Bethlehem Woods Nursing and Rehabilitation
4430 Elsdale Dr, Fort Wayne, IN 46835 · Allen County · (260) 485-8157
90 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155679 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 31, 2026, inspectors cited 1 health deficiency (the Indiana average is 7.2, the national average 9.2).
None of its 4 health citations since June 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.48 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
41.4% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to American Senior Communities, an affiliated group of 90 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.
March 31, 2026Standard inspection · 1 citation
- E 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.
Inspectors wroteBased on observation and record review the facility failed to ensure proper labeling/storage were completed for 3 of 3 medication carts reviewed. This affected 7 of 7 residents reviewed. (Resident 20, Resident 2, Resident 9, Resident 62, Resident 6, Resident 75, and Resident 94)
March 19, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review the facility failed to ensure medications were administered as ordered for 1 of 3 residents reviewed (Resident B).
November 17, 2025Complaint inspection · 1 citation
- D 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.
Inspectors wroteBased on interview and record review the facility failed to perform admission agreements in a timely manner for 3 of 3 residents reviewed. (Resident Q, Resident R, and Resident S).
May 19, 2025Standard inspection · 1 citation
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and record review, the facility failed to ensure the documentation of required information for hospital transfers was present for 1 of 2 residents reviewed (Resident 24).
June 17, 2024Standard inspection · 0 citations
Fire safety inspections
10 fire safety citations on file: 3 on March 31, 2026, 2 on May 19, 2025, 5 on June 17, 2024.
Every fire safety citation10 citations
- F Implement emergency and standby power systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have simulated fire drills held at unexpected times.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- E Have an externally vented heating system.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.48 | 3.69 | 3.86 |
| Registered nurses | 0.82 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.25 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 0.40 | ||
| Nursing staff turnover (share who left in a year) | 41.4% | 45.9% | 45.8% |
| Registered nurse turnover | 28.6% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.05 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.74 on weekdays and 2.84 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.48 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.48 | 0.82 | 3.74 | 2.84 | 2.7% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.49 | 0.75 | 3.75 | 2.82 | 3.1% | 0 of 92 | 81 |
| Jul to Sep 2025 | 3.58 | 0.83 | 3.83 | 2.96 | 3.2% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.46 | 0.75 | 3.71 | 2.83 | 1.8% | 0 of 91 | 81 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.9 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.2 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 13.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.4 | 1.8 |
Owners and operators
Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Babcock, Paul | Corporate officer | Individual | 09/30/2020 | |
| American Senior Communities LLC | Operational/managerial control | Organization | 12/01/2003 | |
| Adams, Christopher | Operational/managerial control | Individual | 02/19/2024 | |
| Dice, Mark | Operational/managerial control | Individual | 06/01/2023 | |
| Maertin, Allen | Operational/managerial control | Individual | 09/26/2024 | |
| Patire, Kelly | Operational/managerial control | Individual | 04/02/2023 | |
| Van Camp, Steven | Operational/managerial control | Individual | 06/01/2023 | |
| Van Camp, Steven | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/05/2026 | |
| American Senior Communities LLC | Adp of the SNF | Organization | 02/23/2026 | |
| Adams, Christopher | Adp of the SNF | Individual | 02/23/2026 | |
| Dice, Mark | Adp of the SNF | Individual | 06/01/2023 | |
| Maertin, Allen | Adp of the SNF | Individual | 02/23/2026 | |
| Van Camp, Steven | Adp of the SNF | Individual | 06/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on November 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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 19, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Canterbury Nursing and Rehabilitation Center Fort Wayne, 1.4 mi · 5 of 5 stars · 10 citations
- Towne House Retirement Community Fort Wayne, 1.5 mi · 5 of 5 stars · 5 citations
- Heritage Pointe of Fort Wayne Fort Wayne, 1.6 mi · 5 of 5 stars · 5 citations
- University Park Rehabilitation and Healthcare Fort Wayne, 2.3 mi · 2 of 5 stars · 34 citations
- Chateau Rehabilitation and Healthcare Center Fort Wayne, 2.9 mi · 1 of 5 stars · 37 citations
- Grey Stone Health and Rehabilitation Center Fort Wayne, 2.9 mi · 1 of 5 stars · 25 citations
- Waters of Fort Wayne Skilled Nursing Facility, the Fort Wayne, 2.9 mi · 3 of 5 stars · 18 citations
- Glenbrook Rehabilitation & Skilled Nursing Center Fort Wayne, 2.9 mi · 5 of 5 stars · 11 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Bethlehem Woods Nursing and Rehabilitation's Medicare star rating?
- CMS rates Bethlehem Woods Nursing and Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethlehem Woods Nursing and Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on March 31, 2026. The Indiana average is 7.2.
- Has Bethlehem Woods Nursing and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Bethlehem Woods Nursing and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bethlehem Woods Nursing and Rehabilitation?
- CMS lists 13 owners and managers, and links the home to American Senior Communities. Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.