| Bethlehem Woods Nursing and Rehabilitation | |
| 4430 Elsdale Dr, Fort Wayne, Indiana 46835 | |
| (260) 485-8157 | |
| Name | Bethlehem Woods Nursing and Rehabilitation |
|---|---|
| Location | 4430 Elsdale Dr, Fort Wayne, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 87.67% |
| Medicare ID (CCN) | 155679 |
| Legal Business Name | The Health and Hospital Corporation of Marion County |
| Ownership Type | For Profit - Corporation |
| Chain | American Senior Communities (90 nursing homes) |
| Chain Average Overall Rating | 3.9 out of 5 |
| NPI Number | 1750378147 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Health and Hospital Corporation of Marion County |
| Doing Business As | Bethlehem Woods Nursing and Rehabilitation Center |
| Address | 4430 Elsdale Dr, Fort Wayne, IN 46835 |
| Phone Number | 260-485-8157 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.48 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.82 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.4 | 0.86 |
| Nurse aide hours per resident per day | 2.27 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.84 | 3.42 |
| RN hours per resident per day on the weekend | 0.58 | 0.48 |
| Physical therapist hours per resident per day | 0.04 | 0.07 |
| Total nursing staff turnover | 41.4% | 45.8% |
| Registered nurse turnover | 28.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 31, 2026 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 6, 2026 |
| Mar 19, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 3, 2026 |
| Nov 17, 2025 | 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. F0620, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 20, 2025 |
| May 19, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 9, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.91 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.26 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.72 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 12.12 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.96 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.92 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.16 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.22 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.83 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.22 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.33 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.36 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.59 | 15.38 |
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