Cedars the
14409 Sunrise Ct, Leo, IN 46765 · Allen County · 65 certified beds · avg 36 residents/day · certified since Mar 30, 2012
Part of chain: ADAMS COUNTY MEMORIAL HOSPITAL (8 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 2, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 2, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 2, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Feb 17, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 13, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Jul 22, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 8, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 8, 2023 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Aug 9, 2023 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 8 | 0 | F |
| 2025 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.86 | 3.42 | 3.95 | top 1% in Indiana; top 5% in the U.S. |
| Registered Nurse hours | 0.76 | 0.62 | 0.69 | top 22% in Indiana; top 31% in the U.S. |
| Weekend total nurse staffing | 5.42 | 3.01 | 3.50 | top 1% in Indiana; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.79 | 0.47 | 0.48 | top 9% in Indiana; top 12% in the U.S. |
| Total nursing staff turnover (%) | 55.7 | 45.9 | 45.8 | bottom 21% in Indiana; bottom 24% in the U.S. |
| RN turnover (%) | 55.6 | 40.4 | 42.9 | bottom 24% in Indiana; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.60, RN 0.73, weekend 5.18. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams County Memorial Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2015 |
| Blue Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Borne-Bauman, Candice | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
| Borne-Bauman, Candice | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Broguard, Duane | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Brune, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Cedar Creek Retirement Home INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2015 |
| Cedar Creek Retirement Home INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2015 |
| Duggan, Amanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/31/2023 |
| Duggan, Amanda | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2023 |
| First Bank of Berne | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Fischer, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Flueckiger, Russell | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2015 |
| Flueckiger, Russell | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2015 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Healthcare Therapy Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Healthcare Therapy Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Klopfenstein, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Lehman, Scott | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/14/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Grey Stone Health and Rehabilitation Center | 5.5 mi | Fort Wayne, IN | ★☆☆☆☆ | 1/5 | |
| Ashton Creek Health and Rehabilitation Center | 5.5 mi | Fort Wayne, IN | ★★★★☆ | 4/5 | |
| Heritage Pointe of Fort Wayne | 5.7 mi | Fort Wayne, IN | ★★★★★ | 5/5 | |
| Bethlehem Woods Nursing and Rehabilitation | 7.2 mi | Fort Wayne, IN | ★★★★★ | 4/5 | |
| Lutheran Life Villages | 7.9 mi | Fort Wayne, IN | ★★★★★ | 5/5 | |
| Golden Years Homestead | 8.0 mi | Fort Wayne, IN | ★★★☆☆ | 3/5 | |
| Towne House Retirement Community | 8.5 mi | Fort Wayne, IN | ★★★★★ | 5/5 | |
| Canterbury Nursing and Rehabilitation Center | 8.6 mi | Fort Wayne, IN | ★★★★★ | 4/5 | |
| Chateau Rehabilitation and Healthcare Center | 8.9 mi | Fort Wayne, IN | ★☆☆☆☆ | 1/5 | |
| Waters of Fort Wayne Skilled Nursing Facility, the | 9.2 mi | Fort Wayne, IN | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155796.