01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-06 | 7 | 2026-05-06 | 13 |
| Cycle 2 | 2025-03-13 | 1 | 2025-03-13 | 3 |
| Cycle 3 | 2024-03-25 | 6 | 2024-03-25 | 4 |
CMS CCN 1557452026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Holy Cross Village At Notre Dame Inc
54515 Sr 933 N · Notre Dame, IN 46556 · St. Joseph County
Certified beds52CMS provider file
Recent citation rows34current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
34 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-06 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-06 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-06 · FIREE0041Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-06 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-06 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-06 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-06 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-06 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-06 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-06 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-06 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has plan of correction · 2026-06-102026-05-06 · FIREK0281Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has plan of correction · 2026-06-122026-05-06 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has plan of correction · 2026-06-082026-05-06 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has plan of correction · 2026-06-152026-05-06 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-05-06 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has plan of correction · 2026-06-082026-05-06 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has plan of correction · 2026-06-112026-05-06 · FIREK0918Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has plan of correction · 2026-06-082026-05-06 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-06 · FIREK0927Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Correction field: Deficient, Provider has plan of correction · 2026-06-082025-03-13 · FIREK0232Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2025-05-042025-03-13 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-05-042025-03-13 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-05-042024-09-27 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2024-07-31 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HOLY CROSS VILLAGE AT NOTRE DAME, INC.Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/17/1999
- BEAUCHAMP, EDWARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- CHOLIS, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- FREEL, CHESTERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2012
- HADERS, CSC, KENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- LACKENMIER, CSC, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- NEFF, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- PASKIEWICZ, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- PLACE, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- SHAKOUR, MICHELLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- TINGWALD, S.Individual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- FREEL, CHESTERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- HUGE, ELIZABETHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- KASTNER, BRANDONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- LACKENMIER, CSC, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- MUELLER, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/18/2021
- NEFF, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- PASKIEWICZ, LINDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.89per resident day
RN hours0.87per resident day
Weekend nurse hours4.50per resident day
Staff turnover35.5%CMS reported field
06 / LOCAL RECORDS
Open the Indiana ledger →Other published facilities nearby
No second facility in the same city met the directory rule.