Assisted Living
Silver Birch of Mishawaka
3630 Hickory Road, Mishawaka, IN 46545 · Map
State license activeSilver Birch of Mishawaka is a state-licensed assisted living community in Mishawaka, Indiana. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last licensure survey: Oct 24, 2025. See the record
License
Active
Residential Care Facility 26-014260-1.
Nearest emergency room
2.6 miles
Saint Joseph Regional Medical Center, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Silver Birch of Mishawaka this community | Not listed | Not published | Active | 23 state findings in 3 years | |
| Viva Mc South Bend | 0.3 mi | Not listed | Not published | Active | 10 state findings in 3 years |
| Tanglewood Trace | 0.5 mi | Not listed | $3,000/mo | Active | 8 state findings in 3 years |
| Commons at Juday Creek | 1.1 mi | Not listed | Not published | Active | 11 state findings in 3 years |
| Cedarhurst of Edison Lakes | 1.2 mi | Not listed | Not published | Active | 10 state findings in 3 years |
State inspection record23 state findings in 3 years
- Last licensure survey
- October 24, 2025
- Licensure surveys in three years
- 3
- Complaint surveys in three years
- 14
- Complaints with findings cited
- 7
- Complaints with no findings cited
- 22
- State findings (first visits, three years)
- 23
- Substantiated complaint surveys (IDOH count)
- 2026: 7, 2025: 3, 2024: 4
- No findings cited at the last survey (July 2026)
Surveys (newest first)
- July 17, 2026: Complaint, found in compliance · survey report (PDF)
- Intake 470672: No deficiencies related to the allegations are cited.
- June 30, 2026: Complaint, 1 finding cited · survey report (PDF)
- Intake 469538: State deficiencies related to the allegations are cited at R0052.
- Residents' Rights (offense): Based on interview and record review, the facility failed to notify the local law enforcement agency of allegations of sexual abuse made by 1 of 105 residents. 410 IAC 16.2-5-1.2(v)(1-6); correction date in the facility plan July 24, 2026
- June 17, 2026: Complaint, 2 findings cited · survey report (PDF)
- Intake 470182: State deficiencies related to the allegations are cited at R0326 and R0327.
- Intake 470070: No deficiencies related to the allegations are cited.
- Activities Programs (deficiency): Based on interview and record review, the facility failed to ensure residents were provided with ongoing activities while the facility Activity Director was on a personal leave. 410 IAC 16.2-5-7.1(a); correction date in the facility plan July 15, 2026
- Activities Programs (nonconformance): Based on interview and record review, the facility failed to ensure their policy was followed for the posting of and arranging for regularly scheduled transportation that would take residents for outside activities including banks, grocery stores, and shopping centers. 410 IAC 16.2-5-7.1(b); correction date in the facility plan June 23, 2026
- May 20, 2026: Complaint, 1 finding cited · survey report (PDF)
- Intake 469538: State deficiencies related to the allegations are cited at R0297.
- Pharmaceutical Services (noncompliance): Based on record review and interview the facility failed to provide a medication to a resident for 26 days for 1 of 3 residents reviewed for medication administration. 410 IAC 16.2-5-6(c)(1); correction date in the facility plan June 4, 2026
- April 15, 2026: Complaint, found in compliance · survey report (PDF)
- Intake 468734: No deficiencies related to the allegations are cited.
- Intake 469119: No deficiencies related to the allegations are cited.
Show all 12
- February 6, 2026: Complaint, no findings listed · survey report (PDF)
- Intake 467764: No deficiencies related to the allegations are cited.
- Intake 467645: No deficiencies related to the allegations are cited.
- Intake 467654: No deficiencies related to the allegations are cited.
- Intake 467526: No deficiencies related to the allegations are cited.
- Intake 467538: No deficiencies related to the allegations are cited.
- January 6, 2026: Complaint, 1 finding cited · survey report (PDF)
- Intake 466196: State deficiencies related to the allegations are cited at R0247.
- Intake 467085: No deficiencies related to the allegations are cited.
- Health Services (deficiency): Based on interview and record review, the facility failed to notify the physician of medication errors for 1 of 3 residents review for medications. 410 IAC 16.2-5-4(e)(7); correction date in the facility plan January 15, 2026
- October 24, 2025: Re-Licensure, 7 findings cited · survey report (PDF)
- Sanitation and Safety Standards (deficiency): Based on observation and interview, the facility failed to ensure the residential environment was free from carpet stains and damaged walls for 3 of 3 hallways observed. 410 IAC 16.2-5-1.5(a); correction date in the facility plan December 13, 2025
- Sanitation and Safety Standards (deficiency): Based on observation and interview, the facility failed to maintain the walk-in freezer and walk-in refrigerator in good working order. 410 IAC 16.2-5-1.5(b); correction date in the facility plan December 13, 2025
- Health Services (offense): Based on observation, record review and interview, the facility failed to ensure a resident received only physician-ordered medications for 1 of 5 residents reviewed for medication administration. 410 IAC 16.2-5-4(e)(1); correction date in the facility plan December 13, 2025
- Food and Nutritional Services (deficiency): Based on observation and interview, the facility failed to store, prepare and serve food under sanitary conditions for 1 of 1 kitchen areas observed. 410 IAC 16.2-5-5.1(f); correction date in the facility plan November 14, 2025
- Pharmaceutical Services (deficiency): Based on observation and interview, the facility failed to ensure the medication cart was locked when not in use for 1 of 3 medication carts reviewed. 410 IAC 16.2-5-6(e); correction date in the facility plan December 13, 2025
- Mental Health Screening (deficiency): Based on record review and interview the facility failed to develop a care plan in coordination with a mental health provider for 1 of 5 residents reviewed for mental health care. 410 IAC 16.2-5-11.1(g)(1-2); correction date in the facility plan December 13, 2025
- Infection Control (offense): Based on observation, interview and record review, the facility failed to ensure standard precautions (a set of infection control practices used in healthcare settings to prevent the transmission of diseases from both recognized and unrecognized sources) were implemented for 1 of 3 residents observed for blood sugar monitoring. 410 IAC 16.2-5-12(a); correction date in the facility plan December 13, 2025
- October 11, 2025: Complaint, 1 finding cited · survey report (PDF)
- Complaint IN00463899: State deficiencies related to the allegations are cited at R0243.
