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Belltower Health & Rehabilitation Center

5805 North Fir Road, Granger, IN 46530 · St. Joseph County · (574) 406-6600

96 certified beds, about 89 residents a day · For profit - Corporation · Medicare and Medicaid since 2016

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155850 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 9, 2025, inspectors cited 1 health deficiency (the Indiana average is 7.2, the national average 9.2).

None of its 22 health citations since August 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.35 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

30.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Fundamental Healthcare, an affiliated group of 66 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
2E
2F
Potential for minimal harm
0A
0B
0C
October 29, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure physician orders were carried out timely for 1 of 3 residents reviewed for urinary tract infection. (Resident B).
June 9, 2025Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to store food in a sanitary manner related to undated and unlabeled foods and drinks for 1 of 1 kitchen areas observed. (Main kitchen) This issue had the potential to affect 82 of 83 residents who consumed food from the kitchen.
May 8, 2025Complaint inspection · 2 citations
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure an allegation of abuse resolution was followed regarding care assignments for 1 of 3 residents reviewed for abuse. (Resident C)
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2025
    Inspectors wroteBased on record review and interview, the facility failed to follow a physician's order when administering blood pressure medication for 1 of 6 residents reviewed for quality of care. (Resident E)
July 29, 2024Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 12, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to store and prepare food in a sanitary manner related to expired leftovers, open and undated food in the walk-in cooler and skillets with missing Teflon for 1 of 1 kitchens reviewed. This had the potential to affect 69 of 69 residents who received their meals from the kitchen.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop a care plan regarding communication needs for 1 of 1 residents reviewed for Communication and Sensory Needs (Resident 39) and accident hazards for 1 of 1 residents reviewed for Accidents. (Resident 56)
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to keep ensure Resident 56's environment was free of potential hazards for 1 of 1 resident reviewed for environmental hazards. (Resident 56)
August 14, 2023Standard inspection · 15 citations
  1. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure a care plan meeting was conducted timely and care plans revised timely for 4 of 19 residents reviewed for careplanning. (Resident 15, 39, 58 and179)
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was stored in accordance with professional standards for food safety. This deficient practice had the potential to affect the 80 of 82 residents who received food from the kitchen.
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Physician Orders for Scope of Treatment (POST) form matched the Physician order for 1 of 82 residents whose Advanced Directives were reviewed (Resident 232).
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure that transfer and discharge paperwork was completed and given to a resident or family members and failed to notify the ombudsman in a timely manner of resident's discharge from the facility for 1 of 1 residents reviewed for notification of discharge. (Resident 76) Finding Includes: A record review was conducted on 8/14/23 at 2:49 P.M., for Resident 76. Diagnoses included, but were not limited to: urinary tract infection, acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity, malignant neoplasm of uterus, inflammatory disease of uterus. An admission MDS (Minimum Data Set) assessment, date 5/8/2023, indicated the resident was cognitively intact. A Discharge MDS assessment, dated 7/11/2023, indicated the resident had been discharged with an anticipated return to facility. [...]
  5. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure the comprehensive assessment was accurate and completed for 2 residents reviewed for dental status and bowel and bladder continence . (Resident 1 &51)
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure care plans were developed for 2 of 19 residents reviewed for care planning. (Residents 1 for dental care and Resident 15 Diabetes, Diuretic, anithypertensive and Vitamin D medication use)
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure nail care was provided for 1 of 6 residents reviewed for Activities of Daily Living (ADL) needs. (Resident 20)
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure 1 of 1 residents reviewed for Hospice services, received coordinated care between Hospice and the facility. (Resident 15)
  9. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on record review, observation and interview, the facility failed to ensure a resident had interventions in place to prevent the development of a DTI (deep tissue injury) skin area for 1 of 4 residents reviewed for pressure ulcers. (Resident 39)
  10. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received appropriate care of a nephrostomy tube and foley catheter and Physician Orders for treatment for 1 of 1 residents reviewed for urinary and nephrostomy catheter. (Resident 179)
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure respiratory equipment was stored and maintained per professional standards and signage was on the door for 2 of 2 residents reviewed for respiratory care. (Resident 68)
  12. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on record review and interview, the facility failed to initiate physician signed pharmacy recommendations to decrease a pain medication in a timely manner for 1 of 5 residents reviewed for unnecessary medications. (Resident 39)
  13. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure the medication regimen was free from unnecessary medication for 2 of 5 residents reviewed for medication use. (Resident 15 regarding monitoring of medications and 51 regarding antibiotic use)
  14. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a Pharmacy Recommendation and Physician's Order, to gradually reduce an antipsychotic medication, was implemented timely for 1 of 5 residents reviewed for medication use. (Resident 15)
  15. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were dated when opened, failed to store wound cleanser away from medications, failed to ensure medication carts were free of loose pills and failed to ensure residents alcohol bottles were labeled with resident identifiers in 3 of 3 medication carts and 1 of 1 medication rooms observed. ( F/D Medication cart, B Medication cart, Memory Care Medication cart and the Long Term Medication room)

