Grey Stone Health and Rehab: Lab Results Never Delivered - IN
The resident, identified in inspection records only as Resident L, had passed black tarry stool the evening of September 24, 2025. That's a sign of gastrointestinal bleeding. A nurse ordered STAT labs that night. The contracted lab was supposed to take those samples directly to the hospital for processing. Instead, they ran the tests themselves and reported nothing back to the facility.
The nurse practitioner monitoring Resident L had been tracking his lab work for weeks, particularly his white blood cell count and hemoglobin. His hemoglobin had been running chronically low, between 8 and 10, well below the normal range of 14 to 18. She had reviewed earlier labs drawn the afternoon of September 24 through the hospital's electronic records system. She never knew STAT labs had been ordered that same night. No one told her.
She also never knew his hemoglobin had fallen to 7.7.
On September 30, Resident L was admitted to the hospital with a gastrointestinal bleed, anemia, and acute kidney failure.
When inspectors interviewed the Director of Nursing on October 23, she said she couldn't find the original lab order and wasn't sure why the blood had been drawn. She later acknowledged that nurses were responsible for following up on lab results and making sure the ordering provider knew what they showed. She also acknowledged the facility had no specific policy for notifying providers of abnormal results.
A competency form obtained from the administrator during the inspection stated that nurses were to call providers, report abnormal results, and document the contact. Critical values required immediate notification.
The nurse practitioner told inspectors she should have been notified. She wasn't.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Grey Stone Health and Rehabilitation Center from 2025-10-24 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
GREY STONE HEALTH AND REHABILITATION CENTER in FORT WAYNE, IN was cited for violations during a health inspection on October 24, 2025.
The resident, identified in inspection records only as Resident L, had passed black tarry stool the evening of September 24, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.