Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Saint Anne Home during CMS and state inspections, most recent first.
Discontinued medications were found on multiple med carts, including open bottles of guaifenesin DM for several residents and Amitiza labeled for another resident. An LPN said discontinued meds were placed in the med room for disposal on third shift, and the ADON stated the Amitiza should have been returned to pharmacy after it was discontinued. Record review confirmed the cough syrup orders were no longer active.
Inaccurate Resident Skin and Wound Assessment: A resident with severe dementia, muscle weakness, and difficulty walking had conflicting skin and wound documentation. The matrix, skin check, and quarterly MDS reflected a pressure ulcer and unhealed wound findings, while the ADON and DON stated the resident did not have a pressure ulcer and that the MDS was pulling from an old healed wound. The Administrator also stated the facility had issues with skin and wound information transferring into the MDS correctly.
A resident with multiple medical conditions was transferred and repositioned by a QMA using a mechanical sit-to-stand lift without the required second staff member, resulting in a left humerus fracture. The QMA and other staff confirmed that facility policy mandated two staff for all mechanical lift transfers, but this was not followed during the incident.
The facility failed to monitor water temperatures and conduct legionella testing, affecting all 118 residents. The Director of Nursing could not provide relevant policies or records, and the Maintenance Director admitted to the absence of temperature gauges on water tanks. The Administrator acknowledged that federal guidelines were not followed, and no legionella testing records were available.
A resident's credit card was misused by a CNA at the facility, leading to unauthorized Doordash charges. The resident, who is cognitively intact, reported the issue after her POA noticed the charges. An investigation confirmed the CNA's involvement, despite her denial and claim of a neighbor's involvement. The facility's policy on misappropriation of property was acknowledged by the CNA, yet the incident occurred, resulting in a deficiency citation.
Discontinued Medications Left on Medication Carts
Penalty
Summary
Drugs and biologicals were not maintained in accordance with accepted storage and labeling practices when discontinued medications remained on medication carts. During observations on 1/16/26, the Apple cart contained open bottles of guaifenesin DM labeled for Resident 47, Resident 79, and Resident 91, the Moon cart contained open bottles of guaifenesin DM labeled for Resident 7 and Resident 74, and the second half of the 1st floor cart contained Amitiza 24 mcg labeled for Resident 51 at the bottom of the cart. These medications were identified as discontinued during the survey review. During interview, LPN 4 stated discontinued medications were placed in the medication room to be disposed of on third shift. The ADON stated she was not sure why Amitiza remained at the bottom of the cart and acknowledged it had been discontinued on 1/2/26 and should have been returned to pharmacy by third shift. Record review confirmed the guaifenesin DM orders for Residents 47, 79, 91, 7, and 74 were no longer active at the time of the cart observations.
Inaccurate Resident Skin and Wound Assessment
Penalty
Summary
The facility failed to ensure assessment accuracy for one resident reviewed. Resident 52’s record showed diagnoses of unspecified severe dementia with anxiety, generalized muscle weakness, and difficulty walking. The matrix indicated the resident had a pressure ulcer with the highest stage listed as S. A skin check completed on 10/28/2025 indicated an improving unstageable pressure ulcer, and the current quarterly MDS indicated an unhealed pressure ulcer and an unstageable deep tissue injury. During interview, the ADON stated she was unsure what a stage S pressure ulcer was and said Resident 52 did not have a pressure ulcer. The ADON also stated all of the resident’s pressure ulcers had resolved and provided a wound assessment dated 9/23/2025 that indicated the pressure ulcer had been resolved. The DON later stated the resident did not have a pressure ulcer and said the MDS was incorrect because it was pulling from an old, healed wound. The Administrator stated the facility was experiencing issues with skin and wound information transferring into the MDS correctly and that changes had been made regarding how skin assessments were documented. A current policy provided by the Administrator stated the facility conducts initially and periodically a comprehensive, accurate, and standardized assessment of each resident’s functional capacity using the RAI specified by the state.
Failure to Follow Two-Person Mechanical Lift Policy Results in Resident Injury
Penalty
Summary
A deficiency occurred when a qualified medication aide (QMA) performed a mechanical lift transfer for a resident without the required assistance of a second staff member. The resident, who had diagnoses including anemia, obesity, hyperglycemia, and chronic kidney disease, was ordered to be transferred using a Sara lift with two staff assisting. During the transfer, the QMA completed the process alone and subsequently repositioned the resident in bed by herself, at which point a popping noise was heard and the resident experienced numbness in her left arm. An x-ray later confirmed a left humerus fracture. Interviews and record reviews confirmed that the facility's policy required two staff members for all mechanical lift transfers, including the Sara lift. The QMA involved acknowledged that she was alone during the transfer and repositioning, and stated she had not received training or education on the specific requirements for Sara lift transfers. Other staff and the administrator also confirmed the two-person requirement for such transfers and repositioning, indicating that the policy was not followed during this incident.
Failure to Monitor Water Temperatures and Conduct Legionella Testing
Penalty
Summary
The facility failed to ensure proper monitoring and testing of water temperatures and legionella presence in its water systems, affecting all 118 residents. During an interview, the Director of Nursing was unable to provide policies and records related to water management and legionella testing. An email from the previous year indicated that the Maintenance Director had contacted a company for legionella testing containers, but no records of completed tests were available. The facility assessment showed a low probability of legionella infection occurrence and a low capacity to identify such issues. Temperature logs for 2024 revealed that no values were documented for the water storage tanks in both the Nursing Home and Rehabilitation sections. The Maintenance Director admitted that temperature readings could not be obtained due to the absence of temperature gauges on the tanks. The Administrator confirmed that federal guidelines require a water management policy for legionella, which was not followed. The facility's undated policy stated that water temperatures should be maintained at 140 degrees or above to prevent legionella growth, and screening tests should be conducted semi-annually, but these measures were not implemented.
Unauthorized Use of Resident's Credit Card by Facility Staff
Penalty
Summary
The facility failed to protect a resident from the misappropriation of property, specifically involving the unauthorized use of the resident's credit card. Resident B, who is cognitively intact with a BIMS score of 15/15, reported that her power of attorney (POA) noticed multiple unauthorized charges to Doordash on her credit card statement. The facility was notified, and an investigation revealed that a Certified Nurse Aide (CNA) at the facility had used Resident B's credit card information to make purchases and have them delivered to her home address. The CNA had assisted Resident B with activities of daily living on several occasions. The investigation included interviews with the resident, her POA, and facility staff, as well as a review of bank statements and the facility's abuse policy. The CNA denied the allegations, claiming her neighbor was involved in fraudulent activities. However, the facility confirmed the CNA's involvement through information provided by Doordash and the resident's family. The facility's policy on misappropriation of property was acknowledged by the CNA, yet the incident still occurred, leading to a deficiency citation related to the misappropriation of Resident B's property.
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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) |
|---|---|---|---|---|
| Byron Health Center | 0.5 mi | ★★★★★ | 15 | 0 |
| Heritage Park | 0.7 mi | ★★★★★ | 7 | 0 |
| Celebrate Senior Living Of Fort Wayne | 0.8 mi | ★★★★★ | 12 | 0 |
| Life Care Center Of Fort Wayne | 1.3 mi | ★★★★★ | 9 | 0 |
| Glenbrook Rehabilitation & Skilled Nursing Center | 1.3 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.