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ASHTON CREEK HEALTH AND REHABILITATION CENTER

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ASHTON CREEK HEALTH AND REHABILITATION CENTER is a non profit - other facility in FORT WAYNE, IN with 139 certified beds and a 4-star overall CMS rating. The facility has 14 deficiency records on file.

4111 PARK PLACE DRIVE, FORT WAYNE, IN 46845

Phone: 2603732111

Overall Rating

4/5

Health Inspection

4/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
155798
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
139
Residents
109
In Hospital
No
County
Allen
Last Inspection
Jul 2, 2025

Staffing Data

RN Hours
0.81 (nat'l avg: 0.68)
LPN Hours
0.96
CNA Hours
2.31
Total Nursing Hours
4.08 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
51.7%
RN Turnover
31.6%

What the CMS Record Reveals About ASHTON CREEK HEALTH AND REHABILITATION CENTER

ASHTON CREEK HEALTH AND REHABILITATION CENTER operates 139 certified beds in FORT WAYNE, IN with approximately 109 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (3★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.08 total nursing hours per resident day (national average 3.89), with RN coverage at 0.81 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, ASHTON CREEK HEALTH AND REHABILITATION CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 51.7%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (14 most recent)

D — Isolated - Minimal harm Sep 11, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

D — Isolated - Minimal harm Jul 22, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

F — Widespread - Minimal harm Jul 22, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 22, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 7, 2023

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 7, 2023

D — Isolated - Minimal harm Aug 23, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2023

D — Isolated - Minimal harm Jul 11, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 11, 2023

D — Isolated - Minimal harm Jul 11, 2023 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 11, 2023

D — Isolated - Minimal harm Jul 11, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 11, 2023

D — Isolated - Minimal harm Jul 11, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 11, 2023

E — Pattern - Minimal harm Jul 11, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Aug 11, 2023

D — Isolated - Minimal harm Apr 12, 2023 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Apr 12, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 11.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 81.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 10.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 34.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for ASHTON CREEK HEALTH AND REHABILITATION CENTER?
ASHTON CREEK HEALTH AND REHABILITATION CENTER has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at ASHTON CREEK HEALTH AND REHABILITATION CENTER?
ASHTON CREEK HEALTH AND REHABILITATION CENTER reports 4.08 total nursing hours per resident day (national average: 3.89). RN hours are 0.81 per resident day (national average: 0.68). Nursing staff turnover is 51.7%.
How many beds does ASHTON CREEK HEALTH AND REHABILITATION CENTER have?
ASHTON CREEK HEALTH AND REHABILITATION CENTER has 139 certified beds with approximately 109 residents. The facility is located at 4111 PARK PLACE DRIVE, FORT WAYNE, IN 46845.
Does ASHTON CREEK HEALTH AND REHABILITATION CENTER have any deficiencies on record?
Yes, ASHTON CREEK HEALTH AND REHABILITATION CENTER has 14 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has ASHTON CREEK HEALTH AND REHABILITATION CENTER received any fines or penalties?
No, ASHTON CREEK HEALTH AND REHABILITATION CENTER has no fines or penalties on record.
Who owns ASHTON CREEK HEALTH AND REHABILITATION CENTER?
ASHTON CREEK HEALTH AND REHABILITATION CENTER is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was ASHTON CREEK HEALTH AND REHABILITATION CENTER last inspected?
The most recent health inspection for ASHTON CREEK HEALTH AND REHABILITATION CENTER was on Jul 2, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for ASHTON CREEK HEALTH AND REHABILITATION CENTER?
ASHTON CREEK HEALTH AND REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial