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Nursing HomeMedicaid Investigative

Holy Cross Rehabilitation and Wellness

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

17475 Dugdale Dr, South Bend, IN 46635168 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 30 Google reviews

5
4
3
2
1
Holy Cross Rehabilitation and Wellness Nursing Home in South Bend, IN — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Above-median deficiencies (9 vs median 6)
  • High staff turnover (52%)
  • High RN turnover (69%)

Below average in IN · Meets national RN staffing standard · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

While some families report excellent rehab outcomes and attentive care, the facility has a recurring pattern of serious safety and communication failures. If you choose this facility, maintain a very active presence, monitor medical decisions closely, and ensure you have a direct line of communication with administration to address any lapses in care immediately.

Google Reviews

Google Reviews

30 reviews on Google
Holy Cross Rehabilitation and Wellness receives highly polarized feedback, with some families praising the physical therapy and nursing staff, while others report severe neglect and safety concerns. Critical reviews frequently cite issues with call light response times, poor hygiene, and inadequate medical oversight, leading to traumatic experiences for residents and their families. Prospective families should be aware of the significant inconsistency in care quality reported across different stays.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean6.0ActivitiesN/AMeds2.0Memory7.0Comms3.0ValueN/A

Strengths

  • Effective physical therapy department
  • Attentive and compassionate nursing staff
  • Clean and well-maintained facility environment
  • Helpful administrative support for insurance/financials

Concerns

  • Slow or ignored call light response times (mentioned by 4 reviewers)
  • Poor hygiene and lack of basic resident care (mentioned by 3 reviewers)
  • Inadequate medical oversight and refusal to transfer to hospital (mentioned by 3 reviewers)
  • Poor food quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'17(3)'19(1)'21(2)'23(3)'25(7)'26(3)

Distribution · 32 analyzed

5
17
4
2
3
0
2
1
1
12

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your physical therapy department is highly regarded; how do you integrate those services into a resident's daily routine to ensure they stay active?
  • 2Could you walk me through your current process for responding to call lights, and how you ensure residents receive timely assistance when they need help?
  • 3Given the importance of consistent personal care, what protocols do you have in place to monitor and maintain hygiene standards for each resident?
  • 4We want to ensure our loved one receives prompt medical attention; what is your specific policy for evaluating a resident's condition and determining when a hospital transfer is necessary?
  • 5I see you are active in responding to online feedback; how do you use that input from families to improve the quality of the dining experience and food options?
  • 6With 168 residents, how do you ensure that communication between the nursing staff and family members remains clear and consistent regarding medication management and overall health updates?

Personalized based on this facility's data


Key Review Excerpts

I honestly believe if I had not gone into to the hospital and came here for Rehab, I would not be able to walk

Rehab patient · 2023★★★★★

The Nursing staff and the CNA's are amazing! I would like to thank Westie Nurse RN on days and Tammy CNA on day shift . The CNA CODEY on the evening shift is so thoughtful and so attentive

Rehab patient · 2022★★★★★

She was afraid to even push her call light because she felt it made the nurses and aides mad. One night she pushed her call button to use the restroom. After waiting for over an hour and no response, she started calling for someone

Long-term resident's family · 2017☆☆☆☆
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
3.90hrs
95%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
47%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IN
24.8%
St. joseph
11.3%

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 Facility31.3%
Worse than Avg
Here
31.3%
US
14.4%
IN
11.4%
St. joseph
13.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility86.8%
Worse than Avg
Here
86.8%
US
93.4%
IN
93.6%
St. joseph
96.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
15.4%
IN
13.6%
St. joseph
9.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.7%
Worse than Avg
Here
23.7%
US
19.5%
IN
23.5%
St. joseph
17.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IN
95.4%
St. joseph
96.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.0%
Better than Avg
Here
93.0%
US
79.7%
IN
79.0%
St. joseph
85.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.8%
Better than Avg
Here
91.8%
US
81.8%
IN
81.5%
St. joseph
87.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
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

11deficiencies
Above state avg (7.6)
6 complaint-triggered

This facility has recurring issues with fire safety, emergency preparedness, and medication management, with problems persisting across multiple years despite corrections. Families have filed complaints leading to 4 deficiencies related to resident rights, safety hazards, and facility conditions. While most deficiencies have been corrected, the pattern of repeated violations in critical safety areas and ongoing complaint-triggered inspections suggests potential quality concerns families should investigate thoroughly before making placement decisions.

Mar 13, 2026Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 17, 2025Complaint
1
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

Apr 28, 2025Routine
19
0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0927Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 28, 2025Complaint
2
0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jun 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.

May 21, 2024Routine
12
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Holy Cross Rehabilitation and Wellness

Organization Type

nonprofit

Chain Affiliation

Chain Name

Trinity Health

Chain Size

19 facilities nationwide

Chain avg rating: 3.4/5 · Rank 14 of 20

Ownership & Management

Key personnel

Smith, ScottOfficer / DirectorSprunger, KyleOfficer / DirectorWheeler, DaneOfficer / DirectorTrinity Continuing Care Services Indiana INCManagerAnderson, RayManager
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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