Healthwin Health & Rehabilitation
20531 Darden Rd · South Bend, IN · 46637 · 5742720100
145 certified beds For profit - Limited Liability company
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 3.65 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D March 27, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025
Provide activities to meet all resident's needs.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
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.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Provide and implement an infection prevention and control program.
Corrected March 25, 2025 · Infection Control
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Potential for harm · E February 19, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · E February 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · F February 19, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 25, 2025 · Nursing and Physician Services
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Potential for harm · F February 19, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 25, 2025 · Pharmacy Service
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Potential for harm · D September 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
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.
Corrected April 11, 2024 · Pharmacy Service
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Potential for harm · F March 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2024 · Nutrition and Dietary
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Actual harm · G September 22, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 13, 2023 · Quality of Life and Care
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Potential for harm · D January 19, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 3, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155153 · certified since November 23, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.