Nursing homeActive
Belltower Health & Rehabilitation Center
5805 North Fir Road, Granger, IN 46530574406660096 certified beds · 89 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
22
● 0● 22● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-10-29
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Indiana Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-10-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-09 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-29 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-08-14 | Standard | 0150 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-30Record 155850-20251029-F684
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 155850-20250609-F812
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-04Record 155850-20250508-F607
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-04Record 155850-20250508-F684
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-12Record 155850-20240729-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-12Record 155850-20240729-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-12Record 155850-20240729-F812
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F578
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F623
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F636
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F757
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 155850-20230814-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.44
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day3.35
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.06
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover31%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover17%
Facility
Indiana
National
Indiana 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Indiana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.7% | 3.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.7% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.9% | 13.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 1.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.2% | 11.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.7% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 12.8% | 23.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Carmean, Marti Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Claxton, Ryan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shippensburg Health Care LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Van Den Driessche, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beaty, Jeff Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Black, Stephen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Burton, Karen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Caldwell, Dana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Carmean, Marti Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Claxton, Ryan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Claxton, Ryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coffin, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fundamental Administrative Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fundamental Clinical And Operational Services, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gustafson, Paula Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Haehl, Phillip Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kuhn, Heather Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mercuri, Ralph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mercuri, Ralph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Morgan Powers, Deanna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sandman, Jan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stevens, Melanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tandy, Sherri Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Van Den Driessche, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Fundamental Healthcare — 66 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.
No county cost figures on file for St. Joseph.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Creekside Village Mishawaka | 0.4 mi | 2026-03-31 | 0210 |
| Brickyard Healthcare - Fountainview Care Center Mishawaka | 1.8 mi | 2026-02-23 | 0290 |
| Holy Cross Rehabilitation And Wellness South Bend | 2.2 mi | 2026-05-15 | 0230 |
| Majestic Care Of South Bend South Bend | 2.9 mi | 2026-07-01 | 0303 |
| Brickyard Healthcare - Twelfth Street Care Center Mishawaka | 4.4 mi | 2025-09-12 | 2260 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |