Belltower Health & Rehabilitation Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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BELLTOWER HEALTH & REHABILITATION CENTER in GRANGER, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GRANGER, IN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BELLTOWER HEALTH & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.