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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E20 | F23 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Oct 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 9, 2025 | Fire safety | Fire Safety Standard | 24 | Potential harm | — | Open → |
| Jun 9, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 29, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 29, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Aug 14, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Aug 14, 2023 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E20 | F23 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Oct 29, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 30, 2025 | Complaint |
| Jun 9, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 12, 2025 | |
| Jun 9, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 35 facilities.
66 facilities in 6 states. CMS chain ID 231.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Shippensburg Health Care LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2016 |
| Marti Carmean | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 6, 2019 |
| Ryan Claxton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 27, 2025 |
| Thomas Van Den Driessche | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2021 |
| Jeff Beaty | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2003 |
| Stephen Black | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willows of Shelbyville 2309 S Miller St, Shelbyville, IN 46176 CCN 155022 | 121 | Dec 23, 2025 | 671 harm | — | |
| Aperion Care Kokomo 3518 S Lafountain St, Kokomo, IN 46902 CCN 155064 | 105 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Creekside Village 1420 E Douglas Rd, Mishawaka, IN 46545 CCN 155784 | 0.6 km | 100 | Jul 13, 2026 | 31 | — | |
| Brickyard Healthcare - Fountainview Care Center 609 W Tanglewood Ln, Mishawaka, IN 46545 CCN 155178 | 2.9 km | 130 | Feb 23, 2026 | 61 | — | |
| Holy Cross Rehabilitation and Wellness 17475 Dugdale Dr, South Bend, IN 46635 CCN 155506 | 3.5 km | 168 | May 15, 2026 | 471 open | — | |
| Majestic Care of South Bend 52654 N Ironwood Rd, South Bend, IN 46635 CCN 155219 | 4.7 km | 103 | Aug 14, 2026 | 1003 IJ | $101k | |
| Holy Cross Village at Notre Dame Inc 54515 Sr 933 N, Notre Dame, IN 46556 CCN 155745 | 6.7 km | 52 | May 6, 2026 | 341 harm | — | |
| Brickyard Healthcare - Twelfth Street Care Center 811 E 12th Street, Mishawaka, IN 46544 CCN 155109 | 7.1 km | 87 | Sep 12, 2025 | 60 | — | |
| Cardinal Nursing and Rehabilitation Center 1121 E Lasalle Ave, South Bend, IN 46617 CCN 155115 | 7.2 km | 144 | Apr 16, 2025 | 21 | — | |
| Wellbrooke of South Bend 52565 State Road 933, South Bend, IN 46637 CCN 155824 | 7.2 km | 70 | Apr 20, 2026 | 431 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 155850 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 155850 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| E-0039 |
| Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected Sep 12, 2025 |
| Jun 9, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2025 |
| Jun 9, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Jun 9, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2025 |
| Jun 9, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Jun 9, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2025 |
| Jun 9, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 30, 2025 |
| Jun 9, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 30, 2025 |
| Jun 9, 2025 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 12, 2025 |
| Jun 9, 2025 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 12, 2025 |
| May 8, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| May 8, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| Jul 29, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 9, 2024 |
| Jul 29, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 9, 2024 |
| Jul 29, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 9, 2024 |
| Jul 29, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 9, 2024 |
| Jul 29, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 9, 2024 |
| Jul 29, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 9, 2024 |
| Jul 29, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 9, 2024 |
| Jul 29, 2024 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 9, 2024 |
| Jul 29, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 12, 2024 |
| Jul 29, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 12, 2024 |
| Jul 29, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Aug 14, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Aug 14, 2023 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Aug 14, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 11, 2023 |
| Aug 14, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Aug 14, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 11, 2023 |
| Aug 14, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Aug 14, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 11, 2023 |
| Aug 14, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Aug 14, 2023 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Aug 14, 2023 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 18, 2023 |
| Aug 14, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 18, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.61 (case-mix index 1.35).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jan 1, 2013 |
| Karen Burton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2013 |
| Dana Caldwell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2008 |
| John Coffin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2009 |
| Phillip Haehl | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2013 |
| Ralph Mercuri | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2008 |
| Jan Sandman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2006 |
| Melanie Stevens | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2006 |
| Sherri Tandy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2006 |
| Ryan Claxton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 27, 2025 |
| Paula Gustafson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2013 |
| Heather Kuhn | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2013 |
| Ralph Mercuri | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2008 |
| Fundamental Administrative Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 5, 2016 |
| Fundamental Clinical and Operational Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 5, 2016 |
| Marti Carmean | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 6, 2019 |
| Ryan Claxton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 27, 2025 |
| Deanna Morgan Powers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
| Thomas Van Den Driessche | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2021 |
| Aug 11, 2026 |
851 IJ1 harm2 open |
| — |
| Munster Med-Inn 7935 Calumet Ave, Munster, IN 46321 CCN 155131SFFAbuse icon | 225 | Not rated | Jan 28, 2026 | 842 IJ3 harm | — |
| Aperion Care Arbors Michigan City 1101 E Coolspring Ave, Michigan City, IN 46360 CCN 155156 | 180 | Jul 15, 2026 | 791 IJ1 harm | $17k |
| The Waters of Clifty Falls 950 Cross Ave, Madison, IN 47250 CCN 155209 | 138 | Aug 18, 2026 | 771 harm | — |
| Willows of Greensburg 410 Park Rd, Greensburg, IN 47240 CCN 155210 | 100 | Aug 26, 2026 | 572 open | — |
| Dyer Nursing and Rehabilitation Center 601 Sheffield Ave, Dyer, IN 46311 CCN 155220 | 161 | Jun 3, 2026 | 981 IJ1 harm | $23k |
| The Waters of Covington 1600 E Liberty St, Covington, IN 47932 CCN 155223SFF CandidateAbuse icon | 119 | Dec 15, 2025 | 712 IJ1 harm | $145k |