CCN 155679
Bethlehem Woods Nursing and Rehabilitation
4430 ELSDALE DR, Fort Wayne, IN 46835 · Allen County
- Ownership
- For profit - Corporation
- Certified beds
- 90
- Residents per day
- 78.9
- Health citations
- 4
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.27
- 2.24
- 2.32
- LPN/LVN
- 0.40
- 0.78
- 0.86
- Registered nurse
- 0.82
- 0.67
- 0.69
- Total nurse staff
- 3.48
- 3.69
- 3.86
- Weekend total
- 2.84
- 3.25
- 3.42
- Weekend RN
- 0.58
- 0.47
- 0.48
Adjusted total nurse hours: 3.29. Adjusted RN hours: 0.77. Case-mix total: 4.05. Case-mix index: 1.481.
Total nursing staff turnover: 41.4%. RN turnover: 28.6%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: March 31, 2026. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 16.
Cycle 2 standard survey: May 19, 2025. Cycle 2/3 health deficiencies: 1. Total weighted health survey score: 13.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 4 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
March 31, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F761 | Ensure 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 locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 6, 2026 |
March 19, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Complaint survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 3, 2026 |
November 17, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F620 | Not 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 Deficiencies · Complaint survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · November 20, 2025 |
May 19, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 9, 2025 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections