6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
South Bend, IN
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1950 Ridgedale Rd, South Bend, IN
(574) 291-6722
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
183
Certified beds
Average residents
102
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
American Senior Communities
Operator or chain grouping
Approved since
1969-10-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
91 facilities
Chain averages 4 overall / 3 health / 2 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.53
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.91
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,179
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.01
Baseline 18.97% · Performance 19.11% · Measure score 5.01 · Achievement 5.01 · Improvement 0
Healthcare-associated infections
0
Baseline 6.62% · Performance 7.98% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.67
Baseline 46.74% · Performance 52.78% · Measure score 2.67 · Achievement 2.67 · Improvement 0
Adjusted total nurse staffing
0.80
Baseline 2.85 hours · Performance 3.23 hours · Measure score 0.80 · Achievement 0.53 · Improvement 0.80
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.46% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 4.65% · Lower 95% interval 5.53% |
| Discharge to community | 49.25% |
50.57%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 38.3% · Lower 95% interval 37.92% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.92% |
95.27%
2.7 pts better
|
Numerator 47 · Denominator 48 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 48 |
| Discharge self-care score | 31.03% |
53.69%
22.7 pts worse
|
Numerator 9 · Denominator 29 |
| Discharge mobility score | 41.38% |
50.94%
9.6 pts worse
|
Numerator 12 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 6.38% |
2.29%
4.1 pts worse
|
Numerator 3 · Denominator 47 · Adjusted rate 4.47% |
| Healthcare-associated infections requiring hospitalization | 7.98% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 13.79% · Lower 95% interval 4.53% |
| Staff COVID-19 vaccination coverage | 3.73% |
8.2%
4.5 pts worse
|
Numerator 5 · Denominator 134 |
| Staff flu vaccination coverage | 29.52% |
42%
12.5 pts worse
|
Numerator 49 · Denominator 166 |
| Discharge function score | 48.28% |
56.45%
8.2 pts worse
|
Numerator 14 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 34.48% |
25.2%
9.3 pts better
|
Numerator 10 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
93.6%
4.9 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 100.0% · Q3 100.0% · Q4 97.8% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.4%
4.6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.8%
0.8 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 4.8% · Q4 3.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 22.9% |
24.6%
1.7 pts better
|
11.4%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 14.1% · Q3 24.0% · Q4 38.2% · 4Q avg 22.9% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
5.6%
2.7 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.3% · Q3 3.9% · Q4 3.7% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
23.5%
3.9 pts better
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 17.7% · Q3 21.1% · Q4 26.8% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
14.8%
6.9 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 9.8% · Q3 2.0% · Q4 6.8% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.0%
0.6 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.0% |
13.3%
9.3 pts better
|
16.3%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.7% · Q3 7.1% · Q4 2.6% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.6% |
11.7%
9.1 pts better
|
14.9%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 3.1% · Q4 4.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.2%
0.9 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
24.2%
2.3 pts better
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 30.7% · Q3 13.2% · Q4 18.5% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
4.1%
2.4 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 7.8% · Q3 5.7% · Q4 7.3% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
81.6%
11.7 pts better
|
81.7%
11.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 91.2% · Q3 92.0% · Q4 95.2% · 4Q avg 93.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.2% |
10.5%
2.7 pts worse
|
12.0%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 15.8% · Expected 13.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.3%
0.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.2% |
79.0%
17.2 pts better
|
79.7%
16.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
22.4%
0.4 pts better
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 26.3% · Expected 28.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Infection Control (1 deficiency)
19 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Resident Rights (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-04-25
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-25
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-25
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-05-01
Fire Safety
Develop a communication plan.
Corrected 2024-05-01
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-05-01
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-05-01
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-05-01
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-07-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-15
Fire Safety
Meet other general requirements.
Corrected 2024-05-01
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2024-07-15
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-07-15
Fire Safety
Install proper backup exit lighting.
Corrected 2024-07-15
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-05-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-05-01
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-21
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-03-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-03-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-21
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-03-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-21
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-03-21
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-06
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-11
Health
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.
Corrected 2025-07-11
Health
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.
Corrected 2025-03-28
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-03-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-01
Health
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.
Corrected 2024-04-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-01
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-10-15
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-02-15
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-02-15
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-15
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-02-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-02-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-02-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Nearby options
Mishawaka, IN
3-star overall rating with 2-star inspections with 13 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
South Bend, IN
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
South Bend, IN
3-star overall rating with 2-star inspections with 8 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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