Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ASHTON CREEK HEALTH AND REHABILITATION CENTER
FORT WAYNE, IN · 139 certified beds · Last Life Safety survey July 2, 2025
CMS Certification Number 155798 · first certified July 2012
Ownership
Operated by TLC MANAGEMENT · Non profit - Other
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within IN
8 citations — more than 23% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
When is the next survey likely?
Well past the typical window (June 2026 to August 2026), and past the point by which nine in ten IN facilities have been surveyed. This facility’s last Life Safety survey was July 2025. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
4 of the 8 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
How that compares
Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in IN | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 11, 2023 | 8 |
| July 22, 2024 | 0 |
| July 2, 2025 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | 1 | 2023-07-11 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2023-07-11 |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 1 | 2023-07-11 |
| E-0029 | Develop a communication plan. | 1 | 2023-07-11 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2023-07-11 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2023-07-11 |
| E-0013 | Develop Emergency Preparedness policies and procedures. | 1 | 2023-07-11 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2023-07-11 |
What the citations cover
- Emergency Preparedness Deficiencies 4
- Smoke Deficiencies 2
- Egress Deficiencies 1
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 4 |
| Smoke Deficiencies | 2 |
| Egress Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 11, 2023 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (August 19, 2023) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (August 19, 2023) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (August 19, 2023) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (August 19, 2023) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (August 19, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 19, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 19, 2023) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (October 2, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.