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Brickyard Healthcare - Brookview Care Center

7145 E 21st Street, Indianapolis, IN 46219 · For profit - Corporation · 136 certified beds · (317) 356-0977 Medicare & Medicaid certified

Call the home — (317) 356-0977 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0610) — cited Jan 2025Behavioral-health or dementia-care citations — no harm found (F0740, F0744)1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$12,740 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $12,740 in federal fines (most recent 2025-10-07)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1311 N. Shadeland Ave., Suite E-J
Pharmacy
2060 N Shadeland Ave · (317) 354-8160 · Call to confirm hours
Grocery
2370 N Shadeland Ave · (317) 358-0620 · Call to confirm hours
Park
6510 E 25th St · (317) 327-7275 · Typically dawn to dusk
Place of worship
Trinity0.6 mi
2440 N Shadeland Ave · (317) 358-8265

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased2.7%11.0%15.4%better
Long-stay residents who lose too much weight1.2%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.4%0.4%0.9%typical for the state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%1.1%2.0%better
Long-stay residents with depressive symptoms5.9%25.2%6.5%typical
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.4%3.9%3.3%typical
Long-stay residents whose ability to walk worsened5.8%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication16.9%23.5%18.9%better
Long-stay residents given the seasonal flu vaccine92.1%95.4%95.3%typical
Long-stay residents with pressure ulcers4.3%3.6%4.7%typical
Long-stay residents with worsening bladder/bowel control26.7%23.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table19.5%13.6%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine44.7%79.0%79.4%worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

9.8%U.S. median 10.7%
Went back to hospital
0.39U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.22hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 6.8–15.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay9.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.091.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.63
RN hours/ resident / day
0.81
LPN hours/ resident / day
2.85
Aide hours/ resident / day
4.29
Total nurse hours/ resident / day
0.38
RN hoursweekends
48.2%
Total nursing turnover
70.6%
RN turnover

How full it usually is: this home is certified for 136 beds and averages 73.3 residents a day — about 54% occupied, or roughly 63 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.29 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.85 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.98 hrs/resident/day on weekends vs 4.42 on weekdays — 10% thinner on weekends. RN hours go from 0.73 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2026-01-28)
3
at the previous standard inspection (2024-12-20)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-10-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a cognitively impaired resident, who was assessed by the facility as an elopement risk, did not exit the facility unsupervised, for 1 of 3 residents reviewed for elopement and elopement risk (Resident B). The resident was able to exit the secured memory care unit through a bathroom window without the knowledge of staff. The resident was found at a local gas station, located in a busy intersection, and later sent to a local hospital after involvement with local police and emergency medical services (EMS).The Immediate Jeopardy began on October 1, 2025, when a cognitively impaired resident with dementia exited the secured memory care unit through a bathroom window unsupervised into a potentially dangerous area, including a multiple lane, busy intersection, that the resident had to cross to get to the local gas station located approximately 0.3 miles away from the facility. The Executive Director, Director of Nursing, and the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2026-01-28 · tag F0740 — failed to provide behavioral / mental-health care — pattern
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to timely develop and update behavior plans of care and to document behaviors on behavior tracking logs for 3 of 3 residents reviewed for behaviors (Resident 12, Resident 50, and Resident 1). Findings include: 1. The clinical record for Resident 50 was reviewed on 1/23/26 at 10:20 a.m. The resident's diagnosis included, but were not limited to, schizophrenia (a chronic and severe mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions) and bipolar disorder (a mental health condition causing extreme shifts in mood, energy, and activity levels, ranging from manic highs to depressive lows). A Quarterly Minimum Data Set (MDS) Assessment, completed 8/11/25, indicated the resident was able to make herself understood and understand others. She had severely impaired decision making and was independent with transfers and ambulation. A Change of Condition Situation progress…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-28 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide an ongoing activity program for 2 of 4 residents reviewed for activities (Resident C and Resident B). Findings include:1.During an observation, on 1/21/26 at 11:38 a.m., Resident C was lying in bed with his eyes open. There was no music or television on in the resident's room. During an observation, on 1/22/26 at 11:56 a.m., Resident C was lying in bed with his eyes open. There was no music or television on in the resident's room.During an observation, on 1/23/26 at 11:18 a.m., Resident C was sitting in his room in a high back wheelchair with his eyes open. There was no music or television on in his room. Review of the clinical record of Resident C, on 1/23/26 at 2:09 p.m., indicated the resident's diagnoses included, but were not limited to, anoxic brain damage (the brain was completely deprived of oxygen, leading to severe physical, cognitive, and emotional issues), persistent vegetative state (consciousness resulting from sever brain damage where awake but showing no signs of awareness), muscle…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-28 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to administer medications as ordered for 1 of 5 residents reviewed for unnecessary medications. (Resident 11) Findings include: 1.The clinical record for Resident 11 was reviewed on 1/21/26 at 11:30 a.m. The resident's diagnosis included, but was not limited to, type 2 diabetes mellitus (chronic metabolic disorder characterized by high blood sugar). A care plan, dated 1/10/25, indicated Resident 11 had diabetes mellitus. The interventions included, but were not limited to, the staff were to administer the diabetic medications as ordered. A physician's order, dated 9/11/25, indicated Resident 11 was to receive 5 units of aspart insulin before meals. The insulin was not to be given if the resident's blood sugar was less than 100. The order was discontinued on 1/21/26. The January 2026 Medication Administration Record indicated on the following dates and shifts Resident 11 had received 5 units of aspart insulin when her blood sugar reading was less than 100: -On 1/8/26 in the morning, the resident's blood sugar reading was 94.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-28 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure staff maintained infection control by touching pill medications with their bare hands for 1 of 1 random observations of a medication administration. (Resident 53) Findings include:An observation was made of Qualified Medication Aide (QMA) 5 at a medication cart on 1/23/26 at 9:44 a.m. QMA 5 was observed to touching the medication drawers and multiple medication cards. The QMA pulled a medication card out of her medication cart and popped the resident's medication tablet into her bare hand. She placed the tablet into a medication cup full of other medications. The QMA indicated, at that time, the medication was for Resident 53. No hand washing or hand sanitizer was used by QMA 5, prior to popping the resident's medication into her hand or during the observation. An interview was conducted with the Nurse Consultant and the Director of Nursing (DON) on 1/23/26 at 2:00 p.m. The DON indicated staff should not touch medication tablets with their bare hands. The clinical record for Resident 53 was reviewed on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-28 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure residents' rooms were homelike and in good repair for 2 of 4 resident rooms observed during an environmental tour. (Resident 10 and Resident 24) Findings include: 1.An observation was made of Resident 10's room on 1/21/26 at 11:22 a.m. The resident's closet door was observed to be broken. During an environmental tour, with Housekeeping Staff 1, Housekeeping Staff 2, and the Senior District Operations Manager on 1/28/26 at 11:51 a.m., Resident 10's room was observed. The sliding closet door was observed not attached inside the medal track causing the closet door to freely move out instead of glide back-n-forth in the track. Housekeeper Staff 1 indicated the closet door had been broken for a while. The Senior District Operations Manager indicated the medal track was bent and needed replaced. 2. An observation was made of Resident 24's room on 1/21/26 at 11:39 a.m. The bottom brown baseboard was observed pulled away from the wall under the heat and air unit. An interview was conducted with Resident 24 on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-28 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a resident with a gastrostomy (feeding) tube received flushes per the physician's orders for 1 of 3 residents reviewed for feeding tubes. (Resident D)Findings include:The clinical record for Resident D was reviewed on 8/27/25 at 3:10 p.m. The diagnoses included, but were not limited to, muscle weakness, dysphagia, diabetes mellitus, and gastrostomy status. A Quarterly Minimum Data Set (MDS) assessment, dated 6/27/25, indicated Resident D had a feeding tube and received greater than 51% of their nutrition via the feeding tube. A care plan for tube feeding, initiated 4/14/25, indicated Resident D required tube feeding related to dysphagia. The