South Bend, IN

West Bend Nursing And Rehabilitation

3-star overall rating with 2-star inspections with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

4600 W Washington Ave, South Bend, IN

(574) 282-1294

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

157

Certified beds

Average residents

60

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1990-03-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing

LPN hours / resident day

0.58

Licensed practical nurse staffing

Aide hours / resident day

2.50

Nurse aide staffing

Weekend hours

3.02

Weekend nurse staffing

RN turnover

38%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
93.6%
5.5 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 3.7%
3.8%
0.1 pts better
3.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 17.9%
24.6%
6.7 pts better
11.4%
6.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.1%
5.6%
1.5 pts better
5.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.2%
23.5%
3.7 pts worse
19.6%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.0%
14.8%
6.8 pts better
16.7%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 9.9%
13.3%
3.4 pts better
16.3%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 3.8%
11.7%
7.9 pts better
14.9%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.4%
0.1 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.9%
1.2%
0.3 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.6%
24.2%
1.4 pts worse
19.8%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.4%
4.1%
3.3 pts worse
5.1%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.7%
81.6%
7.1 pts better
81.7%
7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.3%
0.5 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86.8%
79.0%
7.8 pts better
79.7%
7.1 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-09 · Fire 2024-12-09

12 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-12-08 · Fire 2023-12-08

4 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-10-25 · Fire 2022-10-25

13 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-28

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-08-19

F · Potential for more than minimal harm 2024-12-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-04

F · Potential for more than minimal harm 2024-12-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-12-09

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-12-09

K321 · Smoke Deficiencies

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 2025-02-04

E · Potential for more than minimal harm 2024-12-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-12-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-04

E · Potential for more than minimal harm 2023-12-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K321 · Smoke Deficiencies

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 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-01-20

E · Potential for more than minimal harm 2023-12-08

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-19

F · Potential for more than minimal harm 2022-10-25

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2022-12-06

F · Potential for more than minimal harm 2022-10-25

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2022-12-06

F · Potential for more than minimal harm 2022-10-25

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2022-12-06

F · Potential for more than minimal harm 2022-10-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-12-06

F · Potential for more than minimal harm 2022-10-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-12-06

F · Potential for more than minimal harm 2022-10-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-12-06

E · Potential for more than minimal harm 2022-10-25

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-06

E · Potential for more than minimal harm 2022-10-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-12-06

D · Potential for more than minimal harm 2022-10-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-12-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-19

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-19

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-10

F · Potential for more than minimal harm 2024-12-09

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-13

D · Potential for more than minimal harm 2023-12-08

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-08

F761 · Pharmacy Service Deficiencies

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 2024-01-10

E · Potential for more than minimal harm 2022-10-25

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-25

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-25

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-25

F761 · Pharmacy Service Deficiencies

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 2022-11-15

Penalties and ownership

What sits behind the stars

Ownership

The Health And Hospital Corporation Of Marion County

5% Or Greater Direct Ownership Interest · Organization

100% 70 facilities 2011-04-01
American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2011-04-01
Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30
Bailey, Emily

Operational/Managerial Control · Individual

0% 2 facilities 2022-05-04
Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10
Culver, Cynthia

Operational/Managerial Control · Individual

0% 1 facilities 2020-01-13
Drummer, Carl

Corporate Director · Individual

0% 52 facilities 2017-01-01
Fehribach, Gregory

Corporate Director · Individual

0% 21 facilities 2004-12-14
Hanify, Thomas

Corporate Director · Individual

0% 52 facilities 2022-01-01
Harris, Lisa

Corporate Officer · Individual

0% 52 facilities 2003-12-22
Kelsey, Donna

Contracted Managing Employee · Individual

0% 23 facilities 2016-06-01
Lazard, Robert

Corporate Director · Individual

0% 52 facilities 2021-01-29
Mantravadi, Geeta

Corporate Director · Individual

0% 48 facilities 2021-07-21
Mukes-Gaither, Beverly

Corporate Director · Individual

0% 22 facilities 2022-01-01
Payne, Monica

Corporate Director · Individual

0% 48 facilities 2021-08-09
Van Camp, Steven

Contracted Managing Employee · Individual

0% 86 facilities 2019-09-06

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2-star overall rating with 2-star inspections with $10,839 in total fines with 3 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall
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Health
2 / 5
Staffing
3 / 5
Fines
$10,839
#2

Milton Home, The

South Bend, IN

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#3

Holy Cross Village At Notre Dame Inc

Notre Dame, IN

5-star overall rating with 4-star inspections with 3 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
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Fines
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