Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Glenbrook Rehabilitation & Skilled Nursing Center during CMS and state inspections, most recent first.
A CNA was observed by a staff member searching a resident's clothing, removing cash from the resident's wallet, and keeping the money for personal use. The incident was reported to supervisory staff, and the CNA later denied taking the money when interviewed. Facility policy prohibits staff from taking or borrowing money from residents, classifying such actions as abuse.
A resident experienced difficulty obtaining necessary catheters for self-catheterization, leading her to reuse them after cleaning with bleach or vinegar. Despite the facility's awareness, there were no documented orders or assessments for her self-catheterization needs. The resident's grievances about supply issues were not adequately resolved, and the facility lacked a policy on safe catheter use.
A facility failed to ensure proper dialysis care and communication for a resident with end-stage kidney disease, leading to incomplete documentation and lack of communication with the dialysis center. The resident's care plan included monitoring for fluid overload, but the facility did not consistently document pre and post-dialysis weights or review return paperwork. The resident was later hospitalized due to fluid overload, highlighting the deficiency in care and communication.
A resident developed multiple pressure injuries due to the facility's failure to provide effective pressure ulcer care and prevention. Despite changes in mobility and positioning, the care plan was not revised, and pressure risk was not reassessed. The resident's refusals of wound care were not documented or addressed, and wound care was often not administered as ordered. The facility did not notify the resident's POA of new wounds, contributing to the resident's condition worsening and subsequent hospitalization.
Misappropriation of Resident Property by CNA
Penalty
Summary
A Certified Nurse Aide (CNA) was observed by a Housekeeping Aide searching the pockets of a resident's clothing, locating the resident's wallet, and removing $27 in cash. The Housekeeping Aide reported that the CNA questioned whether there were cameras in the laundry room and then stated she could use the money for gas before placing the cash in her own pocket. The incident was reported to the Housekeeping Supervisor, who documented the allegation and the sequence of events. The CNA was later interviewed by the Administrator and Housekeeping Supervisor, during which she admitted to searching the resident's clothing but denied taking any money. The facility's policy, titled "Abuse: Zero Tolerance," explicitly prohibits taking or borrowing money from residents, classifying such actions as a form of abuse. Staff interviews confirmed that personal items, including money, should not be taken from residents and that any observed theft should be reported to supervisory staff. The incident involved a resident who no longer resided in the facility at the time of the review. The deficiency was identified during a complaint investigation.
Failure to Ensure Safe Self-Catheterization Practices
Penalty
Summary
The facility failed to ensure the safety of intermittent self-catheterization for a resident, identified as Resident 31, who had difficulty obtaining necessary supplies. Resident 31 reported challenges in acquiring catheters, leading her to reuse them multiple times a day after cleaning them with bleach or vinegar. This practice had been ongoing since March 2024, following the removal of her indwelling Foley catheter. Despite the facility's awareness of her situation, there were no documented orders for intermittent self-catheterization, nor was there any teaching or assessment of her ability to perform the procedure safely. Resident 31's medical records revealed a lack of documentation regarding her self-catheterization needs and practices. Her Minimum Data Set (MDS) assessment did not reflect her use of intermittent self-catheterization, and there were no physician orders or care plans addressing this need. Additionally, grievances filed by Resident 31 highlighted her ongoing issues with obtaining the correct size of briefs and catheters, yet these concerns were not adequately resolved, as evidenced by the absence of follow-up orders or notes in her medical record. Interviews with the Director of Nursing (DON) confirmed that the facility was aware of Resident 31's self-catheterization since the discontinuation of her indwelling catheter. However, the DON was unaware of the resident's unsafe practice of cleaning and reusing catheters. The facility lacked a policy on intermittent self-catheterization, reusing catheters, or cleaning them between uses, further contributing to the deficiency in care provided to Resident 31.
Failure to Ensure Proper Dialysis Care and Communication
Penalty
Summary
The facility failed to ensure proper assessments and maintain consistent communication with the dialysis team for a resident with end-stage kidney disease, diabetes, and heart failure. The resident required dialysis treatments three times a week, with specific physician orders to document their weight and blood pressure upon return from dialysis. However, the facility did not consistently document the resident's pre and post-dialysis weights, and there were multiple instances where the Dialysis Center Communication Tool was incomplete or missing. Additionally, the facility did not review return paperwork from the dialysis center on several occasions. The resident's care plan highlighted the risk of fluid overload, bleeding, and infection due to hemodialysis, with interventions to monitor fluid intake, blood pressure, and symptoms of excess fluid volume. Despite these interventions, the facility's records showed gaps in documentation and communication with the dialysis center. On several dates, there were no progress notes or assessments recorded, and the facility failed to obtain necessary documentation from the dialysis center. The deficiency was further highlighted when the resident experienced a decline in their condition, reporting a productive cough and decreased oxygen levels, leading to their transfer to the emergency department. The resident was later admitted to the hospital due to fluid overload and was intubated. The Regional Nurse Consultant confirmed that pre and post-dialysis assessments should have been conducted, and the facility was responsible for maintaining communication with the dialysis center. The facility's policy emphasized ongoing assessment and monitoring for complications, which was not adhered to in this case.
Failure in Pressure Ulcer Care and Prevention
Penalty
Summary
The facility failed to provide effective pressure ulcer care and prevention for a resident, resulting in the development and deterioration of multiple pressure injuries. The resident, who was initially admitted without pressure-related skin impairments, developed a stage two pressure injury on the left buttock, which worsened to an unstageable pressure injury with infection requiring debridement. Additional pressure injuries developed on the coccyx, right buttock, and right hip. The resident's medical history included hemiplegia, memory deficits, COPD, dementia, and chronic smoking. The facility did not revise the care plan or reassess the resident's pressure risk after changes in mobility and positioning were noted. Despite obtaining a physician order for a Broda Chair to prevent slouching, there was no documentation of monitoring for pressure injury risk or interventions initiated. The resident's refusal of wound care was not adequately documented or addressed, and there were no attempts to reapproach the resident or adjust care times according to his preferences. The facility also failed to notify the resident's POA of new wounds and did not document the resident's refusals or the consequences of such refusals. Throughout the period, there were multiple instances where wound care was not administered as ordered, and the facility did not document attempts to complete treatments at different times. The resident's care plan did not address noncompliance or provide interventions to prevent further pressure ulcer development. The facility's lack of documentation and failure to implement timely interventions contributed to the resident's condition worsening, leading to hospitalization for treatment of the pressure ulcers.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 251 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fort Wayne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Summit City Nursing And Rehabilitation | 0.9 mi | — | 9 | 0 |
| University Park Rehabilitation And Healthcare | 0.9 mi | — | 4 | 0 |
| Saint Anne Home | 1.3 mi | — | 4 | 0 |
| Life Care Center Of Fort Wayne | 1.6 mi | — | 9 | 0 |
| Canterbury Nursing And Rehabilitation Center | 1.6 mi | — | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Glenbrook Rehabilitation & Skilled Nursing Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.