interventions included, but were not limited to, see physician orders for current feeding orders and indicated Resident D was dependent with receiving tube feeding and water flushes. A current physician's order, dated 6/23/25, indicated the use of tube feeding to run at 65 milliliters (mLs) per hour and water flushes of 50 mL per hour. An observation was conducted…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a resident was transported to appointments regarding a tunneled catheter removal for 1 of 3 residents reviewed for appointments. (Resident B) Findings include: The clinical record for Resident B was reviewed on 5/27/25 at 10:30 a.m. The diagnoses included, but were not limited to, anoxic brain damage (brain being deprived of oxygen), tracheostomy status ((surgically created hole in the neck that connects to the trachea (windpipe) to help a person breathe)), gastrostomy status (tube inserted through the abdomen and into the stomach), and osteomyelitis of vertebra (infection of the bone). A care plan, dated 4/15/25, indicated Resident B was on intravenous (IV) antibiotics related to an infection. The interventions included, but were not limited to, observing the IV dressing, changing the IV dressing and IV tubing as directed, monitor for signs and symptoms of infection, and monitor for signs of leaking at the IV side, edema at the IV insertion site, and/or any leaking of IV fluid out of the insertion site. A physician…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-27 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a resident with an intravenous (IV) access had orders for continued care for the IV access for 1 of 1 resident reviewed for IV access. (Resident B) Findings include: The clinical record for Resident B was reviewed on 5/27/25 at 10:30 a.m. The diagnoses included, but were not limited to, anoxic brain damage (brain being deprived of oxygen), tracheostomy status ((surgically created hole in the neck that connects to the trachea (windpipe) to help a person breathe)), gastrostomy status (tube inserted through the abdomen and into the stomach), and osteomyelitis of vertebra (infection of the bone). A physician order, dated 4/3/25, indicated the administration of Ertapenem Sodium Solution Reconstituted (broad spectrum antibiotic); administer one gram IV in the evening for an infection for six weeks. An IV care plan, dated 4/15/25, indicated Resident B was on IV antibiotics related to an infection. The interventions included, but were not limited to, observing the IV dressing, changing the IV dressing and IV…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-04 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a resident's call light was responded to in a timely manner, resulting in the resident experiencing anxiety, related to concerns regarding her health for 1 of 3 resident reviewed for staffing to meet resident needs. (Resident C) Findings include: In an interview with Resident C on 3-4-25 at 10:10 a.m., she indicated she has resided at the facility for about 6 years and typically was treated very well by staff and staff typically were very attentive to her, including with call light response. About two or so weeks ago, [I] had been sent to ER [emergency room] for a nosebleed. After I got back here, around 4:00 a.m., my heart started thumping real hard and I turned on my call light to have the nurse come and check on me and get my vital signs. Not a soul showed up until after the day shift got here, somewhere around 7:00 a.m. It kind of scared me and my roommate. Who knows what could have happened to me? And it worries me that this type of thing could happen to someone else, too, that might be worse off than me. She…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-04 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to provide 1 of 3 residents, reviewed for transfers, a copy of the facility's bed hold policy prior to transferring to an area hospital. (Resident D) Findings include: The clinical record of Resident D was reviewed on 3-4-25 at 10:57 a.m. Her diagnoses included, but were not limited to, Wernicke's encephalopathy, CVA (cardiovascular accident or stroke) with left sided hemiparesis and hemiplegia, dysphagia (difficulty swallowing), gastrostomy (gastric feeding tube), and moderate protein-calorie malnutrition. A review of Resident D's progress notes indicated she had pulled out her gastric feeding tube, on 3-2-25, and was sent to an area hospital to have it replaced. A document, identified as a nursing home to hospital transfer form, was completed on 3-2-25 at 5:50 a.m. It indicated the reason for the transfer as Resident pulled out G-tube. The clinical record failed to have a copy of the bed hold policy in place and was unable to be provided by the facility prior to the exit of the survey. In an interview on 3-4-25 at 10:25…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 14 citations
