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Nursing HomeMedicaid

Rehabilitation Center at Hartsfield Village

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

503 Otis R Bowen Dr, Munster, IN 46321112 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.5/5

based on 44 Google reviews

5
4
3
2
1
Rehabilitation Center at Hartsfield Village Nursing Home in Munster, IN — Street View
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What this means for your family

While the facility is physically clean and offers a strong physical therapy program, the recurring reports of severe understaffing and poor medical communication are critical red flags. If you are considering this facility, we strongly advise you to ask management for their current nurse-to-patient ratio and to verify their policy on agency staff usage before making a decision.

Google Reviews

Google Reviews

44 reviews on Google
Hartsfield Village receives frequent, severe criticism regarding chronic understaffing, poor communication, and inconsistent nursing care that has led to serious health complications for residents. While some reviewers praise the physical therapy department and the cleanliness of the facility, many families report that their loved ones suffered from neglect, medication errors, and slow response times. The facility is consistently described as struggling to maintain adequate care levels, with many families expressing deep regret over their decision to place relatives there.

Quality Themes

Tap a score for details
Food5.0Staff2.0Clean8.0ActivitiesN/AMeds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Effective physical therapy program
  • Select dedicated and hard-working individual staff members

Concerns

  • Chronic understaffing and high reliance on agency staff (mentioned by 12 reviewers)
  • Slow response times to call buttons and patient needs (mentioned by 8 reviewers)
  • Poor communication with families and lack of medical updates (mentioned by 6 reviewers)
  • Medication management errors and delays (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(1)'20(2)'22(6)'24(6)'26(4)

Distribution · 47 analyzed

5
12
4
3
3
5
2
4
1
23

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the high praise for your physical therapy program, how do you ensure that same level of dedicated, consistent care carries over into daily nursing support?
  • 2I noticed that staffing levels are a high priority for your facility; how do you integrate agency staff with your permanent team to ensure they are familiar with each resident's specific needs?
  • 3What is your standard process for updating families on medical changes or health status, and who is our primary point of contact for these communications?
  • 4With the current focus on medication management, what specific safeguards or double-check systems do you have in place to ensure medications are administered accurately and on time?
  • 5When a resident uses their call button, what is your internal goal for response time, and how do you monitor those requests to ensure no one is left waiting?
  • 6Beyond the physical therapy sessions, what types of social activities or daily engagement programs are available to help residents feel connected and active within the community?

Personalized based on this facility's data


Key Review Excerpts

My mom went in being able to walk and came out with pressure wounds on her feet which ended up killing her. Please do not choose to send your loved ones here.

Family member · 2024☆☆☆☆

Hartsfield is understaffed and has 1 nurse taking care of 20+ patients at a time so I don't blame all of the nurses. My Grandma's bed was left filthy and I had to tell staff to please change t

Grandchild · 2023☆☆☆☆

The facility was very clean, But instead of making it look like A high end hotel they should invest in an incentive program for their staff. Most of the staff was very kind with the exception of two aids.

Family member · 2022★★★☆☆
Source: 44 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
4.53hrs
OK
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
30%
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 · 16 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
12.1%
IN
24.8%
Lake
37.7%

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 Facility31.0%
Worse than Avg
Here
31.0%
US
14.4%
IN
11.4%
Lake
9.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
IN
13.6%
Lake
14.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IN
93.6%
Lake
91.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IN
95.4%
Lake
92.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.4%
Mixed vs Avgs
Here
18.4%
US
19.5%
IN
23.5%
Lake
14.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
81.8%
IN
81.5%
Lake
76.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.3%
Better than Avg
Here
93.3%
US
79.7%
IN
79.0%
Lake
73.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
IN
1.3%
Lake
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (7.6)
6 complaint-triggered

This facility has a concerning pattern of 41 deficiencies across five surveys, with six triggered by family complaints. Recurring problems involve medication management, quality of care, and resident rights issues that persist across multiple inspections from 2023 to 2025. While the facility reports correcting each violation, the repeated nature of similar deficiencies—particularly around medication administration and care standards—suggests ongoing challenges that families should carefully consider.

Aug 18, 2025Routine
9
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Sep 9, 2024Complaint
3
0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 3, 2024Routine
10
0222Potential for harm · WidespreadCorrected

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.

0554Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Jun 3, 2024Complaint
1
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Mar 20, 2024Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Mar 13, 2023Routine
16
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0636Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rehabilitation Center at Hartsfield Village

Organization Type

nonprofit

Ownership & Management

Owners

Community Foundation of Northwest Indiana, INC

Owner · Organization

100%

Key personnel

Darrow, LeslieW-2 Managing EmployeeDarrow, LeslieOfficer / DirectorDunn, JohnOfficer / DirectorFesko, FrankieOfficer / DirectorSchumacher, RichardOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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