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BETHLEHEM WOODS NURSING AND REHABILITATION

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BETHLEHEM WOODS NURSING AND REHABILITATION is a for profit - corporation facility in FORT WAYNE, IN with 90 certified beds and a 5-star overall CMS rating. The facility has 4 deficiency records on file.

4430 ELSDALE DR, FORT WAYNE, IN 46835

Phone: 2604858157

Overall Rating

5/5

Health Inspection

5/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
155679
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
90
Residents
78
In Hospital
No
County
Allen
Last Inspection
May 19, 2025

Staffing Data

RN Hours
0.83 (nat'l avg: 0.68)
LPN Hours
0.30
CNA Hours
2.46
Total Nursing Hours
3.58 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
45.1%
RN Turnover
25.0%

What the CMS Record Reveals About BETHLEHEM WOODS NURSING AND REHABILITATION

BETHLEHEM WOODS NURSING AND REHABILITATION operates 90 certified beds in FORT WAYNE, IN with approximately 78 residents currently in care, and carries a CMS overall rating of 5 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 (5★), staffing levels (3★), and quality measures (4★). 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 4 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 3.58 total nursing hours per resident day (national average 3.89), with RN coverage at 0.83 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, BETHLEHEM WOODS NURSING AND REHABILITATION 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 45.1%, within a range generally associated with stable care teams. 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 (4 most recent)

D — Isolated - Minimal harm Nov 17, 2025 Tag: 0620

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.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2025

D — Isolated - Minimal harm May 19, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 3, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm May 3, 2023 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 24, 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 6.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 15.3% 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 5.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 92.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 93.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for BETHLEHEM WOODS NURSING AND REHABILITATION?
BETHLEHEM WOODS NURSING AND REHABILITATION has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at BETHLEHEM WOODS NURSING AND REHABILITATION?
BETHLEHEM WOODS NURSING AND REHABILITATION reports 3.58 total nursing hours per resident day (national average: 3.89). RN hours are 0.83 per resident day (national average: 0.68). Nursing staff turnover is 45.1%.
How many beds does BETHLEHEM WOODS NURSING AND REHABILITATION have?
BETHLEHEM WOODS NURSING AND REHABILITATION has 90 certified beds with approximately 78 residents. The facility is located at 4430 ELSDALE DR, FORT WAYNE, IN 46835.
Does BETHLEHEM WOODS NURSING AND REHABILITATION have any deficiencies on record?
Yes, BETHLEHEM WOODS NURSING AND REHABILITATION has 4 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has BETHLEHEM WOODS NURSING AND REHABILITATION received any fines or penalties?
No, BETHLEHEM WOODS NURSING AND REHABILITATION has no fines or penalties on record.
Who owns BETHLEHEM WOODS NURSING AND REHABILITATION?
BETHLEHEM WOODS NURSING AND REHABILITATION is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was BETHLEHEM WOODS NURSING AND REHABILITATION last inspected?
The most recent health inspection for BETHLEHEM WOODS NURSING AND REHABILITATION was on May 19, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for BETHLEHEM WOODS NURSING AND REHABILITATION?
BETHLEHEM WOODS NURSING AND REHABILITATION 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