Byron Health Center
1661 Beacon Street · Fort Wayne, IN · 46805 · 2606373166
120 certified beds Non profit - Other
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $12,740 |
Inspection citations (15 in the current record)
-
Potential for harm · D 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.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · D March 31, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 6, 2026 · Quality of Life and Care
-
Potential for harm · D March 31, 2026
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.
Corrected April 6, 2026 · Quality of Life and Care
-
Potential for harm · F March 31, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 6, 2026 · Nutrition and Dietary
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Potential for harm · F March 31, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 6, 2026 · Administration
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Potential for harm · D March 31, 2026
Provide and implement an infection prevention and control program.
Corrected April 6, 2026 · Infection Control
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Immediate jeopardy · J June 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 19, 2025 · Resident Rights
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Potential for harm · D May 19, 2025
Keep residents' personal and medical records private and confidential.
Corrected June 19, 2025 · Resident Rights
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Potential for harm · D May 19, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 19, 2025 · Resident Rights
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Potential for harm · D May 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · E May 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 19, 2025 · Nutrition and Dietary
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Potential for harm · D February 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 19, 2025 | Fine | $12,740 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155364 · certified since August 2, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.