Holy Cross

    17475 Dugdale Dr, South Bend, IN, 46635
    2.9 · 36 reviews
    • Independent living
    • Assisted living
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Understaffed facility with inconsistent care

    I had a mixed experience. The building is bright and the dining area and rooms are generally clean and airy, and therapy staff and some nurses/CNAs were excellent and attentive. But the place is clearly understaffed and poorly managed - long call-light waits, inexperienced or rushed CNAs, spotty nursing/therapy communication, delayed maintenance and missing items, and frequent cold or late meals (no diabetic menu). Safety and hygiene lapses (incontinence not always managed, cancelled PT, confusing discharge plans) left me uneasy; recommend only if you can accept uneven care.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.86 · 36 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      2.8
    • Meals

      2.4
    • Amenities

      3.1
    • Value

      1.0

    Pros

    • Kind, gentle, and loving nursing staff (frequently cited)
    • Attentive and prompt CNAs in many reports
    • Strong therapy/rehab services (PT/OT) for some residents
    • Life-changing rehab outcomes reported by several families
    • Connected to St. Joseph's Hospital (referral/continuity benefit)
    • Private rooms and single-occupancy options available
    • Clean, bright, and welcoming common areas in some units
    • Well-maintained facility reported by some reviewers
    • Skilled wound care and clinical competence in some cases
    • Helpful business office staff who assist with finances
    • Managers/staff introduced themselves and were approachable
    • Good food and snacks noted by a number of reviewers
    • Pleasant atmosphere and peaceful environment in positive reports
    • Flexible accommodations and spacious rooms in some areas
    • Attentive cleaning staff keeping areas tidy in positive reports

    Cons

    • Highly inconsistent quality of care between shifts/units
    • Short-staffing and understaffing, especially evenings
    • Long call light response times or ignored call buttons
    • Rude, snarly, or unprofessional nurses and aides reported
    • Inexperienced or rough CNAs and male aides causing concern
    • Poor communication with families and lack of PoA updates
    • Therapy sessions cancelled and unclear rehab plans/discharge
    • Mobility aids removed prematurely; inappropriate wheelchair use
    • Inadequate consideration for dementia and memory care needs
    • Incontinence and hygiene neglect; residents left in wet clothes/bed
    • Unsanitary conditions: urine odor in halls, sticky/stained floors
    • Food issues: cold dinners, late meals, no diabetic menu, repulsive food
    • Lack of activities or condescending activities; overreliance on TV
    • Facility maintenance problems: plumbing, lighting, disrepair
    • Small or ill-prepared rooms; missing furniture/TV/dresser deliveries
    • Transfer shortcuts, unexplained bruises, and injury risk during moves
    • Allegations of theft, managerial dishonesty, and retaliation
    • High cost with perceived poor value for care received
    • Unclear or sudden discharge notices and lack of follow-up
    • Safety concerns including falls, found on floor, and EMS refusal
    • Denied or delayed pain medication in reported cases
    • Families having to clean or supply basic items for rooms
    • Reported resident deaths and at least one related lawsuit
    • Poor overall management and failure to investigate complaints
    • Privacy issues during medication administration (insulin)

    Summary review

    Overall impression: The reviews for Holy Cross are deeply mixed and highly polarized. Many accounts praise individual caregivers, therapists, and certain aspects of the facility (clean spaces, private rooms, a helpful business office, and strong rehabilitation results). At the same time, a significant portion of reviews describe systemic problems: inconsistent care quality, staffing shortages, communication failures, safety incidents, and hygiene or maintenance issues. The net sentiment is that experiences vary dramatically by unit, shift, or even individual staff members — producing both glowing recommendations and warnings of serious neglect.

    Care quality and staff behavior: One clear pattern is variability in the quality and professionalism of frontline staff. Numerous reviewers explicitly describe kind, loving, and attentive nurses and CNAs who went above and beyond — these caregivers are repeatedly credited with prompt assistance, good wound care, helpful therapy, and emotional support. Conversely, other reviewers report rude, snarly, or rough aides and nurses who ignore call buttons, have very slow response times, or display unprofessional conduct. Several reviews detail inexperienced or rough handling by male aides and CNAs, residents left unattended, and accounts of staff not following through. Short-staffing is often cited as an underlying cause for hurried or cursory care and for staff being “preoccupied” with other tasks rather than patient needs.

    Rehab and therapy: Therapy is another area with wide variation. Many families praise physical and occupational therapy and report excellent, life-changing rehabilitation outcomes and connectivity to St. Joseph's Hospital. At the same time, other reviewers report cancelled PT sessions, progress plateaus, unclear therapy plans, and therapy staff that are unresponsive to family inquiries. Some reviews also note premature removal of mobility aids (walker) and inappropriate or premature reliance on wheelchairs, which family members believe hindered recovery. Unclear discharge planning and lack of communication from therapy or nursing about goals and timelines recur as significant frustrations.

    Safety, clinical concerns, and incidents: Several serious safety issues appear in the reviews. These include residents being found on the floor, denied or delayed pain medication, urine-soaked bedding or clothing from unmanaged incontinence, and transfers that allegedly caused bruising. There are also grave allegations such as refusal to call EMS in emergencies and at least one report of a death under care that led to legal action. Families report that these safety and clinical failures are often associated with poor supervision, rushed transfers, and staffing gaps. There are also allegations of managerial misconduct, including claims of dishonesty, theft of money, retaliation, and unfair termination of staff who raised concerns — all of which undermine trust in leadership and follow-up on complaints.