  • Potential for harm · Dcited before2025-01-21 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to thoroughly investigate an allegation of misappropriation of property for 1 of 3 residents reviewed for abuse. (Resident D) Findings include: The clinical record for Resident D was reviewed on 1/21/25 at 1:00 p.m. The diagnoses included, but were not limited to, dementia. A Facility Reported Incident [FRI] was reported to the Indiana Department of Health, dated 12/30/24, indicating an incident had occurred, on 12/30/24, with Resident D. A brief description of the allegation indicated Resident D reported his wallet, credit card, and insurance card was taken. The follow up to the incident indicated Staff and resident interviews completed with no concerns. Credit card has been canceled and new [insurance] card ordered. Facility to replace wallet . The investigation to the reported incident was provided by the Administrator on 1/21/25 at 2:00 p.m. The investigation included resident interviews that were conducted during the investigation. The resident interview questions were the following: 1. Has staff, a resident, or anyone…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-21 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure that a narcotic pain medication was placed in a controlled substance lock box upon being delivered to the facility and to ensure the oncoming and off going licensed personnel signed the controlled drug shift audit form when completing the controlled drug audit each shift for 1 of 3 residents reviewed for pain medications (Resident E). Findings include: The clinical record for Resident E was reviewed on 1/21/25 at 11:15 a.m. The diagnoses included, but were not limited to, diabetes and chronic non-pressure skin ulcers of the left leg. An admission Minimum Data Set (MDS) assessment, completed 10/14/24, indicated she was cognitively intact and received scheduled pain medications. A care plan, last revised on 11/1/24, indicated Resident E was at risk for pain related to wounds on legs and toes and diabetes. The goal was for her to not have interruptions in normal activities due to pain. The interventions included, but were not limited to, administer analgesics (pain medication) as ordered by the physician. A physician's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-20 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to label refrigerated food with date opened, appropriately store frozen food, appropriately restrain facial hair of dietary staff with the use of a beard restraint, and store personal belongings away from drying rack of clean dishes. This had the potential to affect 67 of 74 residents in the facility. Findings include: A tour of the kitchen was conducted, on 12/16/24 on 10:20 a.m., with the Dietary Manager (DM). Inspection of the walk-in freezer revealed packaging of frozen corn dogs left open to air. The DM indicated that the packaging should not be open to air. Inspection of refrigerated foods revealed three bags of undated bags of lettuce, visible discoloration of lettuce was present in one of three bags. The DM indicated the date must have rubbed off the bags of lettuce and discarded them. [NAME] 2 had a full goatee and was not wearing a beard restraint while in the kitchen. A jacket was observed hanging on a chair adjacent to a drying rack of clean dishes. The DM indicated that the jacket belonged to one of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a medication was administered as ordered for 1 of 1 resident reviewed for dialysis. (Resident 71) Findings include: The clinical record for Resident 71 was reviewed on 12/20/24 at 2:00 p.m. The diagnoses included, but were not limited to, amputation of right leg and renal dialysis. A hospital discharge, dated 9/17/24, indicated the resident was to receive one tablet of 500/125 milligrams of amoxicillin clavulanate at bedtime in the evening after dialysis, and one tablet of 500 milligrams of amoxicillin one hour prior to appointment. A physician order, dated 12/6/24, indicated the resident was to receive four tablets of 500 milligrams of amoxicillin one hour prior to dialysis every Tuesday, Thursday, and Saturday. The December 2024 Medication Administration Record indicated the resident had received the 500 milligrams of amoxicillin one hour prior to dialysis every Tuesday, Thursday and Saturday. An interview was conducted with the Director of Nursing on 12/19/24 at 2:36 p.m. She indicated the resident had a recent…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-20 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to have a functional call light in a resident's room and timely replace cove base at the base of a toilet for 2 of 7 residents observed for environment. (Resident 13 and 48) Findings include: 1. On 12/17/24 at 1:46 p.m., Resident 13's bathroom was observed. The elevated concrete base of the toilet was exposed and missing the cove base. Resident 13 indicated that it looked dirty and had been that way for a while. On 12/20/24 at 11:06 a.m., an environmental tour was conducted with the Maintenance Supervisor (MS). Resident 13's bathroom was observed, the elevated concrete toilet base was missing the cove base. During an interview on 12/20/24 at 11:45 a.m., the MS indicated the concrete base had been painted in November 2024 and then repainted again recently. Replacement of the cove base must have