- Health Services (deficiency): Based on interview and record review the facility failed to ensure professional standards of practice were followed for medication administration and documentation for 1 of 5 reviewed (Resident B). 410 IAC 16.2-5-4(e)(3); correction date in the facility plan November 22, 2025
- July 10, 2025: Complaint, found in compliance · survey report (PDF)
- Complaint IN00462549: No deficiencies related to the allegations are cited.
- June 19, 2025: Complaint, found in compliance · survey report (PDF)
- Complaint IN00455036: No deficiencies related to the allegations are cited.
- January 16, 2025: Re-Licensure, 2 findings cited · survey report (PDF)
- Sanitation and Safety Standards (deficiency): Based on interview and record review, the facility failed to ensure a yearly inspection was performed on the heating and ventilation system. 410 IAC 16.2-5-1.5(e)(1-4); correction date in the facility plan February 5, 2025
- Food and Nutritional Services (deficiency): Based on observation and interview, the facility failed to store food under sanitary conditions related to undated food in the food preparation area for 1 of 1 kitchen areas observed and failed to serve food in a sanitary manner for 1 of 1 dining rooms observed. 410 IAC 16.2-5-5.1(f); correction date in the facility plan February 5, 2025
IDOH consumer report → (SILVER BIRCH OF MISHAWAKA)
What these terms mean
IDOH: “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.” Survey reports are posted after the plan of correction is approved, usually four to six weeks after the visit.
Indiana law (IC 16-28-5-1) puts each rule in one of four classes: an offense, “which presents a substantial probability that death or a life-threatening condition will result”; a deficiency, “which presents an immediate or a direct, serious adverse effect on the health, safety, security, rights, or welfare of a patient”; a noncompliance, “which presents an indirect threat to the health, safety, security, rights, or welfare of a patient”; and a nonconformance, any other breach. The class shown with each finding is the one IDOH printed on the report.
A revisit (post survey revisit) is a return visit to check that earlier findings were corrected. Findings listed on a revisit report were not yet corrected at that visit.
Findings are counted from IDOH survey reports for first visits only, so a finding repeated on a revisit is not counted twice. Source: Indiana Department of Health, Division of Long Term Care, data as of October 16, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license
- License type
- Residential Care Facility
- License number
- 26-014260-1
- License status
- Active
- County
- St. Joseph County
- Administrator
- Linsey Fitterling
Source: Indiana state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Indiana licensing record, as of Aug 27, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Indiana, and other programs
How Medicaid pays for care in Indiana
- Indiana PathWays for Aging Waiver (age 60 and older). Indiana Medicaid waivers can pay for assisted living services. On July 1, 2024, the old Aged and Disabled Waiver split into PathWays for Aging (60 and older) and the Health and Wellness Waiver (59 and under). You need a nursing-facility level of care; apply through your local Area Agency on Aging. (state page)
- Health and Wellness Waiver (age 59 and under). Indiana Medicaid waivers can pay for assisted living services. On July 1, 2024, the old Aged and Disabled Waiver split into PathWays for Aging (60 and older) and the Health and Wellness Waiver (59 and under). You need a nursing-facility level of care; apply through your local Area Agency on Aging. (state page)
- Waitlist. Indiana reached its federal limit in April 2024 and keeps a waiting list for the PathWays and Health and Wellness waivers, inviting people each month as slots open. (source)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 2.6 mi, nursing home 0.5 mi, pharmacy 1.0 mi
- Nearest hospital with an emergency room
- Saint Joseph Regional Medical Center, Mishawaka. 2.6 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Brickyard Healthcare - Fountainview Care Center, Mishawaka. 0.5 miles away, straight line.
- Nearest home health agency office
- Interim Healthcare Of South Bend, Mishawaka. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 46545 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Nephrology - Home, Mishawaka, 0.9 miles away, straight line (CMS rating 4 of 5 stars)
Fmc - Nephrology - Mishawaka, Mishawaka, 1.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita Mishawaka Dialysis, Mishawaka, 1.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 46545.
Heart To Heart Hospice Of Northern Indiana LLC, office in Mishawaka, 0.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Comfort 1 Hospice, LLC, office in Mishawaka, 0.7 miles away, straight line
Ascent Hospice LLC, office in South Bend, 1.2 miles away, straight line - Nearest geriatric medicine practice
- Susan Moore Riesbeck, DO, Elkhart. 11.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in June 2026. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Indiana Department of Health, Division of Long Term Care inspection records | Oct 16, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Silver Birch of Mishawaka provide?
Silver Birch of Mishawaka is licensed by the state of Indiana for assisted living in Mishawaka, Indiana.
Does Lilisity rate Silver Birch of Mishawaka?
No. We publish state licensing details for Silver Birch of Mishawaka but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Silver Birch of Mishawaka cost?
Assisted Living in Indiana typically starts at $3,200 to $4,500 a month. Based on 52 communities that publish prices. These are area figures, not this community's price. Silver Birch of Mishawaka does not publish its prices.
How do I contact Silver Birch of Mishawaka?
Use Silver Birch of Mishawaka's website, silverbirchliving.com, or visit at 3630 Hickory Road, Mishawaka, IN 46545.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid