nursing home in Granger, IN

Belltower Health & Rehabilitation Center

5805 North Fir Road, Granger, IN 46530 · (574) 406-6600

★★★★★4
Above average
CMS overall star rating
  • Health inspections★★★★★4
  • Staffing★★★★★3
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Belltower Health & Rehabilitation Center at a glance

Belltower Health & Rehabilitation Center is a 96-bed for-profit nursing home in Granger, Indiana (St. Joseph County).

CMS gives it 4 out of 5 stars on its overall star rating, better than the Indiana average of 3.1.

Residents receive about 3.3 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (June 9, 2025) found 2 health citations. The Indiana average is 7.2.

It has not received a federal fine in the past three years.

Nursing staff turnover is 30.5% per year (state average 45.9%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
96
Certified for
Medicare and Medicaid
Chain / affiliated entity
Fundamental Healthcare
Medicare-certified since
July 27, 2016
Resident/family council
Resident
County
St. Joseph County
CMS Certification Number
155850

Ratings

MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)4 / 53.1 / 53 / 5Better
Health inspection rating ⓘ (higher is better)4 / 52.8 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)3 / 52.5 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)4 / 54.1 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 54.3 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)4 / 53.8 / 53.3 / 5Better

Staffing

This facility3.35 hrsIndiana average3.69 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.35 hrs3.69 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.44 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.03 hrs2.24 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.06 hrs3.25 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)30.5%45.9%45.8%Better
Registered nurse turnover (yearly) (lower is better)16.7%40.3%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility2Indiana average7U.S. average9
Health citations in the most recent inspection: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)279Better
Citations from complaint investigations (latest cycle) (lower is better)123Better
Weighted health inspection score ⓘ (lower is better)2349.280.6Better

Penalties

This facility0Indiana average0U.S. average1
Fines in the past 3 years: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)001Better
Total fines in the past 3 years (lower is better)$0$8,742$30,972Better
All federal penalties in the past 3 years (lower is better)001Better

Size

MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Certified beds9696107
Average residents per day897386
Occupancy93.1%76.2%80.9%

Long-stay residents

This facility5.7%Indiana average3.9%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.7%3.9%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)2.7%3.6%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)8.9%13.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.3%1.1%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.4%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)16.2%11%13.9%Worse
Long-stay residents whose walking worsened (lower is better)19.3%11.9%14.1%Worse
Long-stay residents who lose too much weight (lower is better)7.7%5.5%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)11.8%25.2%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)12.8%23.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)27.1%23.3%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%95.4%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%93.6%93.6%Better

Short-stay residents

This facility0.5%Indiana average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.5%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)98.8%79%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)99.1%81.8%82%Better

