BRICKYARD HEALTHCARE - TWELFTH STREET CARE CENTER
811 E 12TH STREET, MISHAWAKA, IN 46544 · CCN 155109
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 87
- Avg residents/day
- 54.7
- Phone
- 5742591917
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-12 | 13 | 7.6 | 9.5 | +5.4 worse |
| 2 | 2024-09-26 | 6 | 7.9 | 9.8 | -1.9 better |
| 3 | 2023-09-26 | 9 | 8.8 | 9.3 | +0.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.78 | 74.7% |
| RN staffing (reported) | 0.65 | 33.3% |
| Total nurse staffing (adjusted) | 3.76 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- BRICKYARD HEALTHCARE
- Facilities in chain
- 23
- Chain avg overall
- 2.50 / 5
Inspection citations (28)
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-09-12 · Health · corrected 2025-10-27
Potential for minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-12 · Health · corrected 2025-10-27
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-19 · Health · corrected 2025-04-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-19 · Health · corrected 2025-04-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-19 · Health · corrected 2025-04-17
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-26 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0585Honor 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.2024-09-26 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source2024-09-26 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-09-26 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-26 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-26 · Health · corrected 2024-11-01
Potential for more than minimal harm
- BF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-26 · Health · corrected 2023-10-26
Potential for minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2023-09-26 · Health · corrected 2023-10-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HENDRICKS COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-09-01 |
| MISHAWAKA OPERATING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-09-01 |
| ENGELS, ERIN | Individual | CORPORATE DIRECTOR | — | 2014-10-25 |
| GENTRY, MARK | Individual | CORPORATE DIRECTOR | — | 2022-01-12 |
| STARKEY, TYLER | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| WAITE, JOHN | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| WHICKER, TIMOTHY | Individual | CORPORATE DIRECTOR | — | 2022-01-12 |
| FENOUGHTY, DEANNA | Individual | CORPORATE OFFICER | — | 2023-07-10 |
| GEE, WILLIAM | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-03-07 |
Other facilities in MISHAWAKA
| Name | Overall | Beds |
|---|---|---|
| CREEKSIDE VILLAGE | ★★★★☆ | 100 |
| BRICKYARD HEALTHCARE - FOUNTAINVIEW CARE CENTER | ★★☆☆☆ | 130 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.