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Holy Cross Village at Notre Dame Inc

54515 Sr 933 N, Notre Dame, IN 46556 · St. Joseph County · (574) 287-1838

52 certified beds, about 46 residents a day · Non profit - Corporation · Medicare and Medicaid since 2006

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155745 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 6, 2026, inspectors cited 7 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 14 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 4.89 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.87 of those hours.

35.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).

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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
12D
0E
1F
Potential for minimal harm
0A
0B
0C
May 6, 2026Standard inspection · 7 citations
  1. D
    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, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on record review and interview the facility failed to update a care plan timely for a resident that acquired a new pressure ulcer for 1 of 15 residents whose care plans were reviewed. (Resident 8)
  2. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure 1 of 2 nursing staff (Qualified Medication Aide 2) administering medications demonstrastrated competence.
  3. 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) June 12, 2026
    Inspectors wroteBased on record review and interview the facility failed to monitor medications for 2 of 6 residents whose medications were reviewed. (Residents 4 and 1)1. A record review was completed on 5/1/2026 at 9:01 A.M. for Resident 4. Diagnoses included, but were not limited to type 2 diabetes mellitus. A Quarterly Minimum Data Set (MDS) assessment, dated 3/17/2026, indicated Resident 4 received daily insulin injections. Physician Orders included, but were not limited to, the following: -dated 4/6/2026 Insulin Glargine Subcutaneous Solution Pen-injector 100 units/milliliter inject 20 units subcutaneously in the evening for diabetes mellitus. -dated 8/12/2025 HA1C (glycated hemoglobin test- a blood test that measures average blood sugar levels over the past 2-3 months) every 6 months. Review of the clinical record indicated a HA1C lab test had not been completed until 3/20/2026. [...]
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure documentation regarding incidents that had occurred in the facility were included in the resident's Electronic Medical Record for 2 of 2 resident's reviewed for accidents. (Residents 43 and 1)
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain enhanced barrier precautions during the administration of a tube feeding for 1 of 1 residents observed receiving gastrostomy tube care. (Resident 6)
  6. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on record review and interview, the facility failed to provide a timely consented pneumococcal immunization for 1 of 5 residents reviewed for infection control. (Resident 29)
  7. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on record review and interview, the facility failed to provide a timely COVID-19 immunization for 1 of 5 residents reviewed for infection control. (Resident 29)
March 13, 2025Standard inspection · 0 citations
September 27, 2024Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure staff transferred a dependent resident with a mechanical lift in accordance with physician orders and the plan of care for 1 of 3 residents reviewed for mechanical lifts. (Resident E) This deficient practice resulted in a fall and the resident sustained a left shin fracture. The deficient practice was corrected on 7/31/2024, prior to the start of the survey, and was therefore past non-compliance.
June 26, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · 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) July 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to report an allegation of abuse for 1 of 3 residents reviewed for abuse (Resident C).
March 25, 2024Standard inspection · 5 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) April 13, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items in a cooler were sealed securely after opening, failed to have clean cooking utensils and skillets without missing Teflon, failed to ensure microwaves were clean and free of food debris, failed to remove expired foods, and failed to date foods when opened, in 1 of 1 kitchens and 1 of 3 pantries observed. This had the potential to affect the 47 of 48 residents who received meals from the kitchen. (Main Kitchen)
  2. D
    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, isolated · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on record review and interview, the facility failed to revise a care plan for an anti-anxiety medication for 1 of 15 residents whose care plans were reviewed. (Resident 8)
  3. 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) April 13, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to prevent the development of pressure areas for 1 of 3 residents reviewed for pressure areas. (Resident 9)
  4. 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) May 18, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide timely incontinent care, for 1 of 2 residents who were reviewed for urinary incontinence. (Resident 9)
  5. 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) April 13, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication storage areas were free of expired medications, expired glucose testing solution, failed to ensure medications had resident identifiers, and failed to store medications in a safe/sanitary manner in a medication refrigerator, for 1 of 2 medications carts and 1 of 2 medication rooms observed. (Dujarie Medication Cart and Dujarie Medication Storage Room)

Fire safety inspections

20 fire safety citations on file: 13 on May 6, 2026, 3 on March 13, 2025, 4 on March 25, 2024.

