Holy Cross Rehabilitation and Wellness

Name: Holy Cross Rehabilitation and Wellness
Address: 17475 DUGDALE DR, South Bend, IN, 46635, US
Telephone: 5742477500

17475 Dugdale Dr, South Bend, IN 46635 · St. Joseph County · 168 certified beds · avg 70 residents/day · certified since Jan 4, 1994

Part of chain: TRINITY HEALTH (19 facilities, chain avg rating 3.3★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.23

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.

All citations in the current public record (26)

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
May 15, 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. · from a complaint
May 15, 2026	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 13, 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. · from a complaint
Mar 13, 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. · from a complaint
Sep 17, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint
Apr 28, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint
Apr 28, 2025	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Apr 28, 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.
Apr 28, 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.
Apr 28, 2025	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.
Apr 28, 2025	D · Potential for harm, one-off	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 28, 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.
Apr 28, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jun 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
May 21, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 21, 2024	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.
May 21, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
May 21, 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.
May 21, 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.
May 21, 2024	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.
May 21, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 21, 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.
May 21, 2024	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.
May 23, 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.
May 23, 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.
May 23, 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 stayed about the same across the last two inspection cycles (9 → 8).

Year	Citations	Worst severity that year
2023	3	D
2024	10	E
2025	9	E
2026	4	D

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)	4.23	3.42	3.95	top 10% in Indiana; top 31% in the U.S.
Registered Nurse hours	0.91	0.62	0.69	top 12% in Indiana; top 20% in the U.S.
Weekend total nurse staffing	3.76	3.01	3.50	top 11% in Indiana; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.61	0.47	0.48	top 21% in Indiana; top 22% in the U.S.
Total nursing staff turnover (%)	45.4	45.9	45.8	top 50% in Indiana; bottom 49% in the U.S.
RN turnover (%)	41.2	40.4	42.9	bottom 48% in Indiana; top 49% 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 4.07, RN 0.87, weekend 3.61. Staffing rating: 4/5.

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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Anderson, Ray	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Battjes, Abigail	Individual	Operational/Managerial Control	NOT APPLICABLE	08/26/2022
Battjes, Abigail	Individual	ADP of the SNF	NOT APPLICABLE	08/26/2022
Borne-Bauman, Candice	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Borne-Bauman, Candice	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2019
Bowens, Marcus	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Carter, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Drake, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Flueckiger, Russell	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2017
Flueckiger, Russell	Individual	Trustee of the SNF	NOT APPLICABLE	08/01/2017
Isacksen, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Lehman, Scott	Individual	Operational/Managerial Control	NOT APPLICABLE	07/14/2020
Lehman, Scott	Individual	Trustee of the SNF	NOT APPLICABLE	07/14/2020
Macklin, Larry	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2017
Macklin, Larry	Individual	Trustee of the SNF	NOT APPLICABLE	08/01/2017
McIntire, David	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
McIntire, David	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2019
Moore, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Roth, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Seppala, Christine	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Brickyard Healthcare - Fountainview Care Center	1.2 mi	Mishawaka, IN	★★☆☆☆	2/5
Majestic Care of South Bend	1.3 mi	South Bend, IN	★☆☆☆☆	1/5
Creekside Village	2.0 mi	Mishawaka, IN	★★★★☆	3/5
Holy Cross Village at Notre Dame INC	2.2 mi	Notre Dame, IN	★★★☆☆	3/5
Belltower Health & Rehabilitation Center	2.2 mi	Granger, IN	★★★★☆	4/5
Wellbrooke of South Bend	2.3 mi	South Bend, IN	★★★★☆	3/5
Cardinal Nursing and Rehabilitation Center	2.8 mi	South Bend, IN	★★★★★	5/5
Milton Home, the	3.1 mi	South Bend, IN	★★★★★	4/5
Healthwin Health & Rehabilitation	3.4 mi	South Bend, IN	★★☆☆☆	2/5
West Woods of Niles	4.0 mi	Niles, MI	★☆☆☆☆	1/5
Brickyard Healthcare - Twelfth Street Care Center	4.6 mi	Mishawaka, IN	★★☆☆☆	2/5
Trailpoint Village	4.8 mi	South Bend, IN	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in South Bend →

Facility data as of CMS processing date 2026-08-01. CCN 155506.

The Care File

Visit checklist — Holy Cross Rehabilitation and Wellness

17475 Dugdale Dr, South Bend, IN 46635 · 5742477500

Health inspection rating 2/5 · CMS overall 2/5· 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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 155506 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)