been missed. He did not believe there was a work order to replace the cove base. 2. On 12/16/24 at 3:40 p.m. an observation of Resident 48's room revealed their call light was missing its button cover. An observation…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-20 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a resident's right to be treated with respect and dignity by a staff member who forcefully attempted to get a resident with a decreased ability to perform activities of daily living (ADLs) to perform her own incontinent care for 1 of 3 residents reviewed for abuse. (Resident D) Findings include: The clinical record for Resident D was reviewed on 9/20/24 at 1:55 p.m. Her diagnoses included, but were not limited to, asthma, morbid obesity, and hypertensive urgency. A minimum data set assessment, dated 8/11/24, indicated Resident D was moderately cognitively impaired and was dependent on assistance for bathing/showering, dressing, and toileting. She required partial to moderate assistance with personal hygiene. An interview with Resident D was conducted on 9/20/24 at 2:27 p.m. She indicated, on 8/20/24, she required assistance with incontinent care and requested for two people to help her. When her nurse came in to assist, she grabbed her arm and placed a cold, wet towel in her hand and forcefully took her arm down to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-20 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to thoroughly investigate an allegation of abuse for 1 of 3 residents reviewed for abuse. (Resident D) Findings include: The clinical record for Resident D was reviewed on 9/20/24 at 1:55 p.m. Her diagnoses included, but were not limited to, asthma, morbid obesity, and hypertensive urgency. A minimum data set assessment, dated 8/11/24, indicated Resident D was moderately cognitively impaired and was dependent on assistance for bathing/showering, dressing, and toileting. She required partial to moderate assistance with personal hygiene. An interview with Resident D was conducted on 9/20/24 at 2:27 p.m. She indicated, on 8/20/24, she required assistance with incontinent care and requested for two people to help her. When her nurse came in to assist, she grabbed her arm and placed a cold, wet towel in her hand and forcefully took her arm down to her pelvic area. She indicated the nurse said if her arm can reach down there then she can clean herself up and she didn't have any aliments with her arms. She indicated this interaction…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-20 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to identify individualized approaches of care for a resident with a diagnosis of dementia with agitation and to prevent a resident's distress for 1 of 3 residents reviewed for abuse. (Resident C) Findings include: The clinical record for Resident C was reviewed on 9/20/24 at 10:00 a.m. His diagnoses included, but were not limited to, dementia with moderate agitation, cerebral amyloid angiopathy (a condition that causes bleeding inside the brain and damages brain tissue leading to the loss of the ability to think), and reactive emotional distress. He was admitted to the facility, on 7/18/24, and moved to the locked memory unit, on 7/24/24, per a physician's note. A physician's order to give one 25 mg (milligrams) tablet of quetiapine (medication used to treat psychosis, schizophrenia, bipolar disorder and depression) as needed every 12 hours for delirium was placed on 7/18/24. A physician's assistant (PA) progress note, dated 7/19/24 at midnight, indicated Resident C was admitted to the facility following a recent…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure follow up to a resident that was unable to be located in the facility during the night for 1 of 4 residents reviewed for accidents. (Resident B) Findings include: The clinical record of Resident B was reviewed on 6/4/24 at 1:28 p.m. The diagnoses included, but were not limited to, hypertension, muscle weakness, alcohol abuse, and diabetes mellitus. A significant change minimum data set (MDS) assessment, dated 3/28/24, indicated Resident B was cognitively intact, utilized a wheelchair, received daily injections of insulin, administration of a diuretic, administration of a hypoglycemic medication, and administration of an opioid medication. A release of responsibility for therapeutic home visits form, dated for March, April, and May of 2024, indicated Resident B signed out of the facility on a leave of absence for 9 days in March, 7 days in April, and one day in May. There were no leave of absence forms for Resident B dated June of 2024. A progress note, dated 6/2/24 at 10:42 p.m., indicated Resident B left the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-17 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the residents' dignity was maintained by staff not being respectful for 6 of 69 residents reviewed for dignity. (Residents' B, C, D, E, G, and H) Findings include: 1. The clinical record for Resident G was reviewed on 11/13/23 at 2:03 p.m. The Resident's diagnosis included, but were not limited to, hypertension and diabetes. An admission MDS (Minimum Data Set) Assessment, completed 9/9/23, indicated Resident G was cognitively intact. During an interview on 11/13/23 at 2:03 p.m., Resident G indicated that he had overheard the staff of the facility yelling at each other in the hallways. He had heard the staff being disrespectful of each other in the hallways. 2. The clinical record for Resident E was reviewed on 11/13/23 at 2:39 p.m. The diagnosis included, but was not limited to: falls. An interview was conducted with Resident E on 11/13/23 at 2:17 p.m. She indicated the staff are rude in the facility. She had pushed her call light and ask a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-17 · tag F0744 — failed to care for residents with dementia — pattern
