Life Care Center of Fort Wayne
1649 Spy Run Avenue, Fort Wayne, IN 46805


Life Care Center of Fort Wayne is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 155266. The address is 1649 Spy Run Avenue, Fort Wayne, IN 46805. The zip code is 46805. The phone number is 2604228520.


Life Care Center of Fort Wayne · 1649 Spy Run Avenue, Fort Wayne, IN 46805

Federal Provider Number 155266
Provider Name LIFE CARE CENTER OF FORT WAYNE
Address 1649 SPY RUN AVENUE
FORT WAYNE, IN 46805
Phone Number 2604228520
SSA County Code 10
County Name Allen
Ownership Type For profit - Corporation
Certified Beds 125
Certified Beds Residents 45
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare Medicaid Services 10/01/1985
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 1
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.97333
Reported LPN Staffing Hours per Resident per Day 1.01444
Reported RN Staffing Hours per Resident per Day 0.53889
Reported Licensed Staffing Hours per Resident per Day 1.55333
Reported Total Nurse Staffing Hours per Resident per Day 3.52666
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10333
Expected CNA Staffing Hours per Resident per Day 2.47385
Expected LPN Staffing Hours per Resident per Day 0.68899
Expected RN Staffing Hours per Resident per Day 1.23256
Expected Total Nurse Staffing Hours per Resident per Day 4.3954
Adjusted CNA Staffing Hours per Resident per Day 1.95725
Adjusted LPN Staffing Hours per Resident per Day 1.22206
Adjusted RN Staffing Hours per Resident per Day 0.32669
Adjusted Total Nurse Staffing Hours per Resident per Day 3.2342
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 68
Cycle 1 Standard Survey Health Date 07/20/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 68
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 07/01/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 48
Cycle 3 Total Number of Health Deficiencies 16
Cycle 3 Number of Standard Health Deficiencies 15
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 136
Cycle 3 Standard Health Survey Date 06/18/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 136
Total Weighted Health Survey Score 72.667
Number of Substantiated Complaints 2
Number of Fines 1
Total Amount of Fines in Dollars $3363.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Life Care Center of Fort Wayne

Owner Name Role Association Date
CROOKS, JOANNA (Individual) DIRECTOR since 08/19/2009
CROOKS, JOANNA (Individual) OFFICER since 08/19/2009
CROSS, CINDY (Individual) OFFICER since 04/21/1994
HENRY, TERRY (Individual) OFFICER since 08/16/1999
HUNTER, BEECHER (Individual) DIRECTOR since 03/10/2004
HUNTER, BEECHER (Individual) OFFICER since 08/16/2006
LIFE CARE CENTERS OF AMERICA, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/01/1986
MCMULLAN, JOHN (Individual) DIRECTOR since 03/10/2004
PRESTON, FORREST (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 03/10/2004
PRESTON, FORREST (Individual) DIRECTOR since 03/10/2004
PRESTON, FORREST (Individual) OFFICER since 01/06/1976
SCOTT, KENNETH (Individual) DIRECTOR since 08/04/2010
SWANKER, RICHARD (Individual) OFFICER since 04/01/2011
THURMOND, JOAN (Individual) OFFICER since 09/21/2000
WILSON, KEITH (Individual) MANAGING EMPLOYEE since 05/06/2013
ZIEGLER, JAMES (Individual) DIRECTOR since 08/16/1999
ZIEGLER, JAMES (Individual) OFFICER since 08/16/1999

46805 · Nursing Home

Glenbrook Rehabilitation & Skilled Nursing Center 3811 Parnell Ave, Fort Wayne, IN 46805
Heritage Park 2001 Hobson Rd, Fort Wayne, IN 46805
Saint Anne Home 1900 Randallia Dr, Fort Wayne, IN 46805
Parkview Memorial Hospital-ccc 2200 Randallia Dr, Fort Wayne, IN 46805
Woodview A Waters Community 3420 East State Blvd, Fort Wayne, IN 46805
Summit City Nursing and Rehabilitation 2940 N Clinton St, Fort Wayne, IN 46805

Fort Wayne · Nursing Home

Transitional Care Unit of St Joseph 700 Broadway Transitional Care Unit, Fort Wayne, IN 46802
Ashton Creek Health and Rehabilitation Center 4111 Park Place Drive, Fort Wayne, IN 46845
Summit City Nursing and Rehabilitation 2940 N Clinton St, Fort Wayne, IN 46805
Heritage of Fort Wayne, The 5250 Heritage Parkway, Fort Wayne, IN 46835
Lutheran Life Villages 6701 S Anthony Blvd, Fort Wayne, IN 46816
Covington Manor Health and Rehabilitation Center 5700 Wilkie Dr, Fort Wayne, IN 46804
Glenbrook Rehabilitation & Skilled Nursing Center 3811 Parnell Ave, Fort Wayne, IN 46805
Parkview Memorial Hospital-ccc 2200 Randallia Dr, Fort Wayne, IN 46805
Englewood Health & Rehabilitation Center 2237 Engle Rd, Fort Wayne, IN 46809
Saint Anne Home 1900 Randallia Dr, Fort Wayne, IN 46805
Byron Health Center 12101 Lima Rd, Fort Wayne, IN 46818
University Park Health and Rehabilitation Center 1400 Medical Park Dr, Fort Wayne, IN 46825
Towne House Retirement Community 2209 St Joe Center Rd, Fort Wayne, IN 46825
Kingston Care Center of Fort Wayne 1010 W Washington Center Rd, Fort Wayne, IN 46825
Lutheran Life Villages 9802 Coldwater Road, Fort Wayne, IN 46825
Sage Bluff Health & Rehab Center LLC 4180 Sage Bluff Crossing, Fort Wayne, IN 46804
Signature Healthcare of Fort Wayne 6006 Brandy Chase Cove, Fort Wayne, IN 46815
Renaissance Village 6050 S Cr 800 E 92, Fort Wayne, IN 46814
Miller's Merry Manor 5544 E State Blvd, Fort Wayne, IN 46815
Heritage Park 2001 Hobson Rd, Fort Wayne, IN 46805
Woodview A Waters Community 3420 East State Blvd, Fort Wayne, IN 46805
Grey Stone Health & Rehabilitation Center 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845
Premier Healthcare of Fort Wayne 7519 Winchester Rd, Fort Wayne, IN 46819
Coventry Meadows 7843 W Jefferson Blvd, Fort Wayne, IN 46804
Canterbury Nursing and Rehabilitation Center 2827 Northgate Blvd, Fort Wayne, IN 46835
Bethlehem Woods Nursing and Rehabilitation 4430 Elsdale Dr, Fort Wayne, IN 46835
Golden Years Homestead 3136 Goeglein Rd, Fort Wayne, IN 46815

IN · Nursing Home

Manorcare Health Services - Prestwick 445 S Cr 525 E, Avon, IN 46123
Especially Kidz Health & Rehab 2325 S Miller St, Shelbyville, IN 46176
River Terrace Health Campus 120 Presbyterian Ave, Madison, IN 47250
Waters of Clifty Falls, The 950 Cross Ave, Madison, IN 47250
Meadowood Health Pavilion 2455 Tamarack Tr, Bloomington, IN 47408
Warsaw Meadows 300 E Prairie St, Warsaw, IN 46580
Alpha Home - A Waters Community 2640 Cold Spring Rd, Indianapolis, IN 46222
Sanctuary At Holy Cross--indiana 17475 Dugdale Dr, South Bend, IN 46635
Williamsport Nursing and Rehabilitation 200 Short St, Williamsport, IN 47993
Hickory Creek At Winamac 515 E 13th St, Winamac, IN 46996
Meadow View Health and Rehabilitation 900 Anson St, Salem, IN 47167
Aperion Care Demotte 10352 N 600 E County Line Rd, Demotte, IN 46310
Parkview Healthcare 1212 E Main, Attica, IN 47918
Golden Living Center-knox 300 E Culver Rd, Knox, IN 46534
Spring Mill Meadows 2140 W 86th St, Indianapolis, IN 46260
Pleasant View Lodge 7476 W Lane Rd, Mc Cordsville, IN 46055
Heritage Center 1201 W Buena Vista Rd, Evansville, IN 47710
Golden Living Center-fountainview Place 3175 Lancer St, Portage, IN 46368
Ripley Crossing 1200 Whitlatch Way, Milan, IN 47031
Kindred Transitional Care and Rehab-sellersburg 7823 Old Hwy # 60, Sellersburg, IN 47172
Ashford Place Health Campus 2200 N Riley Hwy, Shelbyville, IN 46176
Ossian Health Care and Rehabilitation Center 215 Davis Rd, Ossian, IN 46777
Manor Care Health Services Summer Trace 12999 N Pennsylvania St, Carmel, IN 46032
Lakeview Village Senior Living 410 Tioga Rd, Monticello, IN 47960
Miller's Merry Manor 220 E Dunn Rd, New Carlisle, IN 46552
Kindred Transitional Care and Rehab-harrison 150 Beechmont Dr, Corydon, IN 47112
Community Nursing and Rehabilitation Center 5600 E 16th St, Indianapolis, IN 46218
Maple Park Village 776 N Union St, Westfield, IN 46074
Woodbridge Health Campus 602 Woodbridge Ave, Logansport, IN 46947
Evansville Protestant Home Inc 3701 Washington Ave, Evansville, IN 47714
Owen Valley Health Campus 920 W Hwy 46, Spencer, IN 47460
Riverview Village 586 Eastern Blvd, Clarksville, IN 47129
Providence Anderson 1345 N Madison Ave, Anderson, IN 46011
Spring Mill Health Campus 101 W 87th Ave, Merrillville, IN 46410
Waters of Indianapolis, The 3895 S Keystone Ave, Indianapolis, IN 46227
Hickory Creek At Peru 390 W Boulevard, Peru, IN 46970
Golden Living Center-brookview 7145 E 21st Street, Indianapolis, IN 46219
Miller's Merry Manor 200 26th St, Logansport, IN 46947
Forum At The Crossing 8505 Woodfield Crossing Blvd, Indianapolis, IN 46240
Heritage of Fort Wayne, The 5250 Heritage Parkway, Fort Wayne, IN 46835