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UNIVERSITY PARK REHABILITATION AND HEALTHCARE

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UNIVERSITY PARK REHABILITATION AND HEALTHCARE is a for profit - corporation facility in FORT WAYNE, IN with 104 certified beds and a 2-star overall CMS rating. The facility has 35 deficiency records on file. Total penalties: $16K.

1400 MEDICAL PARK DR, FORT WAYNE, IN 46825

Phone: 2604841558

Overall Rating

2/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
155567
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
104
Residents
76
In Hospital
No
County
Allen
Last Inspection
Apr 11, 2025

Staffing Data

RN Hours
0.36 (nat'l avg: 0.68)
LPN Hours
0.57
CNA Hours
2.03
Total Nursing Hours
2.96 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
63.5%
RN Turnover
50.0%

What the CMS Record Reveals About UNIVERSITY PARK REHABILITATION AND HEALTHCARE

UNIVERSITY PARK REHABILITATION AND HEALTHCARE operates 104 certified beds in FORT WAYNE, IN with approximately 76 residents currently in care, and carries a CMS overall rating of 2 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 (1★), staffing levels (1★), and quality measures (5★). 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 35 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $16K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.96 total nursing hours per resident day (national average 3.89), with RN coverage at 0.36 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, UNIVERSITY PARK REHABILITATION AND HEALTHCARE 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 63.5%, 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 (35 most recent)

F — Widespread - Minimal harm Apr 11, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 11, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: May 11, 2025

F — Widespread - Minimal harm Apr 11, 2025 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: May 11, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 11, 2025

F — Widespread - Minimal harm Apr 11, 2025 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: May 11, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: May 11, 2025

F — Widespread - Minimal harm Apr 11, 2025 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: May 11, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0773

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: May 11, 2025

D — Isolated - Minimal harm Apr 11, 2025 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: May 11, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2025

D — Isolated - Minimal harm Dec 16, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm Nov 25, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 18, 2024

D — Isolated - Minimal harm Nov 25, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 18, 2024

D — Isolated - Minimal harm Jun 25, 2024 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 9, 2024

E — Pattern - Minimal harm Jun 6, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jul 5, 2024

F — Widespread - Minimal harm Jun 6, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 5, 2024

F — Widespread - Minimal harm Jun 6, 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: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 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: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

E — Pattern - Minimal harm Mar 26, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 4, 2024

J — Isolated - Jeopardy Feb 14, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 15, 2024

E — Pattern - Minimal harm Dec 6, 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: Dec 15, 2023

D — Isolated - Minimal harm Dec 6, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2023

D — Isolated - Minimal harm Oct 12, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 31, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2023

E — Pattern - Minimal harm Jun 16, 2023 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: Jul 5, 2023

F — Widespread - Minimal harm Jun 16, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 5, 2023

E — Pattern - Minimal harm May 25, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jun 13, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 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 1.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 19.9% 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 2.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 89.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 47.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 1.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 86.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 39.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.7% Yes

Penalty History 1 penalties totaling $16K

Date Type Amount
Feb 14, 2024 Fine $16K

Frequently Asked Questions

What is the overall CMS rating for UNIVERSITY PARK REHABILITATION AND HEALTHCARE?
UNIVERSITY PARK REHABILITATION AND HEALTHCARE has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at UNIVERSITY PARK REHABILITATION AND HEALTHCARE?
UNIVERSITY PARK REHABILITATION AND HEALTHCARE reports 2.96 total nursing hours per resident day (national average: 3.89). RN hours are 0.36 per resident day (national average: 0.68). Nursing staff turnover is 63.5%.
How many beds does UNIVERSITY PARK REHABILITATION AND HEALTHCARE have?
UNIVERSITY PARK REHABILITATION AND HEALTHCARE has 104 certified beds with approximately 76 residents. The facility is located at 1400 MEDICAL PARK DR, FORT WAYNE, IN 46825.
Does UNIVERSITY PARK REHABILITATION AND HEALTHCARE have any deficiencies on record?
Yes, UNIVERSITY PARK REHABILITATION AND HEALTHCARE has 35 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has UNIVERSITY PARK REHABILITATION AND HEALTHCARE received any fines or penalties?
Yes, UNIVERSITY PARK REHABILITATION AND HEALTHCARE has received 1 penalties totaling $16K.
Who owns UNIVERSITY PARK REHABILITATION AND HEALTHCARE?
UNIVERSITY PARK REHABILITATION AND HEALTHCARE is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was UNIVERSITY PARK REHABILITATION AND HEALTHCARE last inspected?
The most recent health inspection for UNIVERSITY PARK REHABILITATION AND HEALTHCARE was on Apr 11, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for UNIVERSITY PARK REHABILITATION AND HEALTHCARE?
UNIVERSITY PARK REHABILITATION AND HEALTHCARE 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