 cal instructions indicated that once opened it should be reclosed, refrigerated, and used within 48 hours.
Failure to Notify Physician of Repeated Medication Refusals
Penalty
Summary
The facility failed to ensure the physician was notified of a resident’s repeated refusal of prescribed medications. Resident T had diagnoses including schizophrenia, heart failure, high blood pressure, and overactive bladder, and her care plan identified anti-hypertensive and diuretic medications as ordered treatments with staff to notify the physician of changes or increased behaviors. Her record showed she frequently refused medications, and the Medication Administration Records documented refusals of Losartan and Spironolactone on nearly every day in September 2025, all but one day in October 2025, and every day from 11/1/25 through 11/17/25. The record also showed Resident T was seen by the NP for abnormal kidney function after lab work revealed an elevated creatinine of 2.17, with a baseline of less than 1.0. The NP ordered a urinalysis and held Losartan and Spironolactone for 5 days while monitoring continued, but there was no documentation that the physician or NP had been notified of the resident’s ongoing refusals before, during, or after those orders. During interview, the NP stated he knew of occasional refusals but did not know the resident was not taking her medications routinely as ordered, and staff interviews indicated providers were to be notified when a resident refused prescribed medication.
Failure to Complete Ordered Urine Testing
Penalty
Summary
The facility failed to ensure laboratory testing was completed as ordered by the physician for one resident. Resident T had diagnoses including schizophrenia, heart failure, high blood pressure, and overactive bladder, and her care plan noted she was prescribed anti-hypertensive and diuretic medications and was at risk for fluid balance fluctuations and complications from bladder incontinence. Her care plan also included obtaining and monitoring lab and diagnostic work as ordered. A physician order dated 10/10/25 directed staff to collect a urinalysis for culture and sensitivity after the resident’s blood creatinine was found to be elevated at 2.17 on 10/8/25, with a baseline creatinine of less than 1.0 and no history of chronic kidney disease. The physician’s progress note stated the resident denied urinary tract infection symptoms, and the plan was to obtain a urinalysis to check for possible causes of the elevated creatinine. A nurse progress note later documented that UA results were in and no pathogens were detected, and the NP was notified with no new orders. However, the DON stated that only a culture and sensitivity had been done and not a urinalysis as ordered. The DON explained the specialty lab used for the urine test detected only pathogens and did not process urinalysis tests, while the NP stated he had ordered a urinalysis with culture and sensitivity if indicated and understood the lab would complete the urinalysis in addition to pathogen detection.
Failure to Maintain Kitchen Sanitation Standards
Penalty
Summary
The facility failed to follow proper sanitation measures in the kitchen, as evidenced by multiple observations of unsanitary conditions. A metal scoop was found stored inside a tub of brown sugar, and there was visible debris, including grease-like food, dried noodles, raisins, plastic, small pieces of paper, dust, and unidentifiable particles under racks, around and under the sink, and on the floor in the chemical room. Additional observations revealed small cereal particles and dried meat under the stand-up cooler, meal carts, and stove area. The Dietary Manager confirmed there was no cleaning schedule in place and acknowledged that the scoop should not be left in the brown sugar tub and that debris should not be present. The Director of Nursing also confirmed the absence of a kitchen sanitation policy. All 71 residents in the facility received food prepared in this kitchen.
LPN Fails to Maintain Resident Dignity and Privacy
Penalty
Summary
A deficiency occurred when an LPN failed to maintain a resident's dignity and privacy by loudly discussing the resident's medical condition in a public area. During an observation, the LPN was overheard yelling from inside a resident's room to another staff member at the nurses' station, stating that the resident had a boil the doctor wanted to examine and that the resident needed to be laid down. This conversation took place in the presence of three unidentified residents who were in close proximity and could hear the exchange. Later, the LPN was again overheard discussing the resident's condition with a wound nurse practitioner in a manner that was easily audible to others. The resident involved had a diagnosis of unspecified dementia. Facility policy requires that residents be treated with dignity and respect, and that personal and medical information be kept confidential, but these standards were not upheld in this instance.
Failure to Timely Report Fall with Fracture
Penalty
Summary
The facility failed to report a fall with a fracture to the Indiana Department of Health (IDOH) within the required timeframe for a resident. The incident involved a resident who was found on the floor in her room with a pool of blood coming from her nose. The resident was sent to the hospital and diagnosed with a probable subtle acute nondisplaced bilateral nasal bone fracture, a septal fracture, and a subdural hematoma. The facility's administrator reported the incident to the IDOH, but not within the 24-hour window required after being notified of the fracture. The resident involved had a medical history that included chronic pulmonary disease and type 2 diabetes mellitus. The facility's policy on abuse, neglect, and exploitation did not specify when a fall with a fracture should be reported, which contributed to the delay in reporting. An interdisciplinary team meeting was held to determine the root cause and result of the fall, but the deficiency was identified due to the failure to report the incident in a timely manner as required by regulations.
Failure to Complete Elopement Risk Assessment for Resident
Penalty
Summary
The facility failed to ensure that an elopement risk assessment was completed for one of the residents, identified as Resident 53, who was at high risk for elopement due to severe cognitive impairment and dementia. The resident's care plan, dated April 8, 2024, indicated a high risk for elopement and included interventions such as regular assessments and participation in activities to divert attention. However, a quarterly elopement risk assessment was not completed between August and October 2023, despite previous assessments indicating the resident was at risk and should be on the elopement risk protocol. Interviews with the Memory Care Coordinator and Social Worker revealed that the elopement risk assessment for Resident 53 was missing, and they were unsure why it had not been completed. The facility's policy, dated October 2018, required elopement risk assessments upon admission, re-admissions, quarterly, annually, and with significant changes in condition. The failure to conduct the required assessment was identified during a record review and interviews, highlighting a lapse in following the facility's elopement management policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Wayne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Park | 0.2 mi | ★★★★★ | 7 | 0 |
| Byron Health Center | 0.6 mi | ★★★★★ | 15 | 0 |
| Saint Anne Home | 0.8 mi | ★★★★★ | 4 | 0 |
| Waters Of Fort Wayne Skilled Nursing Facility, The | 1.4 mi | ★★★★★ | 5 | 0 |
| Chateau Rehabilitation And Healthcare Center | 1.8 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.