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide residents on the memory care unit with a consistent activity program that considered their cognitive status; update a resident's dementia care plan to include specific interventions used to address her crying out during group settings; attempt non-pharmacological interventions prior to increasing a psychotropic medication; and timely update the plan of care for a resident with wandering behaviors for 2 of 3 residents reviewed for dementia care and 24 of 24 residents on the memory care unit. (Residents H, 10, 40, 60, 52, 126) Findings include: 1. The Memory Care Unit activity calendar, posted on the wall of the unit, was provided by the DON (Director of Nursing) on 11/17/23 at 12:47 p.m. It indicated the activity on 11/13/23 at 2:00 p.m. was creative art. An observation was made on 11/13/23 at 2:01 p.m. Resident 10 was walking up the hallway from her room. She passed by 3 people, including 2 residents and one staff member. She…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-17 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a residents' grievances were addressed and timely complete a grievance form for 1 of 1 resident reviewed for missing property and 1 of 3 residents reviewed for dignity. (Residents B and G) Findings include: 1. The clinical record for Resident B was reviewed on 11/13/23 at 1:39 p.m. The diagnosis included, but was not limited to: anxiety disorder. The resident was admitted to the facility on [DATE]. A 10/19/23 admission Minimum Data Set (MDS) Assessment, indicated Resident B's cognition was intact. An interview was conducted with Resident B on 11/13/23 at 2:21 p.m. He indicated he had reported to the Administrator In Training (AIT) shortly after he was admitted , License Practical Nurse (LPN) 10 was rude to him, and she continues to be rude. An interview was conducted with the AIT on 11/15/23 at 2:36 p.m. She indicated Resident B had reported to her LPN 10 had been rude to him shortly after he was admitted . She had not filled out a grievance for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-17 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to follow up with a resident's representative regarding their care plan meeting for 1 of 1 resident reviewed for care planning. (Resident H) Findings include: The clinical record for Resident H was reviewed on 11/14/23 at 11:00 a.m. Her diagnoses included, but were not limited to, dementia. She resided on the memory care unit of the facility. The 8/17/23 care plan meeting minutes indicated Resident H's plan of care was reviewed in detail with Family Member 12 by phone. The 11/2/23 care plan meeting minutes indicated the plan of care was reviewed in detail per the IDT (interdisciplinary team.) Resident H's guardian was invited, but did not attend. An interview was conducted with Family Member 12 on 11/14/23 at 11:45 a.m. He indicated the facility sent him a care plan invitation informing him of the date of Resident H's most recent care plan and for him to call the facility for a specific time slot. He called the facility, left a message, and they never returned his call. This was a couple of weeks ago, and the care plan had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-17 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure a resident's catheter was flushed as ordered; the catheter tubing not touching the ground or kinked and good hygiene practices during catheter care with the removal of a soiled brief for 1 of 1 residents reviewed for catheter. (Resident 56) Findings include: The clinical record for Resident 56 was reviewed on 11/13/23 at 1:39 p.m. The diagnoses included, but were not limited to: urogenital implants and obstructive and reflux uropathy (structural or functional/blockage of urinary tract). A Quarterly 10/11/23 Minimum Data Set (MDS) Assessment, indicated Resident 56's cognition was intact. A bladder care plan dated 12/8/23 indicated the resident had an indwelling catheter. The staff was to provide catheter care every shift. A physician order dated 5/18/23 indicated the resident had 20 french Foley catheter. A physician order dated 5/18/23 indicated the resident was to receive Foley catheter care every shift. A physician order dated 10/20/23 indicated the resident's catheter was to be irrigated with 60…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$12,740 in federal fines across 1 penalty.

