Federal inspection record · CMS data as of October 1, 2026

Southfield Village

6450 Miami Cir, South Bend, IN · (574) 231-1000

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
60
Residents per day
53
Ownership
Government
Chain
Greencroft Communities
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 28, 2000

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Southfield Village carries 50 inspection points. That is fewer than 33% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 50 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–24 pts
  • 3★ 24–42 pts
  • 2★ 42–72 pts
  • 1★ over 72 pts

Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 16 4 pts
E 3 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care5D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 13, 2026 · Standard · F677 · Corrected February 12, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 13, 2026 · Standard · F684 · Corrected February 12, 2026

  3. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 31, 2023 · Standard · F677 · Corrected November 30, 2023

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 31, 2023 · Standard · F684 · Corrected November 30, 2023

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    October 31, 2023 · Standard · F695 · Corrected November 30, 2023

Resident Assessment and Care Planning4D
  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.

    October 31, 2024 · Standard · F657 · Corrected November 30, 2024

  2. D

    Ensure each resident receives an accurate assessment.

    October 31, 2023 · Standard · F641 · Corrected November 30, 2023

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 31, 2023 · Standard · F656 · Corrected November 30, 2023

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 31, 2023 · Standard · F657 · Corrected November 30, 2023

Nutrition and Dietary3F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 13, 2026 · Standard · F812 · Corrected February 12, 2026

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    January 13, 2026 · Standard · F804 · Corrected February 12, 2026

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 31, 2024 · Standard · F812 · Corrected November 30, 2024

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    January 13, 2026 · Standard · F880 · Corrected February 12, 2026

  2. D

    Provide and implement an infection prevention and control program.

    October 31, 2024 · Standard · F880 · Corrected November 30, 2024

  3. D

    Provide and implement an infection prevention and control program.

    October 31, 2023 · Standard · F880 · Corrected November 30, 2023

Resident Rights3D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 13, 2026 · Standard · F580 · Corrected February 12, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 31, 2024 · Standard · F580 · Corrected November 30, 2024

  3. D

    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.

    October 31, 2024 · Standard · F625 · Corrected November 30, 2024

Pharmacy Service2E
  1. 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.

    January 13, 2026 · Standard · F761 · Corrected February 12, 2026

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    October 31, 2023 · Standard · F755 · Corrected November 30, 2023

Nursing and Physician Services1D
  1. 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.

    January 13, 2026 · Standard · F726 · Corrected February 12, 2026

Inspection history

  1. 2026-01-13

    8 health deficiencies · 15 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-10-31

    5 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  3. 2023-10-31

    8 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 56 min of nursing staff time a day, 59 min of it from a registered nurse.

This home

3 h 56 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 27% of nursing staff and 43% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better99.4%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better100.0%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse5.8%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms24.9 pts better0.6%25.5%13.5%
Percentage of long-stay residents who lose too much weight3.6 pts better1.7%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.2 pts better8.3%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication13.7 pts better0.0%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better7.6%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts worse20.0%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse0.6%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts worse26.8%22.4%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts worse4.7%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.4 pts better90.3%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better8.7%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better1.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.3 pts better91.5%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts better21.0%21.8%23.4%

·

Who owns and runs it

37 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Woodlawn Hospital5% Or Greater Direct Ownership Interest · Organization100%9 facilities
Bode, GlenTrustee Of The SNF · Individual0%9 facilities
Childs, DeborahOperational/Managerial Control · Individual0%1 facilities
Childs, DeborahAdp Of The SNF · Individual0%1 facilities
Chudzynski, KendraTrustee Of The SNF · Individual0%9 facilities
Coleman, WilliamOperational/Managerial Control · Individual0%1 facilities
Coleman, WilliamAdp Of The SNF · Individual0%1 facilities
Davis, HughOperational/Managerial Control · Individual0%5 facilities
Davis, HughAdp Of The SNF · Individual0%5 facilities
Doran, JosephOperational/Managerial Control · Individual0%1 facilities
Doran, JosephAdp Of The SNF · Individual0%1 facilities
Heyde, AlisonManaging Control - Governing Body · Individual0%9 facilities
Heyde, AlisonTrustee Of The SNF · Individual0%9 facilities
Johnson, TerriManaging Control - Governing Body · Individual0%9 facilities
Johnson, TerriTrustee Of The SNF · Individual0%9 facilities
Lindenman, ElizabethOperational/Managerial Control · Individual0%1 facilities
Lindenman, ElizabethAdp Of The SNF · Individual0%1 facilities
Mellinger, GregoryManaging Control - Governing Body · Individual0%9 facilities
Mellinger, GregoryTrustee Of The SNF · Individual0%9 facilities
Miller, BrandonManaging Control - Governing Body · Individual0%8 facilities
Miller, BrandonTrustee Of The SNF · Individual0%8 facilities
Moore Riesbeck, SusanOperational/Managerial Control · Individual0%1 facilities
Moore Riesbeck, SusanAdp Of The SNF · Individual0%1 facilities
Morgan, SuzanneOperational/Managerial Control · Individual0%1 facilities
Morgan, SuzanneAdp Of The SNF · Individual0%1 facilities
Olinski, LyndaOperational/Managerial Control · Individual0%5 facilities
Olinski, LyndaAdp Of The SNF · Individual0%5 facilities
Rogers, BradleyManaging Control - Governing Body · Individual0%9 facilities
Rogers, BradleyOperational/Managerial Control · Individual0%9 facilities
Shreiner, RobertOperational/Managerial Control · Individual0%1 facilities
Shreiner, RobertAdp Of The SNF · Individual0%1 facilities
Southfield Village IncOperational/Managerial Control · Organization0%1 facilities
Southfield Village IncAdp Of The SNF · Organization0%1 facilities
Troyer, WestonOperational/Managerial Control · Individual0%1 facilities
Troyer, WestonAdp Of The SNF · Individual0%1 facilities
Webb, HarryManaging Control - Governing Body · Individual0%9 facilities
Webb, HarryTrustee Of The SNF · Individual0%9 facilities

