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

SOUTHFIELD VILLAGE

SOUTH BEND, IN · 60 certified beds · Last Life Safety survey January 13, 2026

CMS Certification Number 155684 · first certified December 2000

Ownership

Operated by GREENCROFT COMMUNITIES · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

29
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
9
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within IN

29 citations — more than 85% 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 15 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was January 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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Which alerts

5 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

4 of the 29 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)

3 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 29 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

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.

This facility29IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility29
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-1042024-10152026-01
Citations at each Life Safety survey
Survey dateCitations
October 31, 202310
October 31, 20244
January 13, 202615

Most-cited tags

Most-cited tags at this facility
K-09183K-03512K-02812K-03632E-00412K-07122K-09202K-03242
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32026-01-13
K-0351Install an approved automatic sprinkler system.22026-01-13
K-0281Install proper backup exit lighting.22026-01-13
K-0363Install corridor and hallway doors that block smoke.22026-01-13
E-0041Implement emergency and standby power systems.22026-01-13
K-0712Have simulated fire drills held at unexpected times.22026-01-13
K-0920Ensure proper usage of power strips and extension cords.22024-10-31
K-0324Provide properly protected cooking facilities.22026-01-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 8
  • Emergency Preparedness Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies8
Emergency Preparedness Deficiencies4
Miscellaneous Deficiencies3
Egress Deficiencies2
Services Deficiencies2
Construction Deficiencies1

Every citation on file

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

January 13, 2026 — 15 citations

Citations issued on January 13, 2026
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 17, 2026)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 17, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 17, 2026)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 17, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 17, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 17, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 17, 2026)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (April 17, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 17, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 17, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 17, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 17, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 17, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 17, 2026)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (April 17, 2026)

October 31, 2024 — 4 citations

Citations issued on October 31, 2024
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (December 31, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 31, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 31, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 31, 2024)

October 31, 2023 — 10 citations

Citations issued on October 31, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 20, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (December 20, 2023)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (December 20, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (January 19, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 20, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 20, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 20, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 20, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 20, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 20, 2023)

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