Inspection citations

State inspectors cited this home for 22 health deficiencies and 41 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
October 29, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected December 30, 2025
June 9, 2025
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected October 30, 2025
June 9, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected October 1, 2025
June 9, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Meet other general requirements that are deficient.
Services Deficiencies · Tag K0500
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 1, 2025
June 9, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected October 1, 2025
June 9, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected September 12, 2025
June 9, 2025
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
E
Potential harm, pattern
Corrected September 12, 2025
June 9, 2025
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
E
Potential harm, pattern
Corrected September 12, 2025
June 9, 2025
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
E
Potential harm, pattern
Corrected September 12, 2025
June 9, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected September 12, 2025
June 9, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected October 1, 2025
June 9, 2025
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected October 1, 2025
June 9, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected September 12, 2025
June 9, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected September 12, 2025
June 9, 2025
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
C
No harm, widespread
Corrected September 12, 2025
June 9, 2025
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
C
No harm, widespread
Corrected September 12, 2025
June 9, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected June 30, 2025
May 8, 2025
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected June 4, 2025
May 8, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 4, 2025
July 29, 2024
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected September 9, 2024
July 29, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected September 9, 2024
July 29, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected September 9, 2024
July 29, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected September 9, 2024
July 29, 2024
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
E
Potential harm, pattern
Corrected September 9, 2024
July 29, 2024
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
E
Potential harm, pattern
Corrected September 9, 2024
July 29, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected September 9, 2024
July 29, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected September 9, 2024
July 29, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected August 12, 2024
July 29, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected August 12, 2024
July 29, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected August 12, 2024
August 14, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected December 11, 2023
August 14, 2023
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected December 5, 2023
August 14, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected December 5, 2023
August 14, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected December 11, 2023
August 14, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected December 5, 2023
August 14, 2023
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
E
Potential harm, pattern
Corrected December 5, 2023
August 14, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected December 11, 2023
August 14, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected December 5, 2023
August 14, 2023
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
E
Potential harm, pattern
Corrected December 5, 2023
August 14, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected September 18, 2023
August 14, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected September 18, 2023
August 14, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected September 18, 2023
August 14, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected September 18, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CARMEAN, MARTI
Individual
adp of the snfNOT APPLICABLE05/06/2019
CLAXTON, RYAN
Individual
adp of the snfNOT APPLICABLE03/27/2025
FUNDAMENTAL ADMINISTRATIVE SERVICES LLC
Organization
adp of the snfNOT APPLICABLE07/05/2016
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC
Organization
adp of the snfNOT APPLICABLE07/05/2016
MORGAN POWERS, DEANNA
Individual
adp of the snfNOT APPLICABLE02/01/2021
VAN DEN DRIESSCHE, THOMAS
Individual
adp of the snfNOT APPLICABLE01/01/2021
BEATY, JEFF
Individual
corporate directorNOT APPLICABLE02/01/2003
BLACK, STEPHEN
Individual
corporate directorNOT APPLICABLE01/01/2013
BURTON, KAREN
Individual
corporate directorNOT APPLICABLE01/01/2013
CALDWELL, DANA
Individual
corporate directorNOT APPLICABLE02/01/2008
COFFIN, JOHN
Individual
corporate directorNOT APPLICABLE10/01/2009
HAEHL, PHILLIP
Individual
corporate directorNOT APPLICABLE01/01/2013
MERCURI, RALPH
Individual
corporate directorNOT APPLICABLE09/01/2008
SANDMAN, JAN
Individual
corporate directorNOT APPLICABLE02/01/2006
STEVENS, MELANIE
Individual
corporate directorNOT APPLICABLE02/01/2006
TANDY, SHERRI
Individual
corporate directorNOT APPLICABLE02/01/2006
CLAXTON, RYAN
Individual
corporate officerNOT APPLICABLE03/27/2025
GUSTAFSON, PAULA
Individual
corporate officerNOT APPLICABLE01/01/2013
KUHN, HEATHER
Individual
corporate officerNOT APPLICABLE01/01/2013
MERCURI, RALPH
Individual
corporate officerNOT APPLICABLE09/01/2008
CARMEAN, MARTI
Individual
operational/managerial controlNOT APPLICABLE05/06/2019
CLAXTON, RYAN
Individual
operational/managerial controlNOT APPLICABLE03/27/2025
SHIPPENSBURG HEALTH CARE LLC
Organization
operational/managerial controlNOT APPLICABLE05/20/2016
VAN DEN DRIESSCHE, THOMAS
Individual
operational/managerial controlNOT APPLICABLE01/01/2021

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  4. Majestic Care of South Bend

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  5. Holy Cross Village at Notre Dame INC

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Frequently asked questions

What is Belltower Health & Rehabilitation Center's rating?

Belltower Health & Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Indiana nursing homes is 3.1 stars.

How many inspection citations did Belltower Health & Rehabilitation Center receive?

Its most recent standard health inspection found 2 citations, compared with a Indiana average of 7.2. Every citation is listed on this page with its severity.

Does Belltower Health & Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Belltower Health & Rehabilitation Center?

It is for profit - corporation and part of Fundamental Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Belltower Health & Rehabilitation Center and how do I contact it?

Belltower Health & Rehabilitation Center is at 5805 North Fir Road, Granger, IN 46530. Phone: (574) 406-6600.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.