Belltower Health & Rehabilitation Center
BELLTOWER HEALTH & REHABILITATION CENTER in GRANGER, IN — inspection on October 29, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
transported to the appointment by facility transportation as ordered.
The Administrator indicated there was a delay in collecting Resident B's urine for testing on 9/17/25 and on 10/6/25 and that culture and sensitivity results had taken longer than facility policy's expectations.
During an interview on 10/29/25 at 3:00 P.M., the Director of Nursing indicated there had been a delay in collecting Resident B's urine for testing that was ordered on 9/17/25 because collecting urine from the resident was difficult.
She indicated the urine was not collected until 9/22/25 and had been sent to the lab for testing and was found to be positive for infection on 9/24/25.
The Director of Nursing indicated the results were sent on for culture and sensitivity testing as ordered, to determine the appropriate antibiotic for treatment.
The Director of Nursing was not certain when the culture results had been received by the facility, but an antibiotic was initiated on 9/26/25 per a physician's order.
The Director of Nursing indicated the urine sample should have been collected when ordered and there had been a delay from the time of the order to the collection of the urine.
The Director of Nursing indicated when the physician ordered the urinalysis on 10/6/25, the sample was not collected until 10/9/25 and again there had been a delay in collecting the urine for testing.
The Director of Nursing indicated the culture and sensitivity result for the urinalysis order on 10/6/25 was not received until 10/17/25 and was positive for infection.
The Director of Nursing indicated the facility had not request an order for the culture and an order was not made to collect urine samples through a catheter.
The Director of Nursing indicated urine culture results often took six days to obtain and that nursing standards indicated test results should have been obtained in 24 to 48 hours after the urine had been received by the laboratory.During an interview on 10/29/25 at 3:29 P.M., the Nurse Practitioner indicated the facility had not notified her of the delay in obtaining urine samples for the urinalysis ordered on 9/17/25 or 10/6/25 and that the time between the order and the collection time was delayed.
The Nurse Practitioner indicated there had been a long delay in receiving the culture and sensitivity results and those results should have been obtained in one to two days after the urinalysis results were received.
The Nurse Practitioner indicated when urine samples were difficult to obtain, straight catheterization was an option.
She indicated she had not ordered a straight catheterization because she was not aware of the delays in the urine collection.On 10/29/25 at 2:00 P.M., a policy titled, LEADERSHIP POLICIES AND PROCEDURES.TRANSPORTATION POLICY was provided by the Administrator indicating it was the current facility policy.
The policy indicated, .The Facility Provides safe and efficient transportation as available. to meet patient and resident needs.Transportation is provided for medical appointments.On 10/29/25 at 2:00 P.M., a policy titled Physician Orders was provided by the Director of Nursing indicating it was the current policy.
The policy indicated, .The qualified licensed nurse will obtain and transcribe orders according to Facility Practice Guidelines.On 10/29/25 at 3:00 P.M., policies regarding following physician orders for urinalysis testing were requested but not provided.This citation relates to Intake 2650865. 3.1-37(a)(b)
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