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Indiana Department of Health


Indiana Department of Health

Division of Long Term Care

CONSUMER REPORT

Residential Care

Posted to the Web on: 7/30/2026

COMMUNITY DEVELOPMENT CORPORATION OF MISHAWAKA, IN

NURSING HOME

RESIDENTIAL FACILITY

Basic Information

FACILITY CONTACT INFORMATION

Address: 500 LINCOLNWAY EAST

City: MISHAWAKA

Telephone: 5748553937

NAME CHANGES

Most recent name change: N/A

Date of most recent name change: N/A

LICENSE INFORMATION

License number: 26-012688-1

License name: Community Development Corporation of Mishawaka, Indiana

License id: 371513199

License effective date: 10/01/2025

License expiration date: 09/30/2026

Administration and Staff
Admin Type Name Start Date End Date
Administrator THOMAS KLEMPAY 03/05/2025
Director of Nursing RACHAEL BUSHELL 10/09/2025
Bed Counts

COMPREHENSIVE CARE BEDS:

RESIDENTIAL CARE BEDS:

Total number of beds in facility: 44

Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:

CLINICAL TRAINING SITES:

This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:

COMPLAINTS

SUBSTANTIATED COMPLAINT SURVEYS:

STATE LICENSURE SURVEYS

The ISDH conducts a state licensure survey at each licensed residential facility approximately once per year. If state findings are cited on a survey, the residential facility may be requested by the ISDH to complete a plan of correction on how and when they will correct each state finding and who will be responsible to ensure the corrections are made and will not reoccur in the future. The plan of correction is generally submitted by the residential facility and reviewed by the ISDH within fifteen (15) days of the survey.

To read an overview of the survey process, click here

NOTE: The residential consumer report survey information begins with surveys that have been completed on or after December 1, 2008. Any survey performed prior to that date will not have any information in the state findings count rows or columns or will show zero.

Most Recent 2nd Most Recent 3rd Most Recent
Number of State Findings N/A N/A N/A
Survey Report N/A N/A N/A
SURVEY HISTORY

The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.

Event ID Survey Type Exit Date
WMYV11 Complaint 05/26/2026
ETXB11 Complaint 03/26/2026
QTG511 Complaint 09/30/2025
CJDW12 Complaint, Re-Licensure, Revisit 08/20/2025
T0GZ12 Complaint, Revisit 08/20/2025
T0GZ11 Complaint 07/07/2025
CJDW11 Complaint, Re-Licensure 06/19/2025
KLH611 Complaint, Re-Licensure 08/16/2024
XYFX11 Complaint 06/10/2024
5IR111 Complaint, Re-Licensure 09/19/2023
LJBM11 Complaint 08/03/2023
6IVP11 Complaint 07/20/2023
JGBQ11 Complaint 03/31/2023
DENT11 Complaint 03/01/2023
OHCM11 Complaint 12/28/2022
SUFQ11 Complaint 10/07/2022
143R11 Complaint 09/08/2022
5WUT11 Complaint 06/21/2022