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

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Fort Wayne · Nursing Home

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Signature Healthcare of Fort Wayne 6006 Brandy Chase Cove, Fort Wayne, IN 46815
Sage Bluff Health & Rehab Center LLC 4180 Sage Bluff Crossing, Fort Wayne, IN 46804
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Towne House Retirement Community 2209 St Joe Center Rd, Fort Wayne, IN 46825
Woodview A Waters Community 3420 East State Blvd, Fort Wayne, IN 46805
Byron Health Center 12101 Lima Rd, Fort Wayne, IN 46818
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
Parkview Memorial Hospital-ccc 2200 Randallia Dr, Fort Wayne, IN 46805
Heritage of Fort Wayne, The 5250 Heritage Parkway, Fort Wayne, IN 46835
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Kingston Care Center of Fort Wayne 1010 W Washington Center Rd, Fort Wayne, IN 46825
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Canterbury Nursing and Rehabilitation Center 2827 Northgate Blvd, Fort Wayne, IN 46835
University Park Health and Rehabilitation Center 1400 Medical Park Dr, Fort Wayne, IN 46825
Renaissance Village 6050 S Cr 800 E 92, Fort Wayne, IN 46814
Covington Manor Health and Rehabilitation Center 5700 Wilkie Dr, Fort Wayne, IN 46804
Lutheran Life Villages 9802 Coldwater Road, Fort Wayne, IN 46825
Glenbrook Rehabilitation & Skilled Nursing Center 3811 Parnell Ave, Fort Wayne, IN 46805
Heritage Park 2001 Hobson Rd, Fort Wayne, IN 46805
Miller's Merry Manor 5544 E State Blvd, Fort Wayne, IN 46815
Lutheran Life Villages 6701 S Anthony Blvd, Fort Wayne, IN 46816

IN · Nursing Home

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Hildegard Health Center Inc 802 E 10th St, Ferdinand, IN 47532
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Englewood Health & Rehabilitation Center 2237 Engle Rd, Fort Wayne, IN 46809
Saint Anne Home 1900 Randallia Dr, Fort Wayne, IN 46805
Alpha Home - A Waters Community 2640 Cold Spring Rd, Indianapolis, IN 46222
Symphony of Chesterton LLC 2775 Village Point, Chesterton, IN 46304
Gibson General Hospital-snf 1808 Sherman Dr, Princeton, IN 47670
Lincolnshire Health & Rehabilitation Center 8380 Virginia St, Merrillville, IN 46410
Spring Mill Meadows 2140 W 86th St, Indianapolis, IN 46260
Heritage House of New Castle 1023 N 20th St, New Castle, IN 47362
Middletown Nursing and Rehabilitation Center 131 S 10th St, Middletown, IN 47356
Corydon Nursing and Rehabilitation Center 315 Country Club Rd, Corydon, IN 47112
North Capitol Nursing & Rehabilitation Center 2010 N Capitol Ave, Indianapolis, IN 46202
Cardinal Nursing and Rehabilitation Center 1121 E Lasalle Ave, South Bend, IN 46617
Symphony of Crown Point LLC 1555 S Main Street, Crown Point, IN 46307
Loogootee Nursing Center 12802 E Us Hwy 50, Loogootee, IN 47553
Kindred Transitional Care and Rehab-rolling Hills 3625 St Joseph Rd, New Albany, IN 47150
Paoli Health and Living Community 559 W Longest St, Paoli, IN 47454
Warsaw Meadows 300 E Prairie St, Warsaw, IN 46580
Good Samaritan Home Health Center and Residential 601 N Boeke Rd, Evansville, IN 47711
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Ambassador Healthcare 705 E Main St, Centerville, IN 47330
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Lutheran Life Villages 351 N Allen Chapel Rd, Kendallville, IN 46755
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