Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
BETHLEHEM WOODS NURSING AND REHABILITATION
FORT WAYNE, IN · 90 certified beds · Last Life Safety survey March 31, 2026
CMS Certification Number 155679 · first certified October 2000
Ownership
Operated by AMERICAN SENIOR COMMUNITIES · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within IN
10 citations — more than 29% 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
The latest survey found 3 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was March 2026. 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
1 of the 10 citations on file is 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 | 10 |
| Median facility in IN | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| June 17, 2024 | 5 |
| May 19, 2025 | 2 |
| March 31, 2026 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2025-05-19 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2025-05-19 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2026-03-31 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2024-06-17 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2024-06-17 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2024-06-17 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2026-03-31 |
| K-0522 | Have an externally vented heating system. | 1 | 2024-06-17 |
What the citations cover
- Smoke Deficiencies 4
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Services Deficiencies 2
- Emergency Preparedness Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Services Deficiencies | 2 |
| Emergency Preparedness Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 31, 2026 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (May 29, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 29, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 29, 2026) |
May 19, 2025 — 2 citations
June 17, 2024 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (August 16, 2024) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (August 16, 2024) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (August 16, 2024) |
| K-0522 | Have an externally vented heating system. | Deficient, Provider has date of correction (August 16, 2024) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (August 16, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.