Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Belltower Health & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with multiple chronic conditions experienced delays in both transportation to a nephrology appointment and in the collection and processing of urine samples for UTI evaluation, resulting in untimely execution of physician orders. The DON and NP confirmed delays in urine collection and communication, and facility policies for urinalysis order follow-through were not provided when requested.
Surveyors found that food items in the main kitchen's walk-in cooler and freezer were undated, unlabeled, or expired, including various meats and prepared foods. The Dietary Manager confirmed that all food should have been labeled and dated per facility policy, but this was not done, potentially affecting nearly all residents who consumed food from the kitchen.
A resident with cognitive impairment and a history of feeling unsafe with a specific CNA was assured that the CNA would no longer provide care following an abuse investigation. However, documentation and staff interviews revealed that the CNA continued to care for the resident, indicating a failure to enforce the agreed-upon care assignment restriction.
A resident with severe cognitive impairment and multiple diagnoses received metoprolol tartrate for hypertension, despite physician orders to hold the medication when blood pressure readings were below specific parameters. The medication was administered on several occasions when the resident's blood pressure was below the ordered thresholds, contrary to facility policy and physician instructions.
The facility failed to store and prepare food in a sanitary manner, affecting 69 residents. Observations revealed expired leftovers and improperly labeled food in the walk-in cooler, along with scratched skillets missing Teflon coating. The CDM confirmed that food should be labeled with dates and leftovers discarded after three days, but these practices were not followed.
The facility failed to create care plans for a resident with communication difficulties and another resident cooking in her room against facility rules. The first resident, with moderate cognitive impairment, could not use the call light, and no alternative communication method was provided. The second resident, also moderately impaired, used an air fryer in her room, but her care plan did not address this noncompliance. Staff were aware of these issues but did not take appropriate action.
A resident with moderate cognitive impairment was found cooking in her room using an uninspected air fryer, contrary to facility policy. Staff were aware of the cooking but not informed it was prohibited. The resident's records lacked a Care Plan addressing this issue, and the facility's policy requiring equipment safety evaluation was not followed.
Delayed Execution of Physician Orders for UTI Management
Penalty
Summary
The facility failed to ensure that physician orders were carried out in a timely manner for a resident with a history of multiple complex medical conditions, including dementia, diabetes, morbid obesity, chronic obstructive pulmonary disease, rheumatoid arthritis, urinary tract infection, hypertension, breast cancer, depression, and chronic kidney disease. The resident required significant assistance with activities of daily living and was at risk for pressure sores. Physician orders included transporting the resident to a nephrology appointment and obtaining urinalysis (UA) and culture and sensitivity testing for urinary tract infections on specific dates. There were documented delays in both transporting the resident to the nephrology appointment and in collecting urine samples for ordered testing. The resident was not transported to the nephrology appointment due to scheduling confusion, and urine samples for UA and culture were not collected promptly after orders were given. For example, a urine sample ordered on one date was not collected until several days later, and similar delays occurred with subsequent orders. The Director of Nursing acknowledged these delays and indicated that collecting urine from the resident was difficult, but also stated that the samples should have been collected as ordered. Additionally, there were delays in receiving culture and sensitivity results from the laboratory, with results taking longer than the facility's policy expectations. The Nurse Practitioner was not notified of the delays in obtaining urine samples, and alternative collection methods, such as straight catheterization, were not considered because the delays were not communicated. Facility policies regarding transportation and physician orders were provided, but a specific policy for following physician orders for urinalysis testing was not available upon request.
Failure to Properly Label, Date, and Discard Food in Kitchen Storage
Penalty
Summary
Surveyors observed that the facility failed to store food in a sanitary manner in the main kitchen. During a tour of the kitchen's walk-in cooler, several food items were found undated, unlabeled, or expired, including a container of blue liquid, two unopened packages of bologna past their use or freeze by date, and a half turkey breast wrapped in saran wrap without a date or label. In the walk-in freezer, additional items such as Ziploc bags containing pastry-rolled food, a bag of artichoke dip, multiple pieces of fish, a white piece of meat, and a steak—all wrapped or bagged but lacking dates and labels—were also found. The Dietary Manager confirmed during an interview that all food products should have been properly dated and labeled, and expired products should have been discarded. The facility's policy on food safety in receiving and storage, provided by the Dietary Manager, requires that food be covered, labeled, and dated with a use-by date, and that the day of preparation or opening is considered day one. These observations and staff statements demonstrate that the facility did not follow its own policy or professional standards for food storage, potentially affecting 82 of 83 residents who consumed food from the kitchen.