Every fire safety citation20 citations
  1. F
    Establish staff and initial training requirements.
    E 37 · May 6, 2026 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · May 6, 2026 · Corrected (the home has a date of correction)
  3. F
    Install proper backup exit lighting.
    K 281 · May 6, 2026 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 6, 2026 · Corrected (the home has a date of correction)
  5. F
    Install an approved automatic sprinkler system.
    K 351 · May 6, 2026 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 6, 2026 · Corrected (the home has a date of correction)
  7. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 6, 2026 · Corrected (the home has a date of correction)
  8. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 6, 2026 · Corrected (the home has a date of correction)
  9. F
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · May 6, 2026 · Corrected (the home has a date of correction)
  10. E
    Have simulated fire drills held at unexpected times.
    K 712 · May 6, 2026 · Corrected (the home has a date of correction)
  11. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · May 6, 2026 · Corrected (the home has a date of correction)
  12. C
    Implement emergency and standby power systems.
    E 41 · May 6, 2026 · Corrected (the home has a date of correction)
  13. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 6, 2026 · 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 · March 13, 2025 · Corrected (the home has a date of correction)
  15. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 13, 2025 · Corrected (the home has a date of correction)
  16. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 13, 2025 · Corrected (the home has a date of correction)
  17. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 25, 2024 · Corrected (the home has a date of correction)
  18. E
    Install an approved automatic sprinkler system.
    K 351 · March 25, 2024 · Corrected (the home has a date of correction)
  19. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 25, 2024 · Corrected (the home has a date of correction)
  20. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 25, 2024 · 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)4.893.693.86
Registered nurses0.870.670.69
All nursing staff on weekends4.503.253.42
Nurse aides3.34
Licensed practical nurses0.68
Nursing staff turnover (share who left in a year)35.5%45.9%45.8%
Registered nurse turnover46.2%40.3%42.9%
Administrators who left1

CMS expects 3.77 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 5.04 on weekdays and 4.50 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.10 in April to June 2025 to 4.89 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.890.875.044.50 12.7%0 of 9046
Oct to Dec 20254.780.814.984.28 6.8%0 of 9248
Jul to Sep 20254.950.965.144.44 6.5%0 of 9247
Apr to Jun 20255.101.005.314.55 9.1%0 of 9146
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.

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
29.111.013.9
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
2.11.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.93.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
27.611.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.03.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.313.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.722.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.210.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.41.8

Owners and operators

Legal business name: HOLY CROSS VILLAGE AT NOTRE DAME, INC..

NameRoleTypeShareSince
Holy Cross Village at Notre Dame, Inc.5% or greater direct ownership interestOrganization100%08/17/1999
Beauchamp, EdwardCorporate directorIndividual07/01/2024
Cholis, PaulCorporate directorIndividual07/01/2024
Freel, ChesterCorporate directorIndividual07/01/2012
Haders, Csc, KenCorporate directorIndividual07/01/2024
Lackenmier, Csc, JamesCorporate directorIndividual07/01/2024
Neff, MarkCorporate directorIndividual07/01/2024
Paskiewicz, LindaCorporate directorIndividual07/01/2016
Place, AndrewCorporate directorIndividual07/01/2024
Shakour, MichelleCorporate directorIndividual07/01/2024
Tingwald, S.Corporate directorIndividual07/01/2024
Freel, ChesterCorporate officerIndividual07/01/2024
Huge, ElizabethCorporate officerIndividual07/01/2024
Kastner, BrandonCorporate officerIndividual07/01/2024
Lackenmier, Csc, JamesCorporate officerIndividual07/01/2024
Mueller, JackCorporate officerIndividual04/18/2021
Neff, MarkCorporate officerIndividual07/01/2024
Paskiewicz, LindaCorporate officerIndividual07/01/2024
Mueller, JackOperational/managerial controlIndividual04/18/2021
Beauchamp, EdwardTrustee of the SNFIndividual07/01/2024
Cholis, PaulTrustee of the SNFIndividual07/01/2024
Freel, ChesterTrustee of the SNFIndividual07/01/2024
Haders, Csc, KenTrustee of the SNFIndividual07/01/2024
Lackenmier, Csc, JamesTrustee of the SNFIndividual07/01/2024
Neff, MarkTrustee of the SNFIndividual07/01/2024
Paskiewicz, LindaTrustee of the SNFIndividual07/01/2024
Place, AndrewTrustee of the SNFIndividual07/01/2024
Shakour, MichelleTrustee of the SNFIndividual07/01/2024
Tingwald, S.Trustee of the SNFIndividual07/01/2024
Brothers of Holy Cross IncAdp of the SNFOrganization07/01/2005
Cassady, RobertAdp of the SNFIndividual08/01/2019
Huge, ElizabethAdp of the SNFIndividual07/01/2024
Mueller, JackAdp of the SNFIndividual04/18/2021

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. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 6, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on May 6, 2026: "Provide and implement an infection prevention and control program."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on September 27, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 6, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Holy Cross Village at Notre Dame Inc's Medicare star rating?
CMS rates Holy Cross Village at Notre Dame Inc 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Holy Cross Village at Notre Dame Inc get at its last inspection?
7 health deficiencies at the standard inspection on May 6, 2026. The Indiana average is 7.2.
Has Holy Cross Village at Notre Dame Inc been fined?
CMS lists no fines in the last three years.
Does Holy Cross Village at Notre Dame Inc 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 Holy Cross Village at Notre Dame Inc?
CMS lists 33 owners and managers. Legal business name: HOLY CROSS VILLAGE AT NOTRE DAME, INC..

Sources

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