    Cleanliness and maintenance: Facility condition and cleanliness are inconsistent across reviews. Some reviewers describe bright, airy dining spaces, attentive cleaning staff, and no odor issues. Others report urine smells in halls, sticky or stained floors, stained food, days-old meals left out, and pervasive maintenance problems: outdated or aged buildings, bad plumbing, poor lighting, and rooms in disrepair. Numerous comments describe small rooms, missing furniture or delayed deliveries (TVs, dressers, appropriate wheelchairs), and families sometimes needing to supply or clean the room themselves. These disparities suggest that cleanliness and maintenance are uneven and potentially dependent on specific units or time periods.

    Dining and nutrition: Opinions on food are split. Positive reviews praise good food, snacks, and accommodating dining areas; some rehabilitative stays report adequate therapeutic nutrition. Negative reviews highlight cold meals, long waits, missing diabetic or specialized menu options, repulsive food descriptions, and even reports of no meals provided in extreme cases. Timeliness of meal delivery and assistance with eating (residents needing help but not receiving it) are recurring concerns tied back to staffing shortages.

    Activities and social engagement: Multiple reviewers note a lack of meaningful activities, residents sitting alone, and an overreliance on television as the default activity. Some accounts describe condescending or token activities rather than genuinely engaging programming. Conversely, a number of families report occasional entertainment, activities, and social dining where residents can interact — again showing variability across the facility or shifts.

    Communication and management: Poor communication is a frequent theme: families report unresponsiveness from nurses, therapy, and management; lack of information to Powers of Attorney about care or discharge; and promises made by staff that are not fulfilled (delivered equipment, furniture, or services). Several reviewers specifically name managerial failures and a lack of follow-up on complaints. Positive notes about the business office and managers introducing themselves indicate that pockets of effective management exist, but inconsistent leadership and follow-through are significant pain points.

    Serious allegations and legal concerns: A few reviews include severe allegations — theft of money, managerial dishonesty (one name cited), improper handling of complaints, and at least one death under care that prompted or was linked to a lawsuit. These reports, while less frequent than other complaints, are notable because they concern resident safety, legal exposure, and institutional accountability.

    Patterns and practical takeaways: The dominant pattern is inconsistency — the same facility is described as “amazing” by some and a “hell hole” by others. Positive experiences frequently highlight specific staff members (nurses, CNAs, therapists, finance staff) who provide compassionate, competent, and prompt care. Negative experiences tend to cluster around times/units with short staffing, poor maintenance, and weak management responsiveness. Common actionable concerns families raise include monitoring call-light response times, observing mealtime assistance, confirming therapy schedules and discharge plans in writing, asking about dementia and incontinence care protocols, checking cleaning and odor conditions, and clarifying emergency procedures and incident reporting.

    Conclusion: Holy Cross elicits strongly divergent reviews that make it essential for prospective residents and families to do targeted due diligence. When staffing, leadership, and therapy are functioning well, the facility can provide excellent, compassionate care and effective rehabilitation. However, recurring reports of understaffing, communication breakdowns, hygiene or maintenance problems, safety incidents, and serious managerial allegations indicate material risks that should be investigated before placement. Families should seek specific, verifiable information about staffing ratios, therapy plans, infection control/cleaning protocols, incident reporting, and how the facility addresses complaints and negative incidents to form a balanced, informed decision.

    Location

    Map showing location of Holy Cross

    About Holy Cross

    Holy Cross is a senior living community where staff are known for their helpfulness, kindness, and the way they make everyone feel welcome and at home, so you'll notice a friendly environment right away. The community has many activities that help people stay social, physical, mentally active, and emotionally engaged, which have even won awards for excellence in activities. The dining services focus on serving nutritious, chef-prepared meals that taste good and support health, with a dining room where meals are enjoyed together. There's a Care and Rehab Center called Holy Cross Care and Rehab Ctr that supports people who need short-term or long-term skilled nursing and personal care, so you'll find options for both recovery and ongoing support.

    Holy Cross offers home care if someone prefers to stay at home, sending trained aides who give companionship and help with daily needs for seniors who don't need medical care. People who want independent living can find apartments that take away the hassle of home upkeep and encourage social living for active, healthy seniors. For those living with Alzheimer's or dementia, Holy Cross has memory care services with safe spaces to reduce confusion and prevent wandering, aiming to support each person's dignity. Assisted living helps seniors who are mostly independent but want or need a little help with daily activities like bathing, dressing, or remembering to take medication.

    The rehabilitation center in South Bend helps with short-term rehab needs and physical recovery, and Holy Cross also offers long-term care for those who need extra support over time. Expert staff provide guidance on long-term care planning, family caregiving, and Long-term Care Insurance, with resources to help families make decisions. Smoking isn't allowed in any indoor private or public areas, helping to keep the air clean for everyone.

    Residents have beauty and barber services, wheelchair accessible showers, and both outdoor gardens and indoor common lounges to relax and visit with others. There are nurses, a doctor, nurse, and dentist on call, and services include podiatry, physical, occupational, and speech therapy, hospice care, and holistic, individual-first care that focuses on the whole person. Trinity Senior Living Communities owns and operates Holy Cross, so it's part of a larger group including St. Paul's, Trinity Tower, VNA Home Care, and Saint Joseph PACE. Staff use the Sanctuary model of care, which means they focus on hospitality and caring with open hearts. Neighborhoods in the community are centered around residents and life-enriching activities, and there's plenty of outings and events to keep everyday life interesting.

    The community's air conditioned, there's customer parking, and a garden, and Holy Cross runs community health programs, offers smoking cessation, and supports wellness living. With on-site skilled nursing, short and long-term rehabilitation, and wellness services, Holy Cross aims to keep seniors comfortable, cared for, and involved, whether they live on their own, need support, or are recovering from illness or surgery.

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