Nursing HomeInspections

Bethlehem Woods Nursing and Rehabilitation

Nursing home in Fort Wayne, IN

Medicare & Medicaid certified5★ overall (CMS)

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Public-record details

Address
4430 Elsdale Dr, Fort Wayne, IN 46835
Phone
(260) 485-8157
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
155679
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
90
Average residents per day
82
Ownership
For-profit, corporation
Legal business name
The Health and Hospital Corporation of Marion County
Chain
American Senior Communities (90 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 26, 2000
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 155679. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 31, 2026. CMS lists 4 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 19, 2025 to Mar 31, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 31, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Mar 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 17, 2025Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 19, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.45 hours
Registered nurse (RN) time per resident per day
0.86 hours
Nurse aide time per resident per day
2.26 hours
Total nurse staffing on weekends
2.77 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
29%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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