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Nursing HomeMedicaid

Waters of Fort Wayne Skilled Nursing Facility, the

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

5544 E State Blvd, Monarch Park · Fort Wayne, IN 4681577 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 29 Google reviews

5
4
3
2
1
Waters of Fort Wayne Skilled Nursing Facility, the Nursing Home in Fort Wayne, IN — Street View
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What this means for your family

The facility is highly regarded for its rehabilitation therapy and warm, homelike environment, making it a strong candidate for post-surgical recovery. However, families should be aware of reports regarding inconsistent administrative communication and should schedule a tour to meet the leadership team directly to ensure their management style aligns with your expectations.

Google Reviews

Google Reviews

29 reviews on Google
The Waters of Fort Wayne is a facility with an older physical plant that receives high praise for its dedicated rehabilitation team and compassionate nursing staff. While many families appreciate the homelike atmosphere and quality of care, there are recurring reports of unprofessional behavior from specific administrative leadership and inconsistent experiences with nursing staff responsiveness.

Quality Themes

Tap a score for details
Food7.0Staff6.0Clean8.0Activities7.0MedsN/AMemory8.0Comms5.0ValueN/A

Strengths

  • Excellent rehabilitation therapy program
  • Compassionate and attentive nursing staff
  • Clean and well-maintained environment
  • Homelike, welcoming atmosphere

Concerns

  • Unprofessional or rude administrative/nursing leadership (mentioned by 3 reviewers)
  • Inconsistent staff responsiveness and care quality (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.02022(2)4.82023(6)3.52024(8)3.92025(14)3.32026(4)

Distribution · 34 analyzed

5
23
4
2
3
0
2
2
1
7

How They Respond to Reviews

62%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the rehabilitation program is highly regarded here; could you walk me through how the therapy team coordinates with nursing staff to ensure a smooth recovery process?
  • 2With the facility having 77 residents, how do you ensure that each resident receives consistent, personalized attention throughout their daily routine?
  • 3I see that you actively engage with feedback online; how do you incorporate family suggestions or concerns into your daily management and staff training?
  • 4Could you describe the current approach to leadership and communication, specifically regarding how families can best reach out if they have questions about their loved one's care?
  • 5Given the CMS health inspection ratings, what specific steps is the facility currently taking to improve oversight and ensure all health and safety standards are consistently met?
  • 6What does a typical day look like for residents in terms of social activities and community engagement to keep them feeling active and connected?

Personalized based on this facility's data


Key Review Excerpts

The physical therapists were awesome! They had a way that made my mom feel at ease and she was willing to do what they asked of her.

Long-term resident's family · 2023★★★★★

They have recently added a cozy new memory care with well trained and highly attentive staff. Cassandra is a gem and very helpful when making such a difficult choice.

Family member · 2025★★★★★

The staff was great except the executive director Cindy she’s definitely a piece of work. Rude as hell to her staff and to residents family members.

Family member · 2025★★☆☆☆
Source: 29 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.87hrs
OK
Registered nurses for medical care
Total Nursing
4.47hrs
OK
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

5

measures

Worse Than Avg

12

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility51.2%
Worse than Avg
Here
51.2%
US
12.1%
IN
24.8%
Allen
18.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
19.4%
IN
23.8%
Allen
24.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility14.2%
Worse than Avg
Here
14.2%
US
5.3%
IN
5.6%
Allen
6.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.9%
Worse than Avg
Here
87.9%
US
93.4%
IN
93.6%
Allen
93.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility17.5%
Worse than Avg
Here
17.5%
US
15.3%
IN
13.0%
Allen
11.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.9%
Better than Avg
Here
17.9%
US
19.5%
IN
23.5%
Allen
20.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility62.5%
Worse than Avg
Here
62.5%
US
81.8%
IN
81.5%
Allen
80.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility69.0%
Worse than Avg
Here
69.0%
US
79.7%
IN
79.0%
Allen
77.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IN
1.3%
Allen
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Above state avg (7.6)
11 complaint-triggered

This facility shows a concerning pattern with families filing complaint reports about resident safety, care quality, and abuse protection across multiple years. The most recurring issues involve fire safety and building maintenance, resident care and treatment, and electrical systems. While the facility corrects deficiencies when cited, families have repeatedly raised concerns about accident prevention, appropriate care delivery, and protection from neglect, suggesting ongoing care quality challenges that warrant careful consideration during any visit.

Feb 10, 2026Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0628Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

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

Nov 12, 2025Complaint
3
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 2, 2025Routine
10
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 4, 2024Routine
17
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0331Potential for harm · PatternCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0251Potential for harm · PatternCorrected

Egress Deficiencies

Conform to length requirements for dead end corridors.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0761Minimal · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Apr 19, 2024Complaint
4
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Feb 6, 2024Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Waters of Fort Wayne Skilled Nursing Facility, the

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 20 of 69

Ownership & Management

Owners

Johnson Memorial Hospital

Owner · Organization

100%

Key personnel

Duggan, AmandaContracted Managing EmployeeDecola, RobertW-2 Managing EmployeeBerkhouse, StevenOfficer / DirectorDunkle, DavidOfficer / DirectorBerkhouse, StevenOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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