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Nursing HomeMedicaid Investigative

Healthwin Health & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

20531 Darden Rd, South Bend, IN 46637145 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 46 Google reviews

5
4
3
2
1
Healthwin Health & Rehabilitation Nursing Home in South Bend, IN — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (15 vs median 6)
  • High staff turnover (74%)
  • High RN turnover (70%)

Bottom 25% in IN · Meets national RN staffing standard · Above average staffing · Very high staff turnover · $29,744 in fines

Source: Medicare data

What this means for your family

While the rehabilitation therapy team remains a strong asset, the facility has seen a sharp increase in negative reports regarding nursing responsiveness and administrative communication under new ownership. If you choose this facility, ensure you have a clear plan for frequent family visits to monitor medical needs, as recent reviews suggest staff may be overstretched.

Google Reviews

Google Reviews

46 reviews on Google
Healthwin Health & Rehabilitation has experienced a significant decline in reputation following a change in ownership, with recent reviews frequently citing poor management, understaffing, and unprofessional leadership. While the facility's physical therapy and occupational therapy departments remain highly regarded for their dedication, families report serious concerns regarding medical responsiveness, hygiene, and the quality of daily care. Prospective families should be aware of the stark contrast between the praised therapy services and the critical feedback regarding nursing and administrative oversight.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean5.0Activities7.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Highly skilled and dedicated therapy team (PT/OT)
  • Beautiful, well-maintained facility
  • Compassionate care during end-of-life stays
  • Some long-term staff members provide excellent support

Concerns

  • Significant decline in care quality under new ownership (mentioned by 5 reviewers)
  • Understaffing leading to slow response times and neglect (mentioned by 4 reviewers)
  • Poor communication and unprofessional management/administration (mentioned by 4 reviewers)
  • Inadequate medical oversight and delayed treatment for health issues (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(3)'20(1)'22(4)'24(4)'26(4)

Distribution · 45 analyzed

5
24
4
2
3
0
2
3
1
16

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent changes in ownership, what specific steps is the leadership team taking to ensure consistent quality of care and improved communication with families?
  • 2I noticed the facility has a strong reputation for physical and occupational therapy; how do you coordinate those therapy sessions with the daily nursing care to ensure my loved one stays active?
  • 3With current staffing levels, what is your protocol for ensuring timely responses to call lights, especially during evening and overnight shifts?
  • 4Can you walk me through your process for medication management and how you ensure that any changes in a resident's health status are communicated to the family promptly?
  • 5I see the facility is well-maintained, but could you tell me more about the daily social activities and dining experience available to residents to help them feel at home?
  • 6How does your clinical team handle medical oversight for residents with complex needs, and what is your process for escalating care if a resident’s condition changes unexpectedly?

Personalized based on this facility's data


Key Review Excerpts

The PT and OT at Healthwin are amazing! What I'm here to talk about is the medical side. Multiple times I had to fight to get medical treatment for my mom.

Rehab patient's daughter · 2025☆☆☆☆

Residents are sitting for hours to be taken back to their rooms, calls from residents for help are not being answered or have taken over an hour or more to be answered.

Resident's family member · 2025☆☆☆☆

My mom was at Healthwin for rehab after she broke her hip - great staff , caring nurses , good food - beautiful property - PT and OT were wonderful !

Rehab patient's daughter · 2022★★★★★
Source: 46 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.81hrs
OK
Registered nurses for medical care
Total Nursing
4.32hrs
OK
All nurses + aides combined
Staff Turnover
73%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility40.9%
Worse than Avg
Here
40.9%
US
15.3%
IN
13.0%
St. joseph
15.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
12.1%
IN
24.8%
St. joseph
9.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
14.4%
IN
11.4%
St. joseph
14.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.8%
Worse than Avg
Here
32.8%
US
19.4%
IN
23.8%
St. joseph
24.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
15.4%
IN
13.6%
St. joseph
9.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.0%
Better than Avg
Here
17.0%
US
19.5%
IN
23.5%
St. joseph
17.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility76.7%
Worse than Avg
Here
76.7%
US
81.8%
IN
81.5%
St. joseph
88.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.8%
Better than Avg
Here
86.8%
US
79.7%
IN
79.0%
St. joseph
85.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IN
1.3%
St. joseph
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Well above state avg (7.6)
9 complaint-triggered
$29,744 in fines

Families have filed multiple complaints about this facility, including serious issues like abuse protection and nursing staff shortages, with nine complaint-triggered deficiencies across recent surveys. The facility shows recurring problems in three main areas: resident care planning, medication management, and safety/accident prevention, with these issues appearing across multiple inspections from 2023 through 2025. While all deficiencies show correction dates, the pattern of repeated problems in core care areas suggests ongoing challenges with consistent quality care.

Mar 27, 2025Complaint
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Feb 19, 2025Complaint
4
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0755Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Feb 19, 2025Routine
18
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 25, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 15, 2024Routine
18
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Sep 22, 2023Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

May 26, 2023

$29,744

Ownership & Operations

Who Operates This Facility

Owner / Operator

Healthwin Health & Rehabilitation

Organization Type

for profit

Ownership & Management

Owners

Gottesman, Daniel

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Lustbader, Andrew

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Lustbader, Jonathan

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Duhaime, KelleyManagerIdels, ShimonManagerLieberman, RochelManagerMalott, GreggManagerPrager, ElishevaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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