Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Heritage Park during CMS and state inspections, most recent first.
A resident care process for dialysis was not consistently completed for several residents with ESRD and other renal conditions. Staff documentation showed inconsistent or missing assessments of access sites, including bruit and thrill findings, and multiple dialysis communication forms were not completed or were absent from the binder. Interviews confirmed the facility used these forms to relay dialysis-related information and expected them to be sent with each resident.
Unlabeled Open Insulin Pens: Open insulin pens on a med cart were observed without open dates or expiration dates, including Lantus, Basaglar, Glargine, and Novolog pens for several residents receiving insulin therapy. RN stated all insulins should have been labeled with an open date, and the facility policy required medication labels to include expiration dates and the date opened when applicable.
A resident with chronic pain had repeated PRN hydrocodone-acetaminophen administrations documented without any non-pharmacologic interventions attempted before the doses. The MAR showed this pattern across multiple administrations, and the DON stated non-pharmacologic interventions should be done before PRN pain meds. The facility’s pain management policy also referenced individualized alternative pain relief techniques.
Failure to complete and document COVID-19 vaccinations for two residents. Both residents had verbal consent from their POA/health care on file, but the vaccine was not documented as given. The IP stated the residents did not receive the vaccine, the position had been vacant before she started, and the vaccines had been ordered but not administered because COVID was in the building.
A facility failed to timely act on a pharmacist's recommendation to discontinue a probiotic for a resident. The recommendation was made in December, but the medication was not discontinued until February, despite a regulatory visit in January. The DON confirmed the medication should have been discontinued earlier, as per facility policy.
A resident's medications, including Tums, biofreeze, and a Symbicort inhaler, were found unsecured on their bed while they were out of the building. The facility's policy required medications to be stored in a locked compartment and residents to be assessed for self-administration capabilities. However, the policy was not followed, and there was no physician order for the biofreeze. The DON confirmed that only medications with specific orders should be kept at bedside in a lock box.
Dialysis assessments and communication records were incomplete or inconsistent
Penalty
Summary
The facility failed to ensure accurate dialysis assessments and communication with the off-site dialysis center for four residents who required dialysis services. The cited residents had diagnoses including end stage renal disease, chronic kidney disease, dependence on renal dialysis, and related renal conditions. Facility orders directed staff to monitor dialysis access sites for signs of infection, edema, pain, numbness, bleeding, and leaks, ensure the access site was clean, dry, and dressed as ordered, notify the MD of unusual findings, and document findings in progress notes. For one resident with a left upper arm fistula, the dialysis assessment record documented the bruit and thrill as not applicable on two occasions, and the record contained no progress note documenting a change in the dialysis site to explain the altered assessment. For another resident with a right IJ dialysis access, the assessment record showed bruit and thrill were present on multiple dates, but the dialysis binder showed the facility did not complete the pre-dialysis section of the dialysis center communication tool on several occasions. A third resident with a right chest dialysis access had assessments showing bruit and thrill as not applicable on multiple dates, present on some dates, and absent on others, with no progress note documenting a change in the dialysis site to account for the differing assessments. For the fourth resident with a left forearm fistula, the assessment record showed bruit and thrill as not applicable on one date and not completed on several other dates, and the dialysis binder and medical record did not contain multiple dialysis center communication tool sheets. Interviews with the RNC, Administrator, and DON confirmed the facility’s understanding that bruit and thrill should be present for an IJ port, that the communication sheets were used to relay dialysis-related information, and that the dialysis communication tool should be completed and sent with every resident. The current policy required ongoing assessment before and after dialysis, communication and collaboration with the dialysis facility, and notification of the physician for unusual findings or changes in condition.
Unlabeled Open Insulin Pens
Penalty
Summary
The facility failed to ensure that opened insulin pens were labeled with open dates and expiration dates in accordance with accepted medication storage and labeling practices. During an observation on 2/18/26 at 8:38 AM on the 300-medication cart with RN 2, opened insulin pens for Resident 10, Resident 56, Resident 94, and Resident 132 were observed without documented open dates or expiration dates. The medications included Lantus insulin pens for Residents 10 and 94, a Basaglar insulin pen for Resident 56, and both a Glargine insulin pen and a Novolog insulin pen for Resident 132. Record review confirmed that the affected residents had active physician orders for insulin therapy. Resident 10 had a diagnosis of type 2 diabetes mellitus with diabetic chronic kidney disease and an order for Lantus Solostar U-100 insulin 15 units subcutaneously daily. Resident 56 had type 2 diabetes mellitus without complications and orders for Lantus Solostar U-100 insulin 15 units subcutaneously twice daily. Resident 94 had type 2 diabetes mellitus without complications and an order for Lantus Solostar U-100 insulin 40 units subcutaneously daily. Resident 132 had type 2 diabetes mellitus with diabetic neuropathy and orders for insulin aspart U-100 before meals with sliding scale coverage and insulin pen 28 units subcutaneously twice daily. RN 2 stated that all insulins should have been labeled with an open date. The facility policy titled Medication storage and expiration policy, dated 11/24, stated medications should have an expiration date on the label and that staff should record the date opened on the primary medication container when the medication has a shortened expiration date once opened.
