Waters of Fort Wayne Skilled Nursing Facility, The

In the surveyor’s words

From the most serious findings on record at Waters of Fort Wayne Skilled Nursing Facility, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 23, 2021

  Based on observation, interview, and record review, the facility failed to implement and maintain infection control practices on 3 of 3 units in the facility, 100 and 200 hall and the Memory Care unit. Findings include: 1. During an observation on 7-19-21 at 12:15 p.m., in the main dining hall during lunch, CNA 10 (Certified Nursing Assistant), was observed standing at the kitchen window. CNA 10 was gathering the lunch tray, then pulled her face mask down below the chin, to request something from the kitchen. CNA 10 then pulled up the face mask, and proceeded to pass the lunch tray without washing their hands. 2. […]

• No harm, potential for more than minimal, patternF761Jul 2, 2025

  Based on observation, interview and record review the facility failed to ensure medications were labeled with opened dates. For 1 of 2 medications carts observed. (Resident 2, Resident 10, Resident 9, Resident 3, Resident 1, and Resident 7) Findings include:, During an observation, on 6/27/25 at 1:30PM, on 200 hall medication cart with Registered Nurse 4 (RN) and Assistant Director of Nursing (ADON), the following was observed: At 1:33 PM in the top-drawer, Resident 2's Albuterol AER HFA had no open date. At 1:35 PM in the top drawer, Resident 10's Breo Ellipta INH 100-25 mcg was dated 5/21/25 with 0 puffs left. At 1:36 PM in the top drawer, Resident 9's Breo Ellipta INH 100-25 mcg was dated 5/21/25 with 1 puff left. […]

• No harm, potential for more than minimal, patternF812Jul 2, 2025

  Based on observation, interview, and record review the facility failed to maintain temperature logs for cooked foods, refrigerators, freezers, and the dishwasher throughout the month of June 2025. 38 of 39 residents residing in the facility ate food prepared in the facility kitchen. Findings include: During an observation, on 6/27/25 at 9:10AM, there was incomplete documentation on the food temperature logs and 2 of 3 refrigerators, no logs for 1 of 3 refrigerators, and no temperature monitoring logs for the freezer and the dishwasher. The food temperature logs were missing the following information: Food temperature logs were dated June 1, 2025, through June 10, 2025. There were no logs available for June 11, 2025-June 27, 2025, for any of the three meals served. […]

• No harm, potential for more than minimal, patternF812Aug 16, 2023

  Based on observations, and interview, the facility failed to ensure kitchen sanitation was maintained for 40 of 41 residents who resided at the facility and ate their meals prepared in the kitchen. Findings included: On 8/10/2023 at 9:06 AM an observation of kitchen with Cook 2 was completed. The steam table had a white residue located on the lids. The steamer had a white residue coming down from the bottom of the door. Behind the steam table, the panel on the wall had multiple brown specks all over. The panel was coming down off the wall, behind the panel could be observed. In front of the coffee machine there were sticky brown substances all over. The oven toaster had build up layers of black flaky particles on top and inside. The oven had discolored particles located on the front. […]

• No harm, potential for more than minimal, patternF865Aug 16, 2023

  Based on interview and record review, the facility failed to ensure a process was in place to identify and correct quality deficiencies for 41 of 41 residents currently residing in the facility. Findings include: A QAPI (Quality Assurance Performance Improvement) committee list was provided by the Administrator on 08/14/23 at 10:00 AM. The member list included the Administrator, Director of Nursing, Infection Preventionist, Medical Director, Business Office Manager, Maintenance, Activities, Dietary, Pharmacy, and Medical Records. There was no policy and procedure provided prior to exit regarding QAPI. In an interview on 08/16/23 at 10:51 AM the Administrator indicated the QA committee met monthly. Issues in the facility were tracked and trended through the committee monthly. […]