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Belltower Health & Rehabilitation Center
5805 North Fir Road, Granger, IN 46530 (opens Google Maps) · St. Joseph County · (574) 406-6600· 96 certified beds · avg 89 residents/day · certified since Jul 27, 2016 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: FUNDAMENTAL HEALTHCARE (66 facilities, chain avg rating 2.4★)
4/5
Health inspection rating (on-site)
inspected Jun 9, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.40
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
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 F-0684
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. F-0812
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 F-0607
View all 22 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 29, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jun 9, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| May 8, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0607 |
| May 8, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jul 29, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jul 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Aug 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0657 |
| Aug 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Aug 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
All citationsSerious citations (G–L)
2023
All citations: 15
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 15 | 0 | E |
| 2024 | 3 | 0 | F |
| 2025 | 4 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIndiana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.40
Indiana average: 3.42
U.S. average: 3.95
Registered Nurse hours
This facility: 0.45
Indiana average: 0.62
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.11
Indiana average: 3.01
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.35 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Belltower Health & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Fundamental Healthcare — 66 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Allegany Health Nursing and Rehab — Cumberland, MD · overall 4/5
- Berlin Nursing and Rehabilitation Center — Berlin, MD · overall 2/5
- Devlin Manor Nursing and Rehabilitation Center — Cumberland, MD · overall 3/5
- Fairfield Nursing & Rehabilitation Center — Crownsville, MD · overall 2/5
- Forest Haven Nursing and Rehabilitation Ctr — Catonsville, MD · overall 1/5
- Julia Manor Nursing and Rehabilitation Center — Hagerstown, MD · overall 1/5abuse
- Moran Nursing and Rehabilitation Center — Westernport, MD · overall 2/5abuse
- Northampton Manor Nursing and Rehabilitation Cente — Frederick, MD · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 65 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 32 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 →
Other facilities in the same county
CMS records place this facility in St. Joseph, IN — 18 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Briarcliff Health & Rehabilitation Center — South Bend, IN · overall 2/5
- Hamilton Grove — New Carlisle, IN · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 155850.
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