SAINT ANNE HOME
CCN: 155349 · FORT WAYNE, IN 46805 · Allen County
Overview
- Address
- 1900 RANDALLIA DR, FORT WAYNE, IN 46805
- Phone
- 2604845555
- Certified beds
- 166
- Avg daily residents
- 118 (71% of beds filled)
- Ownership
- Non-profit (church-affiliated)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-03-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.40 | 3.86 | 4.40 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.53 | 0.68 | 0.53 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.98 | 0.86 | 0.98 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.89 | 2.33 | 2.89 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.51 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2026-01-21 | 3 | 2 | 1 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2025-02-28 | 3 | 1 | 2 | 24 | 1 | 24 |
Deficiencies (6)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0641 | Ensure each resident receives an accurate assessment. | D | 2026-01-21 | 2026-02-07 |
| 0761 | 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. | E | 2026-01-21 | 2026-02-07 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-10-01 | 2025-11-27 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-02-28 | 2025-03-10 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-08-14 | 2024-08-30 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-07 | 2024-02-20 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2016 |
| ADAMS COUNTY MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2016 |
| DIOCESE OF FORT WAYNE-SOUTH BEND | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2016 |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| HEALTHCARE THERAPY SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
Owner / manager individuals (27)
| Name | Role | Association |
|---|---|---|
| ANDORFER, MARK | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| BORNE-BAUMAN, CANDICE | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2019 |
| DYKHUIZEN, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| FLUECKIGER, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2016 |
| FORTE, FRED | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| ISENBERG, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| KOHNEN, DAN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| KRISS, ELISE | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| LEHMAN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | since 07/14/2020 |
| MACKLIN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2016 |
| MARQUARDT, MARITA | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| MCINTIRE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2019 |
| O'BRIEN, NANCY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| REES, CORRINA | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| RHOADES, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| ROLF, RYAN | OPERATIONAL/MANAGERIAL CONTROL | since 02/10/2022 |
| RYAN, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| SCUDDER, MARK | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| SHAFER, JIM | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| SMITH, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
| SPRUNGER, KYLE | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2018 |
| TYNDALL, CAROLYN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| WHEELER, DANE | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2016 |
| WILSON, ELAINE | OPERATIONAL/MANAGERIAL CONTROL | since 02/13/2017 |
| SMITH, SCOTT | CORPORATE OFFICER | since 01/01/2020 |
Showing 25 of 27 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $30 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.30 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 44.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $4,136 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $14,007,981 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 61.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -0.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,412,280 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,138,770 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $777,672 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,634,608 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 0.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.98370 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.88549 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.53126 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.40045 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.94941 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 117.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.85682 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.32865 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.67536 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.86084 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.40293 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | FORT WAYNE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 155349 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Allen | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1989-03-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.0952 | Latitude |
| Provider Information | Legal Business Name | ADAMS COUNTY MEMORIAL HOSPITAL | Legal Business Name |
| Provider Information | Location | 1900 RANDALLIA DR,FORT WAYNE,IN,46805 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.111 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 166 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.36772 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.99280 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Church related | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1900 RANDALLIA DR | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SAINT ANNE HOME | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 010 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 16 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2026-01-21 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 16 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 1 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2025-02-28 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 24 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 24 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 3 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.52744 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 25.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.51493 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.98367 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.88543 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03673 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.53125 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.40035 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IN | State |
| Provider Information | Telephone Number | 2604845555 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.94932 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 49.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 18.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 46805 | ZIP Code |