Failure to Document Non-Pharmacologic Pain Interventions
Penalty
Summary
The facility failed to ensure non-pharmacologic interventions were completed before administering PRN pain medication for one resident with chronic pain. Resident 8’s record showed an order for hydrocodone-acetaminophen 5-325 mg, 1 tablet every 8 hours as needed for moderate to severe pain. Review of the MAR for February 2026 showed the resident received hydrocodone-acetaminophen on 2/15/26 at 3:20 PM, and no non-pharmacologic interventions were documented as attempted. Review of the January 2026 MAR showed multiple additional administrations of hydrocodone-acetaminophen with no non-pharmacologic interventions documented as attempted, including doses on 1/11/26, 1/13/26, 1/14/26, 1/17/26, 1/18/26, 1/19/26, 1/20/26, 1/21/26, 1/23/26, 1/24/26, 1/25/26, 1/27/26, and 1/28/26. The DON stated that non-pharmacologic interventions should be done prior to administering PRN pain medication. The Regional Nurse Consultant stated they did not have a policy more specific to non-pharmacologic interventions prior to pain medication administration. The facility policy on Pain Management stated that a plan of care will be written with the initiation of pain medication and individualized to the resident, addressing alternative pain relief techniques.
Failure to Complete and Document COVID-19 Vaccinations
Penalty
Summary
The facility failed to ensure updated COVID-19 vaccinations were completed for 2 of 5 residents reviewed. Resident 52, who had a diagnosis of Parkinson's disease without dyskinesia and without mention of fluctuations, had a COVID-19 vaccine consent form dated 10/28/25 showing verbal consent from the POA/health care to give the vaccine, but the vaccine was not documented as given. Resident 162, who had a diagnosis of epilepsy, unspecified, not intractable, without status epilepticus, also had a COVID-19 vaccine consent form dated 10/28/25 showing verbal consent from the POA/health care to give the vaccine, but the vaccine was not documented as given. The Infection Preventionist stated the two residents did not receive the COVID-19 vaccine, that she had just started in December, that the position had been vacant before she started, and that she ordered the vaccinations but they had not been given because COVID was in the building.
Delayed Discontinuation of Medication Following Pharmacy Recommendation
Penalty
Summary
The facility failed to act timely on pharmacy recommendations for a resident's drug regimen. A pharmacist consultation report suggested discontinuing the probiotic Florastar for a resident on December 12, 2024. The physician acknowledged the recommendation but did not implement the change during a regulatory visit on January 3, 2025. The medication was not discontinued until February 19, 2025. The Director of Nursing confirmed that the medication should have been discontinued during the regulatory visit following the pharmacy review. The facility's policy requires the attending physician to address the pharmacist's recommendations by their next scheduled visit, which was not adhered to in this case.
Failure to Secure Medications for Resident
Penalty
Summary
The facility failed to ensure medications were secured for one resident, identified as Resident 120. During an observation, an open bottle of Tums, a tube of biofreeze, two tubes of barrier creams, and a Symbicort inhaler were found on top of Resident 120's bed while the resident was out of the building. An LPN confirmed that medications should not be left unattended and collected the medications to secure them. Resident 120's care plan indicated a desire to self-administer Tums, with an evaluation conducted in October 2024, but no further evaluations were available. The care plan also noted cognitive issues, requiring supervision for daily decisions. The facility's policy required medications to be stored in a locked compartment and residents to be assessed for self-administration capabilities. However, the policy was not followed as the medications were left unsecured, and there was no physician order for the biofreeze. The Director of Nursing confirmed that only medications with specific orders should be kept at bedside in a lock box, and the facility's policy emphasized routine assessments for self-administration. Despite these guidelines, the facility did not document ongoing evaluations or ensure medications were properly secured.
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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) |
|---|---|---|---|---|
| Celebrate Senior Living Of Fort Wayne | 0.2 mi | ★★★★★ | 12 | 0 |
| Byron Health Center | 0.3 mi | ★★★★★ | 15 | 0 |
| Saint Anne Home | 0.7 mi | ★★★★★ | 4 | 0 |
| Waters Of Fort Wayne Skilled Nursing Facility, The | 1.5 mi | ★★★★★ | 5 | 0 |
| Glenbrook Rehabilitation & Skilled Nursing Center | 1.9 mi | ★★★★★ | 10 | 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.