Failure to Enforce Abuse Resolution and Care Assignment Restrictions
Penalty
Summary
The facility failed to follow through on the resolution of an abuse allegation involving a resident with dementia, psychosis, anxiety disorder, and narcolepsy. The resident, who had moderate cognitive impairment and required substantial to maximal assistance for daily care, reported feeling unsafe and expressed a preference not to be cared for by a specific CNA. Following an investigation, the facility informed the resident that this CNA would no longer be assigned to provide his care, and the resident was satisfied with this outcome. Despite this resolution, electronic documentation showed that the same CNA continued to provide care to the resident on multiple occasions after the agreement was made. Interviews with staff revealed a lack of awareness regarding the restriction, and the CNA continued to work in the area where the resident resided. The facility's policy required leadership to implement guidelines prohibiting mistreatment, neglect, and abuse, but these measures were not effectively communicated or enforced in this case.
Failure to Follow Physician's Order for Blood Pressure Medication Administration
Penalty
Summary
The facility failed to follow a physician's order regarding the administration of blood pressure medication for a resident with diagnoses including vascular dementia, cerebral infarction, hypertension, and atrial fibrillation. The resident had severe cognitive impairment and was under a care plan that required antihypertensive medication to be administered as ordered, with monitoring for effectiveness and adverse reactions. A physician's order specified that metoprolol tartrate 25 mg should be held if the resident's systolic blood pressure was less than 100 mmHg or diastolic less than 60 mmHg. Despite this, medication was administered on multiple occasions when the resident's blood pressure readings were below these parameters. Documentation showed that metoprolol was given on several dates when the resident's blood pressure was below the ordered thresholds, with readings as low as 80/50 mmHg. During an interview, an LPN confirmed understanding of the need to hold blood pressure medication when readings were below the specified parameters and to notify the physician if systolic blood pressure was below 95 mmHg. The facility's policy required medications to be administered only as ordered by a physician, but this was not followed in the case of this resident.
Deficiency in Food Storage and Preparation Standards
Penalty
Summary
The facility failed to maintain proper food storage and preparation standards in their kitchen, which had the potential to affect all 69 residents receiving meals from this kitchen. During an inspection, it was observed that the walk-in cooler contained several food items that were either expired or lacked proper labeling. Specifically, a plastic container with pasta noodles was dated, but other items such as an opened jar of jalapenos, enchilada sauce, whipped topping, mixed berries, and yogurt cups were found without any 'opened on' or 'use by' dates. This lack of labeling and failure to dispose of leftovers after three days as per the facility's policy contributed to the deficiency. Additionally, the facility was found to be using three skillets with scratched and missing Teflon coating for meal preparation. The Certified Dietary Manager (CDM) acknowledged that such cookware should not be used and should have been discarded. However, the facility did not have a specific policy regarding the condition of cookware, which further contributed to the deficiency. The CDM provided a policy document titled 'Nutrition Policies and Procedures,' which outlined the requirements for labeling and discarding leftovers, but it was not being followed effectively.
Failure to Develop Care Plans for Communication and Safety Needs
Penalty
Summary
The facility failed to develop a care plan addressing communication needs for Resident 39, who was moderately cognitively impaired and had difficulty using the call light. Despite being able to verbally communicate at times, Resident 39 was unable to activate the call light during a demonstration. The care plan did not include any problem, goal, or interventions related to the resident's inability to use the call light or provide an alternative communication method. Interviews with staff revealed that the facility had not considered using a touchpad call light, and there was no policy addressing accommodation of needs. Additionally, the facility did not develop a care plan for Resident 56, who was cooking meals in her room using an air fryer, contrary to facility rules. Resident 56, who had moderate cognitive impairment, was not compliant with the facility's policy against cooking in resident rooms. Staff were aware of her cooking activities but were not informed that it was against the rules. The care plan lacked documentation addressing her ability to cook in her room or her refusal to follow the facility's policy. The facility's policy required a person-centered care plan to include problems, interventions, and evaluation of decision-making capacity, which was not followed in this case.
Resident Cooking in Room with Uninspected Air Fryer
Penalty
Summary
The facility failed to ensure a safe environment for Resident 56, who was found to be cooking in her room using an air fryer, which was plugged into an electric outlet. This was observed during an interview and inspection, where it was noted that the resident had moderate cognitive impairment and diagnoses including type 2 diabetes mellitus and hypertension. The resident's records did not contain a Care Plan addressing her ability to cook in her room or any documentation of her refusal to comply with the facility's policy against cooking in her room. Interviews with staff members, including CNAs and the Unit Manager, revealed that they were aware of the resident's cooking activities but were not informed that it was against the facility's policy. The Corporate Regulation Specialist and the Maintenance Director confirmed that the air fryer had not been inspected for safety, and the resident should not have been cooking in her room. The facility's policy, dated March 2006, requires all equipment to be evaluated for safety before use, but this procedure was not followed in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Granger
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Creekside Village | 0.4 mi | ★★★★★ | 14 | 0 |
| Brickyard Healthcare - Fountainview Care Center | 1.8 mi | ★★★★★ | 3 | 0 |
| Holy Cross Rehabilitation And Wellness | 2.2 mi | ★★★★★ | 5 | 0 |
| Majestic Care Of South Bend | 2.9 mi | ★★★★★ | 56 | 0 |
| Holy Cross Village At Notre Dame Inc | 4.2 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.