01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-05 | 2 | 2025-08-05 | 6 |
| Cycle 2 | 2024-09-23 | 8 | 2024-09-23 | 7 |
| Cycle 3 | 2023-09-12 | 11 | 2023-09-12 | 4 |
CMS CCN 1557552026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Golden Years Homestead
3136 Goeglein Rd · Fort Wayne, IN 46815 · Allen County
Certified beds111CMS provider file
Recent citation rows38current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
38 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-07 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-08-05 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-042025-08-05 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-08-05 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-08-05 · FIREK0342Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-08-05 · FIREK0345Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-08-05 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-08-05 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-07-17 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-07-20 · complaint2025-05-07 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint2025-05-07 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint2025-05-07 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint2024-09-23 · FIREE0026Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-09-23 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-09-23 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-10-17 · complaint2024-09-23 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-09-23 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-09-23 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-09-23 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-09-23 · FIREK0345Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-09-23 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-09-23 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-09-23 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-04-04 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-01-30 | Fine | $15,646 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- WOODLAWN HOSPITALOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/01/2018
- BULLION, GEORGEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/1995
- CARPENTER, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2000
- DAVIS, HUGHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/05/2024
- DEAN, DALEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/1997
- ELICK, CYNTHIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- HEYDE, ALISONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/09/2019
- JOHNSON, TERRIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/13/2022
- MCINTOSH, RAYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2011
- MELLINGER, GREGORYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/13/2022
- MISNER, DONNAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- OLINSKI, LYNDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/08/2020
- SCHMIDT, DONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2006
- SHAW, DOUGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- SMITH, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- VANWYNGARDEN, ANDREAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- VILLARREAL, JEANNINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- FISHER, ALANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/13/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.09per resident day
RN hours0.31per resident day
Weekend nurse hours3.68per resident day
Staff turnover12.6%CMS reported field
06 / LOCAL RECORDS
Open the Fort Wayne ledger →Other published facilities nearby
Ashton Creek Health And Rehabilitation Center139 beds · CMS overall 4/520 citation rowsBethlehem Woods Nursing And Rehabilitation90 beds · CMS overall 5/514 citation rowsByron Health Center120 beds · CMS overall 1/532 citation rowsCanterbury Nursing And Rehabilitation Center142 beds · CMS overall 5/520 citation rowsCelebrate Senior Living Of Fort Wayne118 beds · CMS overall 3/529 citation rowsChateau Rehabilitation And Healthcare Center99 beds · CMS overall 1/565 citation rowsCoventry Meadows150 beds · CMS overall 5/520 citation rowsEnglewood Health & Rehabilitation Center64 beds · CMS overall 4/516 citation rows