SOUTHFIELD VILLAGE

SOUTH BEND, IN · 60 beds · Government - City/county

89 Trust Score
Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 5-star staffing rating
  • No fines or penalties on record
  • Above-average RN staffing (1.20 hrs vs 0.61 state avg)
  • Low staff turnover (24%)

Quick Facts

★★★★☆
CMS Overall
★★★☆☆
Health Inspection
5
0.7x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

October 30, 2024

5 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

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.

F0812 Potential Harm Scope/Severity: F

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.

October 30, 2023

8 deficiencyies
F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate 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.

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.

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.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 25, 2022

7 deficiencyies
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

Show details

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.

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.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

See full violation history →

Staffing

1.20
RN hrs/res/day
0.51
LPN hrs/res/day
2.73
CNA hrs/res/day
4.28
Weekend hrs/res/day
25%
Total nurse turnover
21%
RN turnover

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

Fines & Penalties

No fines or penalties on record.

Ownership

Government - City/county Chain: GREENCROFT COMMUNITIES
  • WOODLAWN HOSPITAL

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    100% Organization
  • DORAN, JOSEPH

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/01/2025

    NO PERCENTAGE PROVIDED Individual
  • SOUTHFIELD VILLAGE INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2015

    Organization
  • HEYDE, ALISON

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2025

    Individual
  • ALBRIGHT, TRAVIS

    CORPORATE DIRECTOR

    Since since 06/13/2022

    Individual
  • DAY, NANCY

    CORPORATE DIRECTOR

    Since since 11/01/2015

    Individual
  • FURNIVALL, STEVEN

    CORPORATE DIRECTOR

    Since since 11/01/2015

    Individual
  • HEYDE, ALISON

    CORPORATE DIRECTOR

    Since since 09/09/2019

    Individual
  • JOHNSON, TERRI

    CORPORATE DIRECTOR

    Since since 06/13/2022

    Individual
  • MELLINGER, GREGORY

    CORPORATE DIRECTOR

    Since since 06/13/2022

    Individual
  • FISHER, ALAN

    CORPORATE OFFICER

    Since since 06/13/2022

    Individual

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