Public Record
Bethlehem Woods Nursing and Rehabilitation
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 90
- Avg. residents per day
- 81
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 19
- Inspections on file
- 8
- Last inspection
- 2026-03-31
*CMS
*CMS
*CMS
Citations
19 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0761Generalpotential for harm
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.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0620Generalpotential for harm
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0628Generalpotential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0522Generalpotential for harm
Have an externally vented heating system.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0232Generalpotential for harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0604Generalpotential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection3 deficiencies
- View inspection reportInspection3 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspection8 deficiencies
- View inspection reportInspection8 deficiencies
FAQ
Questions and answers
- What is Bethlehem Woods Nursing and Rehabilitation?
- Bethlehem Woods Nursing and Rehabilitation is a Medicare- and Medicaid-certified nursing home in Fort Wayne, IN, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 155679.
- What is the CMS rating for Bethlehem Woods Nursing and Rehabilitation?
- Bethlehem Woods Nursing and Rehabilitation has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Bethlehem Woods Nursing and Rehabilitation have?
- Bethlehem Woods Nursing and Rehabilitation is certified for 90 beds. It serves an average of 81 residents per day.
- How many citations does Bethlehem Woods Nursing and Rehabilitation have?
- Bethlehem Woods Nursing and Rehabilitation has 19 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Bethlehem Woods Nursing and Rehabilitation last inspected?
- Bethlehem Woods Nursing and Rehabilitation was last inspected on March 31, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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