Heritage Pointe of Fort Wayne

In the surveyor’s words

From the most serious findings on record at Heritage Pointe of Fort Wayne, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 6, 2024

  Based on observation, interview, and record review the facility failed to ensure opened items were dated, labeled and baking pans were thoroughly dried prior to storage in the facility kitchen. 54 of 54 residents residing in the facility consumed food prepared in the kitchen. Findings include: During an observation and interview on 2/29/24 at 9:18 AM, a bag of tilapia fillets on a shelf inside the walk- in freezer had been opened and was sealed shut with a Ziploc style closure. The bag was not marked with the date on which it was opened. The Director of Dining Services (DDS) indicated the bag should have been labeled with an open date. A metal container filled with french fries, covered loosely with a piece of plastic wrap was observed on the shelf of the walk-in cooler. […]

• No harm, potential for more than minimal, patternF757Mar 17, 2023

  Based on record review and interview the facility failed to ensure monitoring of opioid medication side effects for 4 of 4 residents reviewed (Resident 3, Resident 38, Resident 48, and Resident 201). Findings include: 1) Resident 201's record review began on 03/15/23 at 9:21 AM. Diagnoses include traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, muscle weakness, type 2 diabetes mellitus with diabetic neuropathy, and major depressive disorder. A Minimum Data Set (MDS) assessment dated [DATE] indicated Resident 201 had a BIMS (brief interview for mental status) score of 14 (cognitively intact). The MDS indicated resident 201 received opioid pain medication 2 out of the prior 7 days of the assessment period. […]

• No harm, potential for more than minimal, patternF732Apr 19, 2022

  Based on observation, interview and record review the facility failed to post the nursing staff information daily at the beginning of each shift in a prominent location readily accessible to residents and visitors. There were 69 residents who resided in the facility. Findings include: In an observation on 4/12/22 at 10:40 a.m., the nurse staffing information was not observed to be posted. In an observation on 4-12-22 at 2:30 p.m., the nurse staffing information was not observed to be posted. In an interview with the Administrator on 4/12/22 at 3:25 p.m. indicated he was unable to locate staff posting. […]

• No harm, potential for more than minimal, patternF812Apr 19, 2022

  Based on observation and record review the facility failed to ensure proper temperatures and documentation for 2 of 6 refrigerators reviewed. ([NAME] A and [NAME] B) Findings include: During an observation, on 4/12/22 at 12:16PM, a resident complained their milk was warm. The milk was temped at 42 degrees with a calibrated thermometer. The refrigerator did not have a thermometer. The Dietary Manager obtained a new thermometer. The refrigerator temp was 38 degrees after 30 minutes. The freezer had 2 thermometers. The kitchen staff ensured everything from refrigerator was thrown away for safety. The temperature logs dated March 2022 for [NAME] A had missing entries on the temperature record sheet. [NAME] A had no entries on 3/13, 3/26, and 3/27. […]

• No harm, potential for more than minimal, isolatedF880Feb 10, 2025

  Based on observation, interview, and record review the facility failed to ensure enhanced barrier precautions were maintained for 1 of 1 resident reviewed related to infection control (Resident 158). Findings include: During an observation, on 2/4/25 at 2:11 PM, Resident 158's door was closed and had a large rack containing bags of isolation gowns, N-95 masks, and boxes of gloves hanging on the outside of the door. Signage was posted on the door indicating the room was in isolation, provided instructions for application of gowns, gloves and N-95 masks. During an observation, on 2/4/25 at 2:18 PM, Certified Nurse Aide (CNA) 2 approached the door to Resident 158's room, applied a gown, surgical mask and gloves, knocked on the door, entered the room and approached Resident 158. […]