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Byron Health Center

1661 Beacon Street, Fort Wayne, IN 46805 · Allen County · (260) 637-3166

120 certified beds, about 100 residents a day · Non profit - Other · Medicare and Medicaid since 1990

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155364 · 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 6 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 15 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated May 19, 2025.

Nurses and nurse aides worked 1.19 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.10 of those hours.

45.3% of nursing staff left within the year CMS measured (Indiana average 45.9%).

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
1E
2F
Potential for minimal harm
0A
0B
0C
March 31, 2026Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 6, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure proper labeling, storage, and sanitation were maintained in the kitchen. 103 of 103 residents who resided in the facility and received food from the kitchen.
  2. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 6, 2026
    Inspectors wroteBased on observation, record review, and interview the facility failed to have effective implementation of interventions to maintain kitchen sanitation for 103 of 103 residents residing in the facility ate food prepared in the kitchen.
  3. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure cervical collars were provided and maintained for 2 of 2 residents reviewed (Resident 2, and Resident 20).
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2026
    Inspectors wroteBased on record review and interview the facility failed to ensure neurological assessments were completed after falls for 3 of 8 residents reviewed. (Resident 6, Resident 13, and Resident 29)
  5. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure a verbalization of suicidal ideation was investigated for 1 of 1 resident reviewed (Resident 77).
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure appropriate infection control practices related to the storage of resident care equipment for 1 of 2 residents reviewed (Resident 79).
June 18, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure adequate supervision was in place to prevent residents from leaving the facility unsupervised for 1 of 3 residents reviewed (Resident B). Resident B was unsupervised, walked approximately 3 miles across heavily traveled streets. Resident B's unsupervised wandering could result in death. The Immediate Jeopardy began on 6/15/25 when the facility failed to prevent Resident B from leaving the facility unsupervised. The Executive Director (ED) and Assistant Administrator were notified of the Immediate Jeopardy on June 17, 2025, at 12:34 PM. The Immediate Jeopardy was removed on June 18, 2025, but noncompliance remained at the lower scope and severity of no actual harm with potential for more than minimal harm that is not Immediate Jeopardy.
May 19, 2025Standard inspection · 6 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure kitchen sanitation was maintained, opened food items were labeled and dated, and baking trays were thoroughly air dried. 95 of 96 residents residing in the building were served food prepared in the kitchen.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on observation, record review, and interview the facility failed to ensure dignity was maintained for 1 of 1 resident reviewed. (Resident 10)
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure privacy of electronic and paper medical information for 1 of 20 residents reviewed. (Resident 80)
  4. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on record review and interview the facility failed to ensure a bed hold policy was given prior to discharge to 2 of 3 residents reviewed. (Resident 35 and Resident 47)
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure assessments were accurately recorded for 2 of 2 residents reviewed. (Resident 1, Resident 35)
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen tubing was appropriately applied and stored when not in use for 1 of 2 residents reviewed. (Resident 28)
February 21, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 6, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure fall prevention interventions were followed for 1 of 4 resident reviewed (Resident B).
June 13, 2024Standard inspection · 0 citations
February 19, 2024Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free from mental and physical abuse by staff for 1 of 3 resident's reviewed (Resident D). The deficient practice was corrected on 2/1/24 prior to the start of the survey and was therefore past non-compliance.

Fire safety inspections

17 fire safety citations on file: 9 on March 31, 2026, 2 on May 19, 2025, 6 on June 13, 2024.

Every fire safety citation17 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · March 31, 2026 · Corrected (the home has a date of correction)
  2. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 31, 2026 · deficient, provider has
  3. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 31, 2026 · no revisit needed
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 31, 2026 · Corrected (the home has a date of correction)
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 31, 2026 · Corrected (the home has a date of correction)
  6. E
    Provide properly protected cooking facilities.
    K 324 · March 31, 2026 · Corrected (the home has a date of correction)
  7. E
    Install an approved automatic sprinkler system.
    K 351 · March 31, 2026 · Corrected (the home has a date of correction)
  8. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 31, 2026 · Corrected (the home has a date of correction)
  9. C
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 31, 2026 · Corrected (the home has a date of correction)
  10. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 19, 2025 · Corrected (the home has a date of correction)
  11. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 19, 2025 · Corrected (the home has a date of correction)
  12. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 13, 2024 · Corrected (the home has a date of correction)
  13. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 13, 2024 · Corrected (the home has a date of correction)
  14. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · June 13, 2024 · Corrected (the home has a date of correction)
  15. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · June 13, 2024 · Corrected (the home has a date of correction)
  16. E
    Provide properly protected cooking facilities.
    K 324 · June 13, 2024 · Corrected (the home has a date of correction)
  17. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 13, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 19, 2025Fine $8,281

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)1.193.693.86
Registered nurses0.100.670.69
All nursing staff on weekends1.003.253.42
Nurse aides0.88
Licensed practical nurses0.21
Nursing staff turnover (share who left in a year)45.3%45.9%45.8%
Registered nurse turnover40.0%40.3%42.9%
Administrators who left0

CMS expects 3.32 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 1.27 on weekdays and 1.00 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 1.19 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20261.190.101.271.00 1.8%59 of 90100
Oct to Dec 20253.630.413.803.18 2.0%0 of 92100
Jul to Sep 20253.460.403.652.96 1.2%0 of 92103
Apr to Jun 20253.610.433.813.09 2.6%1 of 9198
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%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.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
26.111.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.31.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.63.93.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.411.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.73.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
38.313.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.41.8

Owners and operators

Legal business name: HENDRICKS COUNTY HOSPITAL.

NameRoleTypeShareSince
Hendricks County HospitalDirect ownership interestOrganization08/01/2020
Engels, ErinManaging control - governing bodyIndividual10/12/2012
Fenoughty, DeannaManaging control - governing bodyIndividual07/10/2023
Gentry, MarkManaging control - governing bodyIndividual01/12/2022
Starkey, TylerManaging control - governing bodyIndividual08/01/2020
Waite, JohnManaging control - governing bodyIndividual08/01/2020
Whicker, TimothyManaging control - governing bodyIndividual01/12/2022
Recovery Health Services, IncOperational/managerial controlOrganization08/01/2020
Brounts, LionelOperational/managerial controlIndividual08/01/2020
Brown, ThereseOperational/managerial controlIndividual08/01/2020
Clark, CharlesOperational/managerial controlIndividual08/01/2020
Eakin, JohnOperational/managerial controlIndividual08/01/2020
Fenoughty, DeannaOperational/managerial controlIndividual07/10/2023
Guy, AudraOperational/managerial controlIndividual08/01/2020
Kattman, DoddOperational/managerial controlIndividual08/01/2020
Lambert, DebraOperational/managerial controlIndividual08/01/2020
Martin, KristinaOperational/managerial controlIndividual08/01/2020
Starcher, SarahOperational/managerial controlIndividual08/01/2020
Engels, ErinTrustee of the SNFIndividual10/12/2012
Gentry, MarkTrustee of the SNFIndividual01/12/2022
Starkey, TylerTrustee of the SNFIndividual08/01/2020
Waite, JohnTrustee of the SNFIndividual08/01/2020
Whicker, TimothyTrustee of the SNFIndividual01/12/2022
Recovery Health Services, IncAdp of the SNFOrganization08/01/2020
Brounts, LionelAdp of the SNFIndividual08/01/2020
Brown, ThereseAdp of the SNFIndividual08/01/2020
Clark, CharlesAdp of the SNFIndividual08/01/2020
Eakin, JohnAdp of the SNFIndividual08/01/2020
Guy, AudraAdp of the SNFIndividual08/01/2020
Kattman, DoddAdp of the SNFIndividual08/01/2020
Lambert, DebraAdp of the SNFIndividual08/01/2020
Martin, KristinaAdp of the SNFIndividual08/01/2020
Starcher, SarahAdp of the SNFIndividual08/01/2020

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on March 31, 2026: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 19, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 31, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on March 31, 2026: "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 1.00 hours per resident per day, below the Indiana average of 3.25.

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

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Common questions

What is Byron Health Center's Medicare star rating?
CMS rates Byron Health Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Byron Health Center get at its last inspection?
6 health deficiencies at the standard inspection on March 31, 2026. The Indiana average is 7.2.
Has Byron Health Center been fined?
Yes. CMS lists 1 fine totaling $8,281 in the last three years.
Does Byron Health Center 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 Byron Health Center?
CMS lists 33 owners and managers. Legal business name: HENDRICKS COUNTY HOSPITAL.

Sources

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