Brickyard Healthcare - Bloomington Care Center

In the surveyor’s words

From the most serious findings on record at Brickyard Healthcare - Bloomington Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 14, 2026

  A. Based on observation, interview and record review, the facility failed to provide supervision to prevent a cognitively impaired resident with a history of exit seeking behavior from leaving the facility property without staff knowledge for 1 of 3 residents reviewed. (Resident B)B. Based on observation, interview, and record review, the facility failed to ensure the secured unit courtyard gate was locked for 2 of 3 observations. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on, 5/8/26 at approximately 9:30 a.m. when the facility failed to provide supervision to prevent a cognitively impaired resident with a history of exit seeking behavior from leaving the facility property for an unknown amount of time without staff knowledge. […]

• Immediate jeopardy, isolatedF689Apr 3, 2025

  Based on observation, interview, and record review, the facility failed to provide supervision to prevent a cognitively impaired resident, who had an appointed guardian and history of exit seeking, from exiting the facility without staff knowledge for 1 of 3 residents reviewed for elopements. This deficient practice resulted in the resident being located by local law enforcement 1.8 miles away. (Resident B) This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on, 3/29/25 at approximately 9:45 p.m., when the facility failed to prevent a cognitively impaired resident from leaving the facility without staff knowledge. The Area [NAME] President and Regional Nurse were notified of the Immediate Jeopardy on 4/2/25 at 12:20 p.m. […]

• Actual harm, isolatedF600Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse for 1 of 3 residents reviewed for abuse. A resident punch another resident in the face. This resulted in a resident being sent to the emergency room with bruising and a small laceration above the right eye and bridge of the nose. The resident required sutures above his right eye. (Resident C, Resident D) Finding includes: During an interview on 2/7/23 at 1:06 p.m., the Social Service Director indicated he received a phone call that there had been a resident to resident altercation between Resident C and Resident D. He came to the facility and interviewed Resident C and Resident D. Resident C wandered into Resident D's room. […]

• Actual harm, isolatedF600Jun 10, 2022

  Based on observation, interview, and record review, the facility failed to ensure a resident was free from abuse by another resident for 1 of 2 residents reviewed for abuse. This resulted in left [CONDITION(S)] and fourth and fifth metatarsal (bones in the foot) fracture of the left foot (Resident B). Findings include: On 6/8/22 at 2:42 p.m., Resident B was observed to be lying in her bed with two nonskid strips (strips to prevent falls) on the floor beside her bed. On 6/9/22 at 10:52 a.m., Resident B was observed to be lying in her bed in a low position. On 6/10/22 at 9:49 a.m., Resident B was observed to be lying in her bed in a low position with nonskid strips on the floor beside her bed. On 6/7/22 at 12:17 p.m., Resident B's clinical record was reviewed. […]

• No harm, potential for more than minimal, patternF921Apr 25, 2025

  Based on observation, interview, and record review, the facility failed to provide a homelike environment free of damage, disrepair, and odor of urine for 1 of 2 secured units and 5 of 7 resident rooms reviewed for environment. (Reflections 2 Unit, room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER]) Findings include: 1. On 4/23/25 at 1:20 p.m., 4/24/25 at 2:10 p.m., and 4/25/25 at 10:40 a.m., the bathroom off the dining room on the Reflections 2 unit was observed to emit a strong odor of urine and had brown stained substance around the base of the toilet. 2. […]