Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HEALTHWIN HEALTH & REHABILITATION

SOUTH BEND, IN · 145 certified beds · Last Life Safety survey April 22, 2026

CMS Certification Number 155153 · first certified November 1973

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

New ownershipOwnership changed January 8, 2025 (change of ownership)from ST. CLAIR DARDEN HEALTH SYSTEM INC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IN

44 citations — more than 98% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 24 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 6 months from now. This facility’s last Life Safety survey was April 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

7 of the 44 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 44 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	44
Median facility in IN	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 15, 2024	11
February 19, 2025	9
April 22, 2026	24

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	3	2026-04-22
K-0511	Have properly installed electrical wiring and gas equipment.	3	2026-04-22
K-0324	Provide properly protected cooking facilities.	3	2026-04-22
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2026-04-22
K-0363	Install corridor and hallway doors that block smoke.	2	2026-04-22
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-04-22
E-0041	Implement emergency and standby power systems.	2	2026-04-22
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-04-22

What the citations cover

Citations by CMS category

Smoke Deficiencies 16
Gas, Vacuum, and Electrical Systems Deficiencies 8
Emergency Preparedness Deficiencies 7
Egress Deficiencies 5
Other 8

Citations by CMS category
Category	Citations
Smoke Deficiencies	16
Gas, Vacuum, and Electrical Systems Deficiencies	8
Emergency Preparedness Deficiencies	7
Egress Deficiencies	5
Services Deficiencies	5
Miscellaneous Deficiencies	2
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 22, 2026 — 24 citations

Citations issued on April 22, 2026
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has plan of correction
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has plan of correction
E-0037	Establish staff and initial training requirements.	Deficient, Provider has plan of correction
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has plan of correction
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (July 10, 2026)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (July 10, 2026)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (July 10, 2026)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (July 10, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has plan of correction
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has plan of correction
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has plan of correction
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 10, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (July 10, 2026)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (July 10, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (July 10, 2026)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (July 10, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 10, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (July 10, 2026)
K-0904	Have a properly installed medical gas master alarm panel.	Deficient, Provider has plan of correction
K-0907	Ensure medical gas and vacuum systems have documented maintenance programs.	Deficient, Provider has plan of correction
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has plan of correction
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 10, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has plan of correction
K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen.	Deficient, Provider has plan of correction

February 19, 2025 — 9 citations

Citations issued on February 19, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 6, 2025)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (May 6, 2025)
K-0222	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.	Deficient, Provider has date of correction (May 6, 2025)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (May 23, 2025)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (May 23, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 6, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 6, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (May 6, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 6, 2025)

March 15, 2024 — 11 citations

Citations issued on March 15, 2024
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (May 6, 2024)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (May 6, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (May 2, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 1, 2024)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (April 29, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 2, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (May 10, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 5, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 6, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 29, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 29, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.