Rehabilitation Center at Hartsfield Village
503 Otis R Bowen Dr, Munster, IN 46321 · Lake County · (219) 934-0590
112 certified beds, about 105 residents a day · Non profit - Corporation · Medicare and Medicaid since 1999
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
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155662 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 18, 2025, inspectors cited 7 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 34 health citations since March 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 4.45 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
33.9% 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.
1303/23
203/24
906/24
309/24
708/25
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 34 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
29D
5E
0F
Potential for minimal harm
0A
0B
0C
August 18, 2025Standard inspection · 7 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure personal care signs were not posted in a resident's room and meals were served timely to each resident's table for 4 of 4 residents reviewed for dignity. (Residents 14, 21, 9, and 107)
- E 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper medication storage related to insulin pens and multi-dose vials not labeled when opened or expired for 3 of 5 medication carts and 1 of 1 medication rooms reviewed. (D Wing 1st Floor Cart, A Wing 1st Floor Cart, D Wing 2nd Floor Cart, 1st Floor Medication Room)
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents had a physician's order and an assessment indicating they were able to self-administer their own medications for 1 of 1 resident reviewed for self-administration of medication. (Resident 136)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a Physician's Order was in place for a resident with a back brace and skin discolorations were assessed and monitored for 1 of 1 resident reviewed for positioning and range of motion and 2 of 3 residents reviewed for non-pressure skin conditions. (Residents 2, 19 and 135)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide adequate supervision and implement planned interventions related to following swallowing guidelines for 2 of 2 residents reviewed for accidents/ hazards. (Residents 9 and 21)
- 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a urinary catheter collection bag was kept below the level of the bladder, and the tubing was kept free from constriction or pulling for 1 of 1 resident reviewed for urinary catheters. (Resident 119)
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a medication error rate of less than 5% for 2 of 7 residents observed during medication pass. Four errors were observed during 25 opportunities for errors during medication administration. This resulted in a medication error rate of 16%. (Residents 28 and 116)
September 9, 2024Complaint inspection · 3 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a resident was assessed to self administer medications for a random observation of a medication left at the bedside. (Resident D)
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a resident's PICC (peripheral inserted central catheter, a device used to administer medications intravenously) dressing was changed as ordered for 1 of 2 residents reviewed for intravenous care. (Resident B)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure infection control measures were in place and implemented related to staff (LPN 1) not donning the appropriate PPE (personal protective equipment) during a dressing change for 1 of 2 residents reviewed for intravenous care. (Resident B)
June 3, 2024Standard inspection, Complaint inspection · 9 citations
- E Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a self-medication administration assessment was completed for residents with medications at the bedside, for 4 of 4 random observations. (Residents 6, 73, 88, and 82)
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure areas of bruising and skin tears were assessed and monitored for 4 of 6 residents reviewed for skin conditions non-pressure related. (Residents 26, 60, 168, and 6)
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure each resident's dignity was maintained related to uncovered foley (urinary) catheter bags with urine being seen from the hallway for 1 of 1 residents reviewed for dignity. (Resident 73)
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on record review and interview, the facility failed to thoroughly investigate and resolve grievances in writing from a resident's family member for 1 of 1 resident reviewed for grievances. (Resident B)
- 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure foley (urinary) catheter bags and tubing were kept off the floor, for 2 of 2 residents reviewed for catheters. (Residents 73 and 93)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen was at the correct flow rate for 1 of 1 resident reviewed for oxygen. (Resident 60)
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to ensure blood pressure medication was not administered outside of the physician-ordered parameters for 1 of 5 residents reviewed for unnecessary medications. (Resident 88)
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to maintain clinical records that were complete and accurately documented related to dialysis day, dialysis chair time, and dialysis pick up time, for 1 of 1 resident reviewed for dialysis. (Resident 268)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control practices were in place related to staff failing to sanitize hands in between glove changes for 1 of 1 glucometer use observed and staff failing to donn personal protective equipment (PPE) for a resident in contact precautions during a random infection control observation. (Residents 53 and 73)
March 20, 2024Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's family was notified of a change in condition, for 1 of 3 residents reviewed for notification of change. (Resident H)
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on record review and interview, the facility failed to provide appropriate social services follow up, related to an outside allegation of exploitation and misappropriation for a resident by family and facility staff, for 1 of 3 residents reviewed for change of condition. (Resident B) Finding Includes: During a phone interview, on 3/20/24 at 11:13 a.m., the Adult Protective Services (APS) representative indicated she had contacted the assigned facility Social Worker (SW) regarding Resident B and left voice messages. Detailed voicemails were left for the SW on 1/24/24 at 12:16 p.m. and on 1/25 at 1:52 p.m. The SW called the APS representative back on 1/25/24 at 2:10 p.m. During that call, the APS representative discussed the reports of allegations, which included neglect and financial exploitation of Resident B. [...]
March 13, 2023Standard inspection · 13 citations
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure the admission Minimum Data Set (MDS) assessment was completed within 14 days of admission for 6 of 24 MDS assessments reviewed. (Residents 148, 206, 37, 198, 195, & 12)
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents had Physician's Orders and an assessment to self-administer their own medications for 2 of residents reviewed for self-administration of medication. (Residents 148 and 5)
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and interview, the facility failed to complete a Quarterly Minimum Data Set (MDS) assessment timely for 1 of 24 residents whose MDS assessments were reviewed. (Resident 17)
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure dependent residents were provided assistance with activities of daily living (ADLs) related to shaving for 1 of 6 residents reviewed for ADLs. (Resident 247)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure areas of bruising were assessed and monitored for 1 of 5 residents reviewed for skin conditions (non-pressure related). (Resident 148)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure preventative measures were in place related to offloading a resident's foot to prevent further pressure ulcers for 1 of 3 residents reviewed for pressure ulcers. (Resident 195)
- 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.
