Brickyard Healthcare - Petersburg Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Nov 21, 2025

  Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills set to carry out the functions of the food and nutrition service for 1 of 1 kitchen observed. The Dietary Manager was not certified. (Dietary Manager)Finding includes:On 11/17/25 at 10:13 A.M., the Dietary Manager was asked to provide her certification certificate. During an interview on 11/21/25 at 11:10 A.M., the Administrator indicated the Dietary Manager failed the test, but she is registered to take the test again. The new test date was unknown. […]

• No harm, potential for more than minimal, patternF641Aug 9, 2024

  Based on interview and record review, the facility failed to ensure an accurate Minimum Data Set (MDS) Assessments were completed for 2 of 5 residents reviewed for unnecessary medications, 1 of 1 reviewed for hospice, 1 of 1 reviewed for dialysis, and 1 of 1 reviewed for smoking. The MDS Assessment indicated a resident received an anticoagulant but did not, a resident with the diagnosis of PTSD (Post Traumatic Stress Disorder) was marked as not having it, a resident with a diagnosis of schizoaffective disorder was marked as not having it, a resident with the diagnoses of anxiety and depression was marked as not having them, and a resident that did not have a diagnosis of atrial fibrillation was marked that she did have it. […]

• No harm, potential for more than minimal, patternF921Aug 9, 2024

  Based on observation and interview, the facility failed to ensure a clean and homelike environment for 6 of 13 resident rooms and 1 of 2 shower rooms observed for environment. Bathrooms had holes in the wall, exposed pipes, a baseboard peeling off, uncovered bedpans, and a floor that was badly scuffed. An air condition unit was falling off the wall in a room. Multiple sink water temperatures were higher then 120 degrees. (Rooms 136, 139, 138, 140, 141, 143, East Shower Room) Findings includes: 1. During an observation on 8/5/24 at 1:39 P.M., room [ROOM NUMBER]'s bathroom was observed with the baseboard behind the toilet peeling off and the floor had multiple scuffs. The water temperature was 120.8 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF880Jun 22, 2023

  Based on observation and interview, the facility failed to ensure infection control practices were in place during 2 of 4 resident medication administrations and 2 of 4 residents observed during incontinence care. Staff failed to sanitize hands and change gloves between dirty to clean tasks. Staff did not sanitize hands between residents during medication administration. (Resident 21, Resident 12, Resident 25, Resident 30) Findings include: 1. During an observation on 6/21/23 at 10:17 A.M., QMA (Qualified Medication Aide) 3 and CNA (Certified Nurse Aide) 7 performed incontinence care on Resident 21. Upon entering the room, both aides put gloves on. QMA 3 stood on the left side of bed and CNA 7 on right side of bed. […]

• No harm, potential for more than minimal, patternF761Sep 17, 2021

  Based on observation, interview and record review, the facility failed to ensure insulin pens were labeled with the prescribing information and the opening date documented on the pen for 3 of 3 medication carts reviewed for medication storage, to ensure expired and/or discontinued medications were properly disposed of, and to ensure scheduled narcotic medications were properly locked for 1 of 2 medication storage rooms observed. (East Unit Medication Storage Room, East and West Unit Medication Carts, Resident 21, Resident 93, Resident 90, Resident 91, Resident 31, Resident 92, Resident 89, Resident 88, Resident 15, Resident 2, Resident 26, Resident 32, Resident 4, Resident 86) Findings include: 1. […]