HOLY CROSS REHABILITATION AND WELLNESS

SOUTH BEND, IN · 168 beds · Non profit - Other

74 Trust Score
Grade: B LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star staffing rating
  • No fines or penalties on record
  • Above-average RN staffing (0.83 hrs vs 0.61 state avg)

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
9
1.2x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

September 16, 2025

1 deficiency
F0565 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to organize and participate in resident/family groups in the facility.

April 27, 2025

8 deficiencyies
F0640 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0565 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to organize and participate in resident/family groups in the facility.

F0921 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

June 24, 2024

1 deficiency
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 20, 2024

9 deficiencyies
F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

May 22, 2023

1 deficiency
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

See full violation history →

Staffing

0.83
RN hrs/res/day
1.42
LPN hrs/res/day
2.22
CNA hrs/res/day
4.00
Weekend hrs/res/day
52%
Total nurse turnover
69%
RN turnover

A nurse checks on each resident roughly every 5.4 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Other Chain: TRINITY HEALTH
  • ADAMS COUNTY MEMORIAL HOSPITAL

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    100% Organization
  • TRINITY CONTINUING CARE SERVICES INDIANA INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2017

    Organization
  • BATTJES, ABIGAIL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/26/2022

    Individual
  • BORNE-BAUMAN, CANDICE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Individual
  • BOWENS, MARCUS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Individual
  • CARTER, BENJAMIN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual
  • DRAKE, DANIEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual
  • FLUECKIGER, RUSSELL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2017

    Individual
  • ISACKSEN, DANIEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual
  • LEHMAN, SCOTT

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/14/2020

    Individual
  • MACKLIN, LARRY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2017

    Individual
  • MCINTIRE, DAVID

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Individual
  • MOORE, JOSHUA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual
  • ROTH, DANIEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual
  • SEPPALA, CHRISTINE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual
  • SMITH, SCOTT

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2020

    Individual
  • SPRUNGER, KYLE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2018

    Individual
  • WHEELER, DANE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2017

    Individual
  • SMITH, SCOTT

    CORPORATE OFFICER

    Since since 01/01/2020

    Individual
  • SPRUNGER, KYLE

    CORPORATE OFFICER

    Since since 01/01/2018

    Individual
  • WHEELER, DANE

    CORPORATE OFFICER

    Since since 09/01/2016

    Individual

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