  • $12,740 — penalty dated 2025-10-07

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to BRICKYARD HEALTHCARE — 23 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.7+0.3 vs chain
Health inspection 2 of 52.3-0.3 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 5 of 54.0+1.0 vs chain
The other 22 homes this chain runs (chain average 2.7★, per CMS)
1 of 5Brickyard Healthcare - Bloomington Care CenterBloomington, IN 1 of 5Brickyard Healthcare - Elkhart Care CenterElkhart, IN 1 of 5Brickyard Healthcare - Golden Rule Care CenterRichmond, IN 1 of 5Brickyard Healthcare - Merrillville Care CenterMerrillville, IN 1 of 5Brickyard Healthcare - Richmond Care CenterRichmond, IN 2 of 5Brickyard Healthcare - Brandywine Care CenterGreenfield, IN 2 of 5Brickyard Healthcare - Fountainview Care CenterMishawaka, IN 2 of 5Brickyard Healthcare - Laporte Care CenterLa Porte, IN 2 of 5Brickyard Healthcare - Portage Care CenterPortage, IN 2 of 5Brickyard Healthcare - Terrace Care CenterLa Porte, IN 2 of 5Brickyard Healthcare - Twelfth Street Care CenterMishawaka, IN 2 of 5Brickyard Healthcare - Willow Springs Care CenterIndianapolis, IN 3 of 5Brickyard Healthcare - Muncie Care CenterMuncie, IN 3 of 5Brickyard Healthcare - Woodbridge Care CenterEvansville, IN 3 of 5Brickyard Healthcare -Sycamore Village Care CenterKokomo, IN 4 of 5Brickyard Healthcare - Churchman Care CenterIndianapolis, IN 4 of 5Brickyard Healthcare - Lincoln Hills Care CenterTell City, IN 4 of 5Brickyard Healthcare - Petersburg Care CenterPetersburg, IN 4 of 5Brickyard Healthcare - Valparaiso Care CenterValparaiso, IN 4 of 5Brickyard Healthcare - Woodlands Care CenterNewburgh, IN 5 of 5Brickyard Healthcare - Brentwood Care CenterEvansville, IN 5 of 5Brickyard Healthcare - Knox Care CenterKnox, IN

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
TANNER, STEVENIndividualCONTRACTED MANAGING EMPLOYEEsince 04/17/2023
GENTRY, MARKIndividualCORPORATE DIRECTORsince 01/12/2022
WHICKER, TIMOTHYIndividualCORPORATE DIRECTORsince 01/12/2022
ENGELS, ERINIndividualCORPORATE OFFICERsince 10/25/2014
FENOUGHTY, DEANNAIndividualCORPORATE OFFICERsince 07/10/2023
STARKEY, TYLERIndividualCORPORATE OFFICERsince 08/01/2020
WAITE, JOHNIndividualCORPORATE OFFICERsince 08/01/2020
BROOKVIEW OPERATING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 09/01/2012

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$9.3M
Net patient revenuemost recent cost report
-8.7%
Operating marginrevenue minus expenses
$451K
Related-party expense4% of expenses
Who pays — share of resident-days
Medicaid 52%Medicare 4%Other / private 43%

This home reported $451K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$411per resident / day
operating cost
$12,486per month
≈ monthly operating cost
$378per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.

Typical monthly cost in Indiana
$8,943/mo
Nursing home (semi-private)
$10,326/mo
Nursing home (private)
$5,639/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155076. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-28, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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