Inspectors wroteBased on record review and interview, the facility failed to monitor a resident's urine output after an indwelling foley catheter was removed to prevent reoccurrence for 1 of 3 residents reviewed for bowel and bladder incontinence. (Resident B)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and interview, the facility failed to ensure the meal consumption logs were completed for a resident with a history of weight loss for 1 of 1 residents reviewed for nutrition. (Resident 37)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen tubing was changed as per Physician's Orders and facility policy for 2 of 3 residents reviewed for oxygen therapy. (Residents 37 and 206)
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to manage medications appropriately related to medications not administered as ordered by the physician and the side effects of opioid medication not monitored for 2 of 5 residents reviewed for unnecessary medication. (Residents 191 and 206)
- 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure there was an indication for the use and interventions were attempted prior to administering an as needed (PRN) anti-anxiety medication for 2 of 5 residents reviewed for unnecessary medications. (Residents 148 and 206)
- 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.
Inspectors wroteBased on observation and interview, the facility failed to ensure medications were labeled for 2 of 4 medication carts observed. (A-100 & D-200 carts)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control guidelines were in place and implemented related to ensuring multi-use equipment was disinfected after resident use for random observations for infection control. (Residents 198 and 52)
Fire safety inspections
7 fire safety citations on file: 2 on August 18, 2025, 2 on June 3, 2024, 3 on March 13, 2023.
Every fire safety citation7 citations
- E Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Install corridor and hallway doors that block smoke.
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.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.45 | 3.69 | 3.86 |
| Registered nurses | 0.70 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.83 | 3.25 | 3.42 |
| Nurse aides | 2.57 | ||
| Licensed practical nurses | 1.18 | ||
| Nursing staff turnover (share who left in a year) | 33.9% | 45.9% | 45.8% |
| Registered nurse turnover | 33.3% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.32 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 4.69 on weekdays and 3.83 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.79 in April to June 2025 to 4.45 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.45 | 0.70 | 4.69 | 3.83 | 4.8% | 0 of 90 | 105 |
| Oct to Dec 2025 | 4.53 | 0.78 | 4.71 | 4.06 | 1.5% | 0 of 92 | 96 |
| Jul to Sep 2025 | 5.07 | 0.88 | 5.26 | 4.60 | 3.0% | 0 of 92 | 91 |
| Apr to Jun 2025 | 4.79 | 0.82 | 4.99 | 4.28 | 1.4% | 0 of 91 | 97 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 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.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 32.4 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.7 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.5 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.7 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.4 | 1.8 |
Owners and operators
Legal business name: COMMUNITY VILLAGE INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Community Foundation of Northwest Indiana, Inc | 5% or greater direct ownership interest | Organization | 100% | 05/01/2006 |
| Darrow, Leslie | W-2 managing employee | Individual | 04/18/2014 | |
| Darrow, Leslie | Corporate director | Individual | 07/01/2017 | |
| Dunn, John | Corporate director | Individual | 07/01/2018 | |
| Fesko, Frankie | Corporate director | Individual | 11/16/2009 | |
| Schumacher, Richard | Corporate director | Individual | 07/01/2017 | |
| Torrenga, Donald | Corporate director | Individual | 07/01/2012 | |
| Fesko, Donald | Corporate officer | Individual | 07/01/2017 | |
| Schumacher, Richard | Corporate officer | Individual | 07/01/2015 | |
| Torrenga, Donald | Corporate officer | Individual | 07/01/2012 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on August 18, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on August 18, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on August 18, 2025: "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."
- 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 September 9, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Munster Med-Inn Munster, 1.1 mi · not rated · 57 citations
- Dyer Nursing and Rehabilitation Center Dyer, 2.6 mi · 1 of 5 stars · 75 citations
- Tri-State Village Nrsg & Rhb Lansing, 3.4 mi · 2 of 5 stars · 55 citations
- Ignite Medical Resort Dyer LLC Dyer, 3.5 mi · 1 of 5 stars · 73 citations
- Thryve of South Holland South Holland, 4.1 mi · 3 of 5 stars · 38 citations
- Great Lakes Healthcare Center Dyer, 4.4 mi · 2 of 5 stars · 88 citations
- Harbor Health & Rehab East Chicago, 4.9 mi · 1 of 5 stars · 69 citations
- Aliya of Glenwood Glenwood, 5.2 mi · 1 of 5 stars · 59 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Rehabilitation Center at Hartsfield Village's Medicare star rating?
- CMS rates Rehabilitation Center at Hartsfield Village 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rehabilitation Center at Hartsfield Village get at its last inspection?
- 7 health deficiencies at the standard inspection on August 18, 2025. The Indiana average is 7.2.
- Has Rehabilitation Center at Hartsfield Village been fined?
- CMS lists no fines in the last three years.
- Does Rehabilitation Center at Hartsfield Village 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 Rehabilitation Center at Hartsfield Village?
- CMS lists 10 owners and managers. Legal business name: COMMUNITY VILLAGE INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.