The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Healthwin
Registered name: HEALTHWIN HEALTH & REHABILITATION
SOUTH BEND, IN · Medicare-certified · 145 beds
In good standing
For-profit
Data as of July 1, 2026
2 of 5 overall
2 of 5 stars overall. Healthwin in South Bend, IN has low health inspection and staffing ratings at 2 of 5 stars each, a higher quality measures rating of 4 of 5 stars, reported nurse staffing slightly above the federal benchmark (4.24 vs. 4.1 hours per resident per day), and $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2374 hrs/resident/day
Quality measures
Last inspection: April 22, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2374.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.49
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 68%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.2%5.6%Worsening
Residents with a fall causing major injury
3.5%1.4%Improving
Residents with pressure ulcers (bedsores)
4%4.6%Worsening
Residents with a urinary tract infection
1.2%2.7%Worsening
Residents who lost too much weight
9.6%12.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
36.1%8.6%Improving
Residents whose ability to walk got worse
37.1%12.9%Improving
Long-stay residents on antianxiety or sleep medication
13.7%19%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
35%21.7%Improving
Residents with depressive symptoms
44.3%18.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
96.5%89.2%Worsening
Short-stay residents given the seasonal flu vaccine
—86.8%—
Short-stay residents given the pneumonia vaccine
76.5%57.7%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Jan 8, 2025
Now operated by Healthwin Health & Rehabilitation, previously Healthwin.
- Ownership
- For profit - Corporation
- Occupancy
- 89.4 residents on an average day (62% of 145 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.