Belltower Health & Rehabilitation Center

Name: Belltower Health & Rehabilitation Center
Address: 5805 NORTH FIR ROAD, Granger, IN, 46530, US
Telephone: 5744066600

5805 North Fir Road, Granger, IN 46530 · St. Joseph County · 96 certified beds · avg 89 residents/day · certified since Jul 27, 2016

Part of chain: FUNDAMENTAL HEALTHCARE (66 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.40

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Oct 29, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 9, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 8, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
May 8, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 29, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 29, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 29, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 14, 2023	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 14, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Aug 14, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 14, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 1).

Year	Citations	Worst severity that year
2023	15	E
2024	3	F
2025	4	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.40	3.42	3.95	top 42% in Indiana; bottom 31% in the U.S.
Registered Nurse hours	0.45	0.62	0.69	bottom 28% in Indiana; bottom 30% in the U.S.
Weekend total nurse staffing	3.11	3.01	3.50	top 34% in Indiana; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.47	0.48	bottom 14% in Indiana; bottom 24% in the U.S.
Total nursing staff turnover (%)	30.5	45.9	45.8	top 9% in Indiana; top 15% in the U.S.
RN turnover (%)	16.7	40.4	42.9	top 10% in Indiana; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.35, RN 0.44, weekend 3.06. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Beaty, Jeff	Individual	Corporate Director	NOT APPLICABLE	02/01/2003
Black, Stephen	Individual	Corporate Director	NOT APPLICABLE	01/01/2013
Burton, Karen	Individual	Corporate Director	NOT APPLICABLE	01/01/2013
Caldwell, Dana	Individual	Corporate Director	NOT APPLICABLE	02/01/2008
Carmean, Marti	Individual	Operational/Managerial Control	NOT APPLICABLE	05/06/2019
Carmean, Marti	Individual	ADP of the SNF	NOT APPLICABLE	05/06/2019
Claxton, Ryan	Individual	Corporate Officer	NOT APPLICABLE	03/27/2025
Claxton, Ryan	Individual	Operational/Managerial Control	NOT APPLICABLE	03/27/2025
Claxton, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	03/27/2025
Coffin, John	Individual	Corporate Director	NOT APPLICABLE	10/01/2009
Fundamental Administrative Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/05/2016
Fundamental Clinical and Operational Services, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/05/2016
Gustafson, Paula	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Haehl, Phillip	Individual	Corporate Director	NOT APPLICABLE	01/01/2013
Kuhn, Heather	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Mercuri, Ralph	Individual	Corporate Director	NOT APPLICABLE	09/01/2008
Mercuri, Ralph	Individual	Corporate Officer	NOT APPLICABLE	09/01/2008
Morgan Powers, Deanna	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2021
Sandman, Jan	Individual	Corporate Director	NOT APPLICABLE	02/01/2006
Shippensburg Health Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/20/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Creekside Village	0.4 mi	Mishawaka, IN	★★★★☆	3/5
Brickyard Healthcare - Fountainview Care Center	1.8 mi	Mishawaka, IN	★★☆☆☆	2/5
Holy Cross Rehabilitation and Wellness	2.2 mi	South Bend, IN	★★☆☆☆	2/5
Majestic Care of South Bend	3.0 mi	South Bend, IN	★☆☆☆☆	1/5
Holy Cross Village at Notre Dame INC	4.2 mi	Notre Dame, IN	★★★☆☆	3/5
Brickyard Healthcare - Twelfth Street Care Center	4.4 mi	Mishawaka, IN	★★☆☆☆	2/5
Cardinal Nursing and Rehabilitation Center	4.5 mi	South Bend, IN	★★★★★	5/5
Wellbrooke of South Bend	4.5 mi	South Bend, IN	★★★★☆	3/5
Milton Home, the	5.0 mi	South Bend, IN	★★★★★	4/5
West Woods of Niles	5.4 mi	Niles, MI	★☆☆☆☆	1/5
Healthwin Health & Rehabilitation	5.4 mi	South Bend, IN	★★☆☆☆	2/5
Trailpoint Village	5.6 mi	South Bend, IN	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Granger →

Facility data as of CMS processing date 2026-08-01. CCN 155850.

The Care File

Visit checklist — Belltower Health & Rehabilitation Center

5805 North Fir Road, Granger, IN 46530 · 5744066600

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155850 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)