Healthwin Health & Rehabilitation

Name: Healthwin Health & Rehabilitation
Address: 20531 DARDEN RD, South Bend, IN, 46637, US
Telephone: 5742720100

20531 Darden Rd, South Bend, IN 46637 · St. Joseph County · 145 certified beds · avg 89 residents/day · certified since Nov 23, 1973

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.57

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 22, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 13, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (34)

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
Apr 22, 2026	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 22, 2026	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.
Apr 22, 2026	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Apr 22, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 22, 2026	D · Potential for harm, one-off	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.
Apr 22, 2026	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.
Apr 22, 2026	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.
Apr 22, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Apr 22, 2026	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Apr 22, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 27, 2025	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. · from a complaint
Mar 27, 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
Feb 19, 2025	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Feb 19, 2025	F · Potential for harm, facility-wide	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 19, 2025	E · Potential for harm, repeated	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. · from a complaint
Feb 19, 2025	E · Potential for harm, repeated	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
Feb 19, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Feb 19, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Feb 19, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 19, 2025	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.
Feb 19, 2025	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Feb 19, 2025	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.
Feb 19, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Feb 19, 2025	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.
Feb 19, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 25, 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. · from a complaint
Mar 15, 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.
Mar 15, 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.
Mar 15, 2024	D · Potential for harm, one-off	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.
Mar 15, 2024	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.
Mar 15, 2024	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.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Mar 15, 2024	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.
Sep 22, 2023	▲ G · Actual 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. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (13 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	1	G ▲
2024	8	0	F
2025	15	0	F
2026	10	0	E

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)	3.57	3.42	3.95	top 32% in Indiana; bottom 40% in the U.S.
Registered Nurse hours	0.74	0.62	0.69	top 25% in Indiana; top 33% in the U.S.
Weekend total nurse staffing	2.99	3.01	3.50	top 41% in Indiana; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	0.47	0.48	top 20% in Indiana; top 22% in the U.S.
Total nursing staff turnover (%)	74.6	45.9	45.8	bottom 1% in Indiana; bottom 3% in the U.S.
RN turnover (%)	67.6	40.4	42.9	bottom 9% in Indiana; bottom 13% 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 4.24, RN 0.88, weekend 3.55. Staffing rating: 2/5.

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: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
20531 Sarden Rd SNF Real Estate LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/08/2025
Bennet-Idels, Heather	Individual	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
Bennett, Adam	Individual	Trustee of the SNF	NOT APPLICABLE	01/08/2025
Botwinick, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
Botwinick, Michael	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2025
Carver, Dillion	Individual	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
Delilah 2626 Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
Delilah 2626 Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/18/2025
Duhaime, Kelley	Individual	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
Duhaime, Kelley	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2025
Gottesman, Daniel	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/18/2025
Healthwin Real Estate Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/08/2025
Healthwin SNF Operations Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
Healthwin SNF Operations Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/18/2025
Healthwin SNF Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
Healthwin SNF Operations LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/08/2025
Hutton, Charles	Individual	Trustee of the SNF	NOT APPLICABLE	01/08/2025
HVH Healthwin SNF Opco Manager LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/08/2025
HVH Healthwin SNF Opco Manager LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/08/2025
Idels, Shimon	Individual	Operational/Managerial Control	NOT APPLICABLE	01/08/2025

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is pest control handled here, and when was the last treatment or inspection?"
"How do you explain health changes and treatment options to residents and their families?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"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
Wellbrooke of South Bend	1.6 mi	South Bend, IN	★★★★☆	3/5
West Woods of Niles	2.3 mi	Niles, MI	★☆☆☆☆	1/5
Majestic Care of South Bend	2.5 mi	South Bend, IN	★☆☆☆☆	1/5
Holy Cross Village at Notre Dame INC	2.9 mi	Notre Dame, IN	★★★☆☆	3/5
Holy Cross Rehabilitation and Wellness	3.4 mi	South Bend, IN	★★☆☆☆	2/5
Milton Home, the	3.5 mi	South Bend, IN	★★★★★	4/5
Cardinal Nursing and Rehabilitation Center	3.9 mi	South Bend, IN	★★★★★	5/5
Brickyard Healthcare - Fountainview Care Center	4.5 mi	Mishawaka, IN	★★☆☆☆	2/5
West Bend Nursing and Rehabilitation	4.6 mi	South Bend, IN	★★★★★	4/5
Creekside Village	5.4 mi	Mishawaka, IN	★★★★☆	3/5
Belltower Health & Rehabilitation Center	5.4 mi	Granger, IN	★★★★☆	4/5
Briarcliff Health & Rehabilitation Center	6.1 mi	South Bend, IN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in South Bend →

Facility data as of CMS processing date 2026-08-01. CCN 155153.

The Care File

Visit checklist — Healthwin Health & Rehabilitation

20531 Darden Rd, South Bend, IN 46637 · 5742720100

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Sep 22, 2023 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "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 155153 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)