Belltower Health & Rehab: Urine Test Delays - IN
The first order came on September 17, 2025. The urine wasn't collected until September 22. Results came back positive for infection on September 24, and the facility sent the sample for further culture and sensitivity testing to identify the right antibiotic. The Director of Nursing told inspectors she wasn't certain when those culture results came back, but an antibiotic was started September 26, nine days after the original order.
Then it happened again.
A second urinalysis was ordered October 6. Staff didn't collect the sample until October 9. The culture and sensitivity results didn't arrive until October 17, eleven days later. The Director of Nursing acknowledged that urine cultures were taking about six days to return from the lab, and said nursing standards called for results within 24 to 48 hours of the lab receiving the sample.
The nurse practitioner who had written both orders didn't know any of this. During an interview on October 29, she told inspectors the facility had never notified her of either delay. She said the gap between order and collection was unacceptable, and that when a patient makes urine collection difficult, straight catheterization is a standard option. She hadn't ordered it because nobody told her there was a problem.
The Director of Nursing confirmed the facility never requested an order for catheterization and never sought one.
Inspectors requested policies related to following physician orders for urinalysis testing. None were provided.
The Director of Nursing did not dispute the timeline. She told inspectors directly that the urine sample should have been collected when ordered, and that both collection delays were exactly that: delays.
The resident's infection had been confirmed. The nurse practitioner who could have intervened sooner was kept in the dark for weeks.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Belltower Health & Rehabilitation Center from 2025-10-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
BELLTOWER HEALTH & REHABILITATION CENTER in GRANGER, IN was cited for violations during a health inspection on October 29, 2025.
The first order came on September 17, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.