Holy Cross Village at Notre Dame INC
54515 Sr 933 N, Notre Dame, IN 46556 · St. Joseph County · 52 certified beds · avg 46 residents/day · certified since Jan 4, 2006
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 27, 2024 · 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: Jul 31, 2024 (Past Non-Compliance)
All citations in the current public record (14)
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 6, 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. |
| May 6, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| May 6, 2026 | 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. |
| May 6, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 6, 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. |
| May 6, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 6, 2026 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Sep 27, 2024 | ▲ 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 |
| Jun 26, 2024 | 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. · from a complaint |
| Mar 25, 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 25, 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 25, 2024 | 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. |
| Mar 25, 2024 | 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. |
| Mar 25, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 1 | G ▲ |
| 2026 | 7 | 0 | 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) | 4.96 | 3.42 | 3.95 | top 4% in Indiana; top 14% in the U.S. |
| Registered Nurse hours | 0.88 | 0.62 | 0.69 | top 15% in Indiana; top 22% in the U.S. |
| Weekend total nurse staffing | 4.57 | 3.01 | 3.50 | top 3% in Indiana; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.47 | 0.48 | top 23% in Indiana; top 23% in the U.S. |
| Total nursing staff turnover (%) | 35.5 | 45.9 | 45.8 | top 19% in Indiana; top 25% in the U.S. |
| RN turnover (%) | 46.2 | 40.4 | 42.9 | bottom 38% in Indiana; bottom 42% 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 4.89, RN 0.87, weekend 4.50. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Holy Cross Village at Notre Dame, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/17/1999 |
| Beauchamp, Edward | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Beauchamp, Edward | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2024 |
| Brothers of Holy Cross INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2005 |
| Cassady, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2019 |
| Cholis, Paul | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Cholis, Paul | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2024 |
| Freel, Chester | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Freel, Chester | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Freel, Chester | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2024 |
| Haders, CSC, Ken | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Haders, CSC, Ken | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2024 |
| Huge, Elizabeth | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Huge, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Kastner, Brandon | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Lackenmier, CSC, James | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Lackenmier, CSC, James | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Lackenmier, CSC, James | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2024 |
| Mueller, Jack | Individual | Corporate Officer | NOT APPLICABLE | 04/18/2021 |
| Mueller, Jack | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/18/2021 |
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?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "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 |
|---|---|---|---|---|---|
| Milton Home, the | 1.0 mi | South Bend, IN | ★★★★★ | 4/5 | |
| Cardinal Nursing and Rehabilitation Center | 1.0 mi | South Bend, IN | ★★★★★ | 5/5 | |
| Wellbrooke of South Bend | 1.3 mi | South Bend, IN | ★★★★☆ | 3/5 | |
| Holy Cross Rehabilitation and Wellness | 2.2 mi | South Bend, IN | ★★☆☆☆ | 2/5 | |
| Brickyard Healthcare - Fountainview Care Center | 2.5 mi | Mishawaka, IN | ★★☆☆☆ | 2/5 | |
| Majestic Care of South Bend | 2.7 mi | South Bend, IN | ★☆☆☆☆ | 1/5 | |
| Healthwin Health & Rehabilitation | 2.9 mi | South Bend, IN | ★★☆☆☆ | 2/5 | |
| Trailpoint Village | 3.6 mi | South Bend, IN | ★★☆☆☆ | 2/5 | abuse |
| Creekside Village | 3.9 mi | Mishawaka, IN | ★★★★☆ | 3/5 | |
| West Bend Nursing and Rehabilitation | 4.0 mi | South Bend, IN | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155745.