Brickyard Healthcare - Twelfth Street Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 12, 2025

  Based on observation, interview and record review, the facility failed to serve food at a safe temperature from 1 of 1 kitchen observed. (Main Kitchen) This had the potential to affect 55 out 55 residents who received their meals from the kitchen. Finding includes:During an observation of the breakfast meal service on 9/9/2025 at 8:03 A.M., the breakfast temperature log had not been filled out but meal trays had been given to residents. The CDM tempted a cup of milk and the temperature had been 44 degrees Fahrenheit. During the observation, 4 meal trays with cups of milk were taken from the kitchen window and delivered to residents. During an interview on 9/9/2025 at 8:04 A.M., the Certified Dietary Manager indicated the milk temperature was out of range and should not have been served. […]

• No harm, potential for more than minimal, widespreadF908Sep 26, 2023

  Based on observation, interview, and record review, the facility failed to ensure the lint trap of two dryer vents were removed every two hours to prevent a fire. This deficient practice had the potential to affect 58 of 58 residents who reside in the facility. Finding includes: During a tour of the laundry room on 9/26/2023, from 9:06 A.M. to 9:15 A.M. two of the dryers' lint traps were inspected and both had a thick layer of white lint covering the filter and pieces of lint on the floor of the machine. Both dryers were full of a completed load inside. A log titled, Dryer Clean Out Schedule, was taped to the first dryer without an initial from the laundry aide indicating that it was cleaned at 6:00 A.M. and 8:00 A.M. […]

• No harm, potential for more than minimal, patternF550Sep 12, 2025

  Based on observation and interview, the facility failed to protect a resident's right to privacy for 1 of 1 resident reviewed for resident rights. (Resident 48) The facility also failed to ensure residents' dignity was maintained related to unprofessional verbal statements made by contracted staff for 3 of 5 residents reviewed for dignity. (Residents 5, 40 and 27)Findings include:1. During an observation on 9/12/2025 at 12:05 P.M., the surveyor knocked on Resident 48's door and the roommate opened the door all the way. Resident 48 was laying in bed naked except for a brief. The privacy curtain was open and the window curtain was partially open. CNA 12, who was providing care, turned to see who was at the door, turned back to Resident 48, and then turned to the door again. […]

• No harm, potential for more than minimal, patternF761Sep 12, 2025

  Based on observation and interview, the facility failed to ensure medications were stored appropriately related to opened and undated medications and failed to ensure medication carts were locked (100 hall) for 1 of 2 medication carts reviewed and medications were not stored in the pantry refrigerator for 1 of 2 medication rooms reviewed. (200 hall)Findings include:1.During an observation of the 200 hall medication cart on 9/10/2025 at 10:48 A.M. with Employee 15, the following was observed:There were 5 opened and undated bottles of polyethylene glycol.During an interview, on 9/10/2025 at 10:56 A.M., QMA 15 indicated the opened bottles of polyethylene glycol should have had open dates.2. […]

• No harm, potential for more than minimal, patternF812Sep 26, 2023

  Based on observation and interview, the facility failed to store and serve food in accordance with professional standards for food service safety. This deficient practice had the potential to affect 58 of 58 residents who received their meals in the dining room. Findings include: During an observation and tour of the kitchen with the Dietary Manager, on 9/19/2023 at 9:15 A.M., the following was observed: -The freezer contained bags of frozen fish that were open and not resealed or dated and cups of ice cream were not dated. -The walk-in refrigerator contained soup, diced ham, and magic cups that were not dated. It also contained a bag of chicken patties, dinner rolls, and lettuce that were open, not resealed and not dated. -The dry storage area had containers of gravy. […]