Fire safety inspections

41 fire safety citations on file: 24 on June 9, 2025, 8 on July 29, 2024, 9 on August 14, 2023.

Every fire safety citation41 citations
  1. F
    Establish staff and initial training requirements.
    E 37 · June 9, 2025 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · June 9, 2025 · Corrected (the home has a date of correction)
  3. F
    Implement emergency and standby power systems.
    E 41 · June 9, 2025 · Corrected (the home has a date of correction)
  4. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 9, 2025 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 9, 2025 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 9, 2025 · Corrected (the home has a date of correction)
  7. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 9, 2025 · Corrected (the home has a date of correction)
  8. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 9, 2025 · Corrected (the home has a date of correction)
  9. F
    Meet other general requirements that are deficient.
    K 500 · June 9, 2025 · Corrected (the home has a date of correction)
  10. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 9, 2025 · Corrected (the home has a date of correction)
  11. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · June 9, 2025 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 9, 2025 · Corrected (the home has a date of correction)
  13. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · June 9, 2025 · Corrected (the home has a date of correction)
  14. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · June 9, 2025 · Corrected (the home has a date of correction)
  15. E
    Install proper backup exit lighting.
    K 281 · June 9, 2025 · Corrected (the home has a date of correction)
  16. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 9, 2025 · Corrected (the home has a date of correction)
  17. E
    Provide properly protected cooking facilities.
    K 324 · June 9, 2025 · Corrected (the home has a date of correction)
  18. E
    Install an approved automatic sprinkler system.
    K 351 · June 9, 2025 · Corrected (the home has a date of correction)
  19. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 9, 2025 · Corrected (the home has a date of correction)
  20. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 9, 2025 · Corrected (the home has a date of correction)
  21. E
    Have restrictions on the use of portable space heaters.
    K 781 · June 9, 2025 · Corrected (the home has a date of correction)
  22. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 9, 2025 · Corrected (the home has a date of correction)
  23. C
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · June 9, 2025 · Corrected (the home has a date of correction)
  24. C
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · June 9, 2025 · Corrected (the home has a date of correction)
  25. F
    Conduct testing and exercise requirements.
    E 39 · July 29, 2024 · Corrected (the home has a date of correction)
  26. F
    Implement emergency and standby power systems.
    E 41 · July 29, 2024 · Corrected (the home has a date of correction)
  27. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 29, 2024 · Corrected (the home has a date of correction)
  28. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 29, 2024 · Corrected (the home has a date of correction)
  29. E
    Provide properly protected cooking facilities.
    K 324 · July 29, 2024 · Corrected (the home has a date of correction)
  30. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 29, 2024 · Corrected (the home has a date of correction)
  31. E
    Have restrictions on the use of portable space heaters.
    K 781 · July 29, 2024 · Corrected (the home has a date of correction)
  32. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · July 29, 2024 · Corrected (the home has a date of correction)
  33. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 14, 2023 · Corrected (the home has a date of correction)
  34. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 14, 2023 · Corrected (the home has a date of correction)
  35. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 14, 2023 · Corrected (the home has a date of correction)
  36. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 14, 2023 · Corrected (the home has a date of correction)
  37. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 14, 2023 · Corrected (the home has a date of correction)
  38. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · August 14, 2023 · Corrected (the home has a date of correction)
  39. E
    Provide properly protected cooking facilities.
    K 324 · August 14, 2023 · Corrected (the home has a date of correction)
  40. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 14, 2023 · Corrected (the home has a date of correction)
  41. E
    Have restrictions on the use of portable space heaters.
    K 781 · August 14, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.353.693.86
Registered nurses0.440.670.69
All nursing staff on weekends3.063.253.42
Nurse aides2.03
Licensed practical nurses0.88
Nursing staff turnover (share who left in a year)30.5%45.9%45.8%
Registered nurse turnover16.7%40.3%42.9%
Administrators who left0

