Holy Cross Rehabilitation and Wellness
17475 Dugdale Dr, South Bend, IN 46635
Holy Cross Rehabilitation and Wellness is a nursing home in South Bend, Indiana. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionApril 28, 2025 (1 year ago)
- Health citations since May 23, 202326 (Indiana average 23)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of May 27, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Health inspection on May 15, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for F0684 4 times since 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for F0689 2 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.4 to 3.9 hours per resident per day.
Health inspection on March 13, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 24, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 24, 2026.
CMS has cited this home for F0880 3 times since 2024.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on September 17, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on October 22, 2025.
CMS has cited this home for F0565 2 times since 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health citation
CMS removed citation F0625 from the health inspection on May 21, 2024.
Health inspection on April 28, 2025
8 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 8 citations
Citation F0565. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on June 6, 2025.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on June 6, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 6, 2025.
CMS has cited this home for F0656 2 times since 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 6, 2025.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on June 6, 2025.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 6, 2025.
CMS has cited this home for F0812 2 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 6, 2025.
Citation F0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on June 6, 2025.
Fire safety inspection on April 28, 2025
13 citationsCMS lists this as a standard inspection.
Show the 13 citations
Citation E0031. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on July 22, 2025.
Citation E0037. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on August 16, 2025.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on August 15, 2025.
CMS has cited this home for E0039 2 times since 2024.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on July 22, 2025.
CMS has cited this home for E0041 2 times since 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on July 22, 2025.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on July 22, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on July 22, 2025.
CMS has cited this home for K0918 2 times since 2023.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on July 6, 2025.
Citation K0927. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
CMS lists it as corrected on July 22, 2025.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on July 22, 2025.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on July 22, 2025.
Citation K0351. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on July 22, 2025.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on July 22, 2025.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Health inspection on June 25, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 22, 2024.
Health inspection on May 21, 2024
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on July 5, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 5, 2024.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CMS lists it as corrected on July 5, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 5, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on July 5, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 5, 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS lists it as corrected on July 5, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 5, 2024.
CMS has cited this home for F0761 2 times since 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 5, 2024.
Fire safety inspection on May 21, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 22, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on July 22, 2024.
CMS has cited this home for K0363 2 times since 2023.
Citation E0039. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on July 22, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of December 21, 2023
Name
CMS lists a new name for this home. It was SANCTUARY AT HOLY CROSS.
Health inspection on May 23, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 23, 2023.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on June 23, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 23, 2023.
Fire safety inspection on May 23, 2023
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on July 14, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on July 14, 2023.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 14, 2023.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on July 14, 2023.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on July 14, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (574) 247-7500
- Last standard health inspection
- April 28, 2025 (1 year ago)
- Certified beds
- 168
- Residents per day, on average
- 71.7
- Ownership type
- Non profit - Other
- Legal business name
- Adams County Memorial Hospital
- Chain
- Trinity Health
- Takes part in
- Medicare and Medicaid
More health citations than the Indiana average (26 vs 23).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- TRINITY CONTINUING CARE SERVICES INDIANA INCOperational/managerial control · not applicable · since 08/01/2017
- ANDERSON, RAYOperational/managerial control · not applicable · since 01/01/2025
- BATTJES, ABIGAILOperational/managerial control · not applicable · since 08/26/2022
- BORNE-BAUMAN, CANDICEOperational/managerial control · not applicable · since 01/01/2019
- BOWENS, MARCUSOperational/managerial control · not applicable · since 04/01/2022
Show 13 more
- CARTER, BENJAMINOperational/managerial control · not applicable · since 01/01/2025
- DRAKE, DANIELOperational/managerial control · not applicable · since 01/01/2025
- FLUECKIGER, RUSSELLOperational/managerial control · not applicable · since 08/01/2017
- ISACKSEN, DANIELOperational/managerial control · not applicable · since 01/01/2025
- LEHMAN, SCOTTOperational/managerial control · not applicable · since 07/14/2020
- MACKLIN, LARRYOperational/managerial control · not applicable · since 08/01/2017
- MCINTIRE, DAVIDOperational/managerial control · not applicable · since 01/01/2019
- MOORE, JOSHUAOperational/managerial control · not applicable · since 01/01/2025
- ROTH, DANIELOperational/managerial control · not applicable · since 01/01/2025
- SEPPALA, CHRISTINEOperational/managerial control · not applicable · since 01/01/2025
- SMITH, SCOTTOperational/managerial control · not applicable · since 01/01/2020
- SPRUNGER, KYLEOperational/managerial control · not applicable · since 01/01/2018
- WHEELER, DANEOperational/managerial control · not applicable · since 08/01/2017
Questions
When was Holy Cross Rehabilitation and Wellness last inspected?
CMS lists April 28, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Holy Cross Rehabilitation and Wellness have?
CMS lists 26 health citations since May 23, 2023. CMS also calls these deficiencies.
Has Holy Cross Rehabilitation and Wellness been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Holy Cross Rehabilitation and Wellness?
Its CMS overall star rating is 2 of 5.
Is Holy Cross Rehabilitation and Wellness a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.