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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Heritage Park 2001 Hobson Rd, Fort Wayne, IN 46805
Parkview Memorial Hospital-ccc 2200 Randallia Dr, Fort Wayne, IN 46805

Fort Wayne · Nursing Home

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

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Harbour Manor Health & Living Community 1667 Sheridan Rd, Noblesville, IN 46060
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Elkhart Rehabilitation Center 2600 Morehouse Ave, Elkhart, IN 46517
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Wellbrooke of Carmel 12315 Pennsylvania Street, Carmel, IN 46032
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