Brickyard Healthcare - Richmond Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600May 22, 2023

  Based on observation, interview, and record review, the facility failed to ensure a resident with dementia, a history of agitation, anxiety, and combativeness, remained free from physical and verbal abuse, which resulted in a staff member holding the wrists of a resident during care that was later identified with bruising to the bilateral hands and wrists. Using the reasonable person concept, it was likely that this would lead to chronic or recurrent fear and anxiety. (Resident B) The Immediate Jeopardy began on 4/30/23, when Resident B was held by the wrists during care that was later identified with bruising to the wrist and hands. Area [NAME] President and [NAME] President of Clinical Operations were notified of the Immediate Jeopardy on 5/17/23 at 1:38 p.m. […]

• Actual harm, isolatedF600Nov 25, 2025

  Based on interview and record review, the facility failed to ensure 2 of 5 residents reviewed for abuse (Resident D and Resident F) were free from sexual abuse from a resident with known inappropriate behaviors (Resident E), resulting in inappropriate touching (Resident D); and psychological harm of feeling upset and gross (Resident F). Finding included:1.The clinical record for Resident E was reviewed on 11/24/2025 at 4:20 p.m. The medical diagnoses included, but were not limited to, Wernicke's Encephalopathy and Substance Abuse Disorder. A Quarterly minimum data set assessment (MDS), dated [DATE], indicated Resident E was independent with transferring and walking. […]

• Actual harm, isolatedF689Mar 5, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident who required more than limited assistance with transfers received adequate assistance and supervision to prevent accidents related to only one staff person assisting during a transfer without the utilization of gait belt and ensure the resident's wheelchair was free from sharp objects resulting in the resident requiring 18 sutures to the left lower leg for 1 of 3 residents reviewed for accidents (Resident C). This deficient practice was corrected on 2/28/25, prior to the start of the survey, and was therefore past noncompliance. […]

• Actual harm, isolatedF689May 6, 2024

  Based on interview and record review, the facility failed to ensure a staff member followed policies for the safe use of a mechanical lift, requiring the operation of the mechanical lift to be conducted by 2 staff members, resulting in a fall from the mechanical lift and a fracture for 1 of 3 residents reviewed for falls and the use of mechanical lifts. (Resident B and CNA 3) The deficient practice was corrected on 4-25-24, prior to the start of the survey, and was therefore past noncompliance. […]

• Actual harm, isolatedF686Apr 18, 2024

  Based on interview and record review, the facility failed to ensure a resident who admitted to the facility with an identified skin concern received timely treatment and services that was later identified with an unstageable pressure ulcer that had worsened and became infected (Resident E) and failed to ensure a resident received treatment for incontinence associated dermatitis (IAD) who was later identified with a stage 3 pressure ulcer (Resident D) for 2 of 3 residents reviewed for skin integrity. The deficient practice was corrected on 2/1/24, prior to the start of the survey, and was therefore past noncompliance. […]