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
was difficult.
She indicated the urine was not collected until 9/22/25 and had been sent to the lab for
antibiotic for treatment.
The Director of Nursing was not certain when the culture results had been
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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.