·

Fire safety

29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. F

    Provide properly protected cooking facilities.

    January 13, 2026 · K324 · Corrected April 17, 2026

  2. F

    Install a fire alarm system that can be heard throughout the facility.

    January 13, 2026 · K341 · Corrected April 17, 2026

  3. F

    Install an approved automatic sprinkler system.

    January 13, 2026 · K351 · Corrected April 17, 2026

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 13, 2026 · K353 · Corrected April 17, 2026

  5. D

    Install corridor and hallway doors that block smoke.

    January 13, 2026 · K363 · Corrected April 17, 2026

  6. E

    Provide properly protected cooking facilities.

    October 31, 2024 · K324 · Corrected December 31, 2024

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 31, 2023 · K353 · Corrected December 20, 2023

  8. E

    Install an approved automatic sprinkler system.

    October 31, 2023 · K351 · Corrected December 20, 2023

  9. E

    Install corridor and hallway doors that block smoke.

    October 31, 2023 · K363 · Corrected December 20, 2023

Gas, Vacuum, and Electrical Systems8F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    January 13, 2026 · K914 · Corrected April 17, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 13, 2026 · K918 · Corrected April 17, 2026

  3. F

    Ensure that testing and maintenance of electrical equipment is performed.

    January 13, 2026 · K921 · Corrected April 17, 2026

  4. F

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    January 13, 2026 · K927 · Corrected April 17, 2026

  5. F

    Have generator or other power source capable of supplying service within 10 seconds.

    October 31, 2024 · K918 · Corrected December 31, 2024

  6. E

    Ensure proper usage of power strips and extension cords.

    October 31, 2024 · K920 · Corrected December 31, 2024

  7. F

    Have generator or other power source capable of supplying service within 10 seconds.

    October 31, 2023 · K918 · Corrected December 20, 2023

  8. E

    Ensure proper usage of power strips and extension cords.

    October 31, 2023 · K920 · Corrected December 20, 2023

Emergency Preparedness4F
  1. F

    Implement emergency and standby power systems.

    January 13, 2026 · E41 · Corrected April 17, 2026

  2. F

    Establish procedures for tracking staff and patients during an emergency.

    October 31, 2024 · E18 · Corrected December 31, 2024

  3. F

    Conduct testing and exercise requirements.

    October 31, 2023 · E39 · Corrected December 20, 2023

  4. F

    Implement emergency and standby power systems.

    October 31, 2023 · E41 · Corrected December 20, 2023

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    January 13, 2026 · K712 · Corrected April 17, 2026

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    January 13, 2026 · K761 · Corrected April 17, 2026

  3. F

    Have simulated fire drills held at unexpected times.

    October 31, 2023 · K712 · Corrected December 20, 2023

Services2F
  1. F

    Meet other general requirements that are deficient.

    January 13, 2026 · K500 · Corrected April 17, 2026

  2. E

    Have properly installed electrical wiring and gas equipment.

    January 13, 2026 · K511 · Corrected April 17, 2026

Egress2E
  1. E

    Install proper backup exit lighting.

    January 13, 2026 · K281 · Corrected April 17, 2026

  2. E

    Install proper backup exit lighting.

    October 31, 2023 · K281 · Corrected January 19, 2024

Construction1F
  1. F

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    October 31, 2023 · K131 · Corrected December 20, 2023

·

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