Above average — CMS composite of the measures below.
The next survey window likely opens around April 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 Towne House Retirement Community during CMS and state inspections, most recent first.
Improper Storage of Supplements, Medications, and Testing Supplies: The medication room contained expired nutritional supplements and Covid test kits, unlabeled frozen items, and a frozen substance without a resident name, date, or identifying label. The DON stated monthly audits and nightly checks were monitored by the DON and ADON, but there was no audit log or refrigerator temperature record available for review.
A facility failed to create an individualized Baseline Care Plan for a resident with complex medical needs, including a recent surgery and catheter use. The plan lacked specific instructions for pain assessment, surgical incision care, and infection risks. Interviews with the ED and DON confirmed the care plans were not tailored to the resident's needs, violating facility policy.
A resident's physician orders were not updated to include wound care instructions for a surgical incision following a femur fracture repair. The resident's care plan lacked documentation of skin issues, and hospital discharge instructions were not incorporated. After a fall, the resident experienced increased bruising and swelling, and the staples were removed by a Nurse Practitioner. The DON acknowledged the oversight in updating the orders.
A resident with a history of femur fracture and mobility issues fell during a transfer due to inadequate staff assistance, resulting in injury. Despite the care plan requiring two staff members for transfers, only one was present, leading to the incident. The facility's policy was not followed, as confirmed by the DON and therapy staff.
The facility failed to maintain kitchen sanitation and food safety standards, affecting all residents consuming food prepared there. Observations revealed unlabeled and expired food items, unclean work surfaces, and ineffective sanitizer solution. The Dietary Manager and Executive Chef acknowledged these issues, which violated the facility's policy on food storage and sanitation.
Improper Storage of Supplements, Medications, and Testing Supplies
Penalty
Summary
The facility failed to ensure proper storage of nutritional supplements, medications, and testing supplies in the medication room. During observation, the medication room refrigerator contained five cartons of Boost Breeze nutritional supplements with a use-by date of March 2026, the freezer contained two single-serve Italian Ice containers without expiration dates and one frozen pink substance in a clear cup without a resident name, date, or identifying label, and the medication room cabinets contained one Ensure Clear carton with an expiration date of 5/1/26, four Ensure Max Protein cartons with an expiration date of 2/1/26, and four Covid test kits with an expiration date of 4/30/25. The DON stated monthly audits of the medication room, including storage, labeling, and expiration dates, were monitored by the DON and Assistant DON, that third shift staff were responsible for ensuring proper storage of supplements and supplies each night, and that there was no log of audits or refrigerator temperature measurements available for review. A current policy dated 6/2025 indicated expiration dates of nutritional supplements stored in the medication room were monitored by nursing staff.
Failure to Develop Individualized Care Plan for Resident with Complex Needs
Penalty
Summary
The facility failed to develop a person-centered, individualized Baseline Care Plan for a resident with a catheter, identified as Resident 116. Upon review, it was found that the Baseline Care Plan did not include necessary instructions for effective care, such as evaluating pain on a 1 to 10 scale or addressing skin integrity issues. The resident had multiple medical conditions, including a recent surgery for a left femur fracture, coronary artery disease, atrial fibrillation, and urinary retention, and was prescribed various medications, including pain relievers and a blood thinner. Despite these complexities, the Baseline Care Plan lacked specific documentation for pain assessment, surgical incision care, and infection risks related to the straight catheter procedure. Interviews with the Executive Director and the Director of Nursing revealed that neither the Baseline Care Plan nor the current Care Plan were individualized to meet the resident's specific needs. The Care Plan did not address several critical care concerns, such as unusual bleeding, chest pain, urinary retention, and infection risks from the surgical incision and catheter use. The facility's policy required an individualized care plan upon admission, but this was not adequately implemented for Resident 116, leading to a deficiency in providing personalized care.
Failure to Update Physician Orders for Wound Care
Penalty
Summary
The facility failed to ensure that physician orders were current for the provision of wound care to a surgical incision for a resident who underwent surgery for an open reduction internal fixation of a left femur fracture. Upon review, it was found that the resident's Baseline Care Plan did not document any skin issues or include wound care instructions for the surgical incision. The hospital discharge summary had specified that the surgical incision's dressing was to be reinforced or changed daily, and the incision was to be assessed for complications, but these instructions were not included in the resident's physician orders or care plan. The resident experienced a fall, which led to increased bruising and swelling around the surgical incision, and the dressing was saturated with bloody drainage. Subsequent evaluations noted changes in the wound's condition, and the staples were eventually removed by a Nurse Practitioner. The Director of Nursing acknowledged that the hospital discharge instructions should have been included in the resident's physician orders upon admission. The facility's policy required verification of physician orders for dressing changes to ensure compliance with regulations and guidelines, which was not adhered to in this case.
Failure to Provide Adequate Transfer Assistance Leads to Resident Fall
Penalty
Summary
The facility failed to ensure safe transfer assistance for a resident, resulting in a fall and injury. A family member expressed concern that the resident fell while transferring from her bed to a wheelchair, leading to a skin tear, bruising, and pain, which hindered her therapy progress. The resident confirmed that only one staff member was present during the transfer when she lost her balance and fell, causing her to injure her elbow on a table. The resident's medical records indicated she had a history of a displaced intertrochanteric fracture of the left femur, muscle weakness, and unsteadiness on her feet. Her care plan required maximum assistance of two staff members for transfers, as noted in the therapy binder. However, at the time of the incident, only one staff member was assisting her, contrary to the care plan and facility policy. Interviews with the DON and physical therapy staff confirmed that the resident had not been cleared for transfers with only one assist.
Kitchen Sanitation and Food Safety Deficiencies
Penalty
Summary
The facility failed to maintain proper kitchen sanitation and food safety standards, affecting all 12 residents who consumed food prepared in the kitchen. During an inspection, it was observed that several food items, including cheese slices, cheese cubes, and cut-up peppers, were not labeled or dated as required. Additionally, expired ground beef and diced tomatoes were found in the walk-in cooler, and a bag of cut-up lettuce with yellowish liquid was also noted, indicating spoilage. The pizza station was found with debris and dried food remnants, suggesting it had not been cleaned after use. The Dietary Manager acknowledged these issues, confirming that the items should have been labeled, dated, and discarded if expired. Further observations revealed that the sanitizer solution used for cleaning work surfaces was not at the effective concentration level, testing at about 150 parts per million (ppm) instead of the required 200 to 400 ppm. The Executive Chef attempted to rectify this by preparing a new solution, but it still tested below the effective range. Additionally, in the Health Center kitchen, the Executive Chef was unable to locate the test strips for the sanitizer solution. The facility's policy on Production, Purchasing, Storage, which was last revised on an unspecified date, mandates that all unused portions and open packages should be covered, labeled, and dated, and that sanitizer test strips should be readily available, highlighting a failure to adhere to these guidelines.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 323 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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) |
|---|---|---|---|---|
| Canterbury Nursing And Rehabilitation Center | 0.5 mi | ★★★★★ | 7 | 0 |
| University Park Rehabilitation And Healthcare | 0.9 mi | ★★★★★ | 4 | 0 |
| Bethlehem Woods Nursing And Rehabilitation | 1.5 mi | ★★★★★ | 6 | 0 |
| Glenbrook Rehabilitation & Skilled Nursing Center | 1.7 mi | ★★★★★ | 10 | 0 |
| Kingston Health Center Of Fort Wayne | 2.1 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Towne House Retirement Community.
100% money-back within 48 hours.
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.