Brickyard Healthcare - Brookview Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 7, 2025

  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,… […]

• No harm, potential for more than minimal, patternF740Jan 28, 2026

  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). […]

• No harm, potential for more than minimal, patternF812Dec 20, 2024

  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. […]

• No harm, potential for more than minimal, patternF550Nov 17, 2023

  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. […]

• No harm, potential for more than minimal, patternF744Nov 17, 2023

  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. […]