GOLDEN YEARS HOMESTEAD
3136 GOEGLEIN RD
FORT WAYNE, IN, 46815
2607499655
CCN: 155755
2
Overall2
Health3
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| WOODLAWN HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| VILLARREAL, JEANNINE | CORPORATE DIRECTOR | NOT APPLICABLE |
| VANWYNGARDEN, ANDREA | CORPORATE DIRECTOR | NOT APPLICABLE |
| SMITH, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| SHAW, DOUG | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHMIDT, DON | CORPORATE DIRECTOR | NOT APPLICABLE |
| OLINSKI, LYNDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MISNER, DONNA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MELLINGER, GREGORY | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCINTOSH, RAY | CORPORATE DIRECTOR | NOT APPLICABLE |
| JOHNSON, TERRI | CORPORATE DIRECTOR | NOT APPLICABLE |
| HEYDE, ALISON | CORPORATE DIRECTOR | NOT APPLICABLE |
| ELICK, CYNTHIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEAN, DALE | CORPORATE DIRECTOR | NOT APPLICABLE |
| DAVIS, HUGH | CORPORATE DIRECTOR | NOT APPLICABLE |
| BULLION, GEORGE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CARPENTER, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| FISHER, ALAN | CORPORATE OFFICER | NOT APPLICABLE |
| VILLARREAL, JEANNINE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VANWYNGARDEN, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, LINDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHAW, DOUG | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHAFER, SHAUNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHMIDT, DON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OLINSKI, LYNDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MISNER, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCINTOSH, RAY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FISHER, ALAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ELICK, CYNTHIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DEAN, DALE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAVIS, HUGH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CARPENTER, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BULLION, GEORGE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BALTES, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GOLDEN YEARS HOMESTEAD, INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-01-30 | Fine | $16K |
Health Deficiencies (21)
2025-11-07 · Health
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
2025-08-05 · Health
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2025-07-17 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-05-07 · Health
D
F842 · 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.
D
F740 · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-09-23 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · 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.
D
F699 · Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
D
F600 · 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.
2024-04-04 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-03-12 · Health
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-01-30 · Health
E
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-12 · Health
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F699 · Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.05
RN Hrs/Resident/Day0.54
0.38
LPN Hrs/Resident/Day0.81
0.65
CNA Hrs/Resident/Day2.33
3.02
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01