Celebrate Senior Living Fort Wayne: Medication Reporting Failure - IN
The resident, identified in inspection records only as Resident T, was prescribed Losartan and Spironolactone, both used to treat blood pressure and fluid retention and both capable of affecting kidney function. She refused Spironolactone every single day in October 2025. She took one dose of Losartan that month, on October 20, and refused it every other day. By November, she had taken none of her oral medications at all, from the first of the month through at least the 17th.
Nobody told the nurse practitioner.
When her blood creatinine levels rose in October, signaling a kidney problem, the NP responded by ordering her Losartan and Spironolactone held from October 10 through October 14. It was a reasonable clinical decision. It was also based on a false premise. The resident hadn't been taking those medications before he held them, and she didn't take them after he lifted the hold either. He was treating a medication-related injury in a patient who wasn't taking her medications.
In an interview on November 18, 2025, the NP said he had known Resident T occasionally refused medications. He did not know the refusals had become routine, stretching back through September, October, and into November. "He had not been aware the resident had refused these medications months prior to or after the medications were ordered to be held," the inspection report states.
The facility's own staff described a clear process for exactly this situation. A nurse interviewed during the inspection explained that when a resident refused a medication, the medication administration record would be marked with a "2" for refusal, a note would go into the nurse progress notes, and the doctor or NP would be notified, with that notification documented as well. A second staff member confirmed the same expectation.
The documentation existed. The MAR records showed the refusals, month after month. What didn't exist was any record that anyone had picked up the phone.
Inspectors found no documentation that the physician or NP had been notified of Resident T's medication refusals in September, October, or November 2025. The facility's own policy required staff to notify the attending physician when a resident refused treatment or medications two or more consecutive times.
Resident T refused every day for months. The notification never came.
The inspection, conducted November 19, 2025, was a complaint investigation. CMS rated the harm level as minimal harm or potential for actual harm. That designation reflects regulatory classification, not necessarily the experience of a resident whose kidneys were injured while her care team worked from incomplete information.
Losartan and Spironolactone both carry risks when kidney function is compromised, and both require monitoring and dosage decisions tied to whether a patient is actually taking them. The NP's decision to hold the medications temporarily was grounded in the assumption that they were part of her active regimen. They weren't, and no one had said so.
The facility is located at 3420 East State Boulevard in Fort Wayne.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Celebrate Senior Living of Fort Wayne from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
CELEBRATE SENIOR LIVING OF FORT WAYNE in FORT WAYNE, IN was cited for violations during a health inspection on November 19, 2025.
She refused Spironolactone every single day in October 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.