Belltower Health & Rehab: Infection Testing Delays - IN
That's what inspectors found when they visited Belltower Health & Rehabilitation Center on October 29, 2025, following a complaint. A resident identified in the inspection report as Resident B had been ordered urine testing twice, in September and again in October, and both times the facility waited days before collecting the sample. Both times, the results came back positive for infection. Both times, the nurse practitioner learned about the delays only when federal inspectors showed up and started asking questions.
The first order came on September 17. The Director of Nursing told inspectors that collecting urine from Resident B was difficult, and that the sample wasn't obtained until September 22, five days later. The lab found the infection on September 24. Results were then sent for culture and sensitivity testing to identify which antibiotic would actually work against whatever was growing. An antibiotic was started September 26, nine days after the original order. The Director of Nursing acknowledged to inspectors that the urine should have been collected when it was ordered.
The second order came on October 6. The sample wasn't collected until October 9. Culture and sensitivity results didn't come back until October 17, eleven days after the physician ordered the test. Those results were also positive for infection.
The Director of Nursing told inspectors the facility had never requested a separate order for the culture testing and had never sought an order to collect the urine through a catheter, which would have bypassed the collection difficulty entirely. She also acknowledged something that the nurse practitioner later confirmed from the other direction: that culture results should arrive within one to two days of the urinalysis, not eleven.
The nurse practitioner, interviewed separately at 3:29 p.m. on the day of inspection, said she had not been notified of the delay in obtaining samples for either the September 17 or the October 6 order. She said the gap between ordering a test and actually collecting the specimen was delayed both times, and that she had not known about it. When inspectors asked about the collection difficulty, she said straight catheterization was a standard option when urine was hard to obtain. She hadn't ordered it. She hadn't known she needed to.
The Administrator confirmed the delays to inspectors and said culture and sensitivity results had taken longer than the facility's own policy anticipated.
Inspectors requested policies on following physician orders for urinalysis testing. None were provided.
The citation was rated at the level of minimal harm or potential for actual harm, affecting a few residents. That designation sits near the lower end of the federal harm scale, but it captures something the numbers don't: a resident with two confirmed infections, two rounds of delayed diagnosis, and a treating clinician who was making decisions without knowing the tests she ordered weren't being run on time.
The facility did provide a transportation policy and a physician orders policy during the inspection. The physician orders policy said a qualified licensed nurse would obtain and transcribe orders according to facility practice guidelines. What it didn't address, and what inspectors found missing entirely, was any written procedure for following through on urinalysis orders specifically, including what to do when collection was difficult and how quickly results needed to be escalated to the ordering provider.
The nurse practitioner put it plainly. She had not ordered catheterization because she was not aware of the delays. If someone had called her in September, she said, that was an option she could have used. Nobody called.
Resident B was transported to at least one medical appointment by facility transportation during this period, the inspection report notes, suggesting the resident was engaged with the broader care system. The infection, and the lag in treating it, unfolded in the background.
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.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 23, 2026 · Our methodology
BELLTOWER HEALTH & REHABILITATION CENTER in GRANGER, IN was cited for violations during a health inspection on October 29, 2025.
That's what inspectors found when they visited Belltower Health & Rehabilitation Center on October 29, 2025, following a complaint.
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.