Residential care: none inside the line — the Fir Road pair across it

2018–2026 · the state record

The in-line negative is tested against the state's own book: no nursing home, licensed residential-care facility, or hospice house is seated inside the designated place in the Indiana Department of Health's long-term-care record, or in the directories as reached, as of November 2026. The old-age course of this ground's farm century was the family farm's own — the biographies of the county histories are full of its shape, the widowed mother in the son's household, the aged parents on the home place — and its public edge was the trustee's relief and the county home, whose courses are the Government and South Bend entries'. The licensed institution, when it came to this side of the county, came to Fir Road — and Fir Road's licensed ground, like the hospital's, tests inside Mishawaka.

BellTower Health & Rehabilitation Center, 5805 North Fir Road: a skilled nursing and nursing facility, dually certified, in the state's Facility Consumer Report (Indiana Department of Health, Division of Long Term Care, the report as created July 25, 2025): license 24-013644-1, effective October 1, 2024; the owning corporation printed as Major Hospital, the Shelbyville house; the administrator Marti Carmean, in the post since May 6, 2019; the director of nursing Loretta Lewis, since July 24, 2023; the federal survey record showing a one-story, fully sprinklered building. The house's size prints in the small conflict the record carries: a 100-bed community by its own account; 96 certified beds in the federal provider record. Its opening year is a named gap of this section — the state licensing file for facility 013644 and the federal provider file's original certification date are its settlers.

The Hearth at Juday Creek, 6330 North Fir Road: the pair's second house stands a half-mile north of BellTower on the same road and the same side of the line, and the state's record distinguishes it precisely: it is licensed as a residential facility — residential care, not a nursing home — held by Hearth at Juday Creek LLC, of the Hearth Management family of Binghamton, New York; license 18-012229-1, effective April 1, 2018; 147 residential care beds, of which 135 stood occupied as the facility reported on February 15, 2018 (the state consumer report as created June 8, 2018). Its opening year, like BellTower's, is a named gap, with the state's residential-facility file as its settler. A third Juday Creek name in the care directories, Commons at Juday Creek on Indiana 23, was tested by its coordinates and stands in South Bend-side Clay Township, far west near the creek's mouth — outside this place and this section, named only so the creek's three care names do not merge.

Hospice and home care reach the ground from seats elsewhere: the valley's hospice house and its offices are Mishawaka's — the Center for Hospice Care's course is the Mishawaka build's, whole — and home-health and home-hospice service to this ground's houses runs from the city systems' arms, Memorial Home Care among them, whose course is the South Bend build's. Neither is re-dug here; what is this ground's is the shape: a place of thirty thousand people whose dying, like its birthing for a century and a half, happens at home or across a line.

Sources:

1. Indiana Department of Health, Division of Long Term Care, Facility Consumer Reports, read for this section: BellTower Health & Rehabilitation Center (report created July 25, 2025 — the license, the owner, the administrator and director of nursing with their start dates; the facility census as reported January 14, 2019); the Hearth at Juday Creek (report created June 8, 2018 — the residential license, the 147 beds, the February 15, 2018 occupancy).
2. Centers for Medicare & Medicaid Services, provider and survey records for BellTower (96 certified beds; the one-story, fully sprinklered survey record); the facility's own published account (the 100-bed description), printed as the variance it is.
3. U.S. Census Bureau, Census Geocoder (2020 vintage), containment tests run for this section, November 2026: 5805 and 6330 North Fir Road (Harris Township; the incorporated place of Mishawaka; no census-designated place); Commons at Juday Creek by coordinates (Clay Township, west).