CMS expects 3.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.46 on weekdays and 3.06 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.443.463.06 0.0%0 of 9089
Oct to Dec 20253.310.443.403.10 0.0%0 of 9284
Jul to Sep 20253.560.513.683.26 0.0%0 of 9282
Apr to Jun 20253.530.393.673.19 0.0%0 of 9184
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Indiana

JobMedianMiddle halfEmployed
Indiana, all employers
CNAs (nursing assistants)$18.43$17.80 to $21.3633,640
LPNs and LVNs$31.60$29.35 to $35.3014,480
Registered nurses$40.14$37.86 to $48.2868,980
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Belltower Health & Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.211.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.73.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.411.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.73.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.813.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.622.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.710.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Belltower Health & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.6% this home

No different from the national rate

US median of homes 51.5% · Indiana: 111 better, 7 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 123 eligible stays.

Potentially preventable readmissions

10.7% this home

No different from the national rate

US median of homes 10.7% · Indiana: 0 better, 17 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 139 eligible stays.

Infections that led to a hospital stay

8.1% this home

No different from the national rate

US median of homes 7.1% · Indiana: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 74 eligible stays.

Self-care and mobility at discharge

74.5% this home

Median of homes: Indiana60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 47 residents counted.

Falls with major injury

0.0% this home

Median of homes: Indiana0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 53 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Indiana1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 53 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Indiana100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 31 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: MAJOR HOSPITAL. CMS links this home to Fundamental Healthcare, a group of 66 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Beaty, JeffCorporate directorIndividual02/01/2003
Black, StephenCorporate directorIndividual01/01/2013
Burton, KarenCorporate directorIndividual01/01/2013
Caldwell, DanaCorporate directorIndividual02/01/2008
Coffin, JohnCorporate directorIndividual10/01/2009
Haehl, PhillipCorporate directorIndividual01/01/2013
Mercuri, RalphCorporate directorIndividual09/01/2008
Sandman, JanCorporate directorIndividual02/01/2006
Stevens, MelanieCorporate directorIndividual02/01/2006
Tandy, SherriCorporate directorIndividual02/01/2006
Claxton, RyanCorporate officerIndividual03/27/2025
Gustafson, PaulaCorporate officerIndividual01/01/2013
Kuhn, HeatherCorporate officerIndividual01/01/2013
Mercuri, RalphCorporate officerIndividual09/01/2008
Shippensburg Health Care LLCOperational/managerial controlOrganization05/20/2016
Carmean, MartiOperational/managerial controlIndividual05/06/2019
Claxton, RyanOperational/managerial controlIndividual03/27/2025
Van Den Driessche, ThomasOperational/managerial controlIndividual01/01/2021
Fundamental Administrative Services LLCAdp of the SNFOrganization07/05/2016
Fundamental Clinical and Operational Services, LLCAdp of the SNFOrganization07/05/2016
Carmean, MartiAdp of the SNFIndividual05/06/2019
Claxton, RyanAdp of the SNFIndividual03/27/2025
Morgan Powers, DeannaAdp of the SNFIndividual02/01/2021
Van Den Driessche, ThomasAdp of the SNFIndividual01/01/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on October 29, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 29, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 14, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on June 9, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Indiana average of 3.25.

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Common questions

What is Belltower Health & Rehabilitation Center's Medicare star rating?
CMS rates Belltower Health & Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Belltower Health & Rehabilitation Center get at its last inspection?
1 health deficiency at the standard inspection on June 9, 2025. The Indiana average is 7.2.
Has Belltower Health & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Belltower Health & Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Belltower Health & Rehabilitation Center?
CMS lists 24 owners and managers, and links the home to Fundamental Healthcare. Legal business name: MAJOR HOSPITAL.

Sources

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