Brickyard Healthcare - Valparaiso Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Nov 17, 2022

  Based on observation and interview, the facility failed to ensure a sanitary kitchen related to staff not wearing hairnets and dirty shelves and carts. This had the potential to affect the 72 of 73 residents who received meals from the kitchen. Findings include: 1. On 11/13/22 at 9:43 a.m., the kitchen was observed during the initial tour. The Cook and Assistant Dietary Manager (ADM) were present, neither was wearing a hair net. Interview with the Cook and the ADM at that time indicated they should be wearing hair nets. They put them on at that time. 2. On 11/13/22 at 9:43 a.m., the kitchen was observed. […]

• No harm, potential for more than minimal, isolatedF605Jul 25, 2025

  Based on record review and interview, the facility failed to ensure an indication or reason for use was documented prior to administering a PRN (as needed) anti-anxiety medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 42)Finding includes:The record for Resident 42 was reviewed on 7/24/25 at 10:59 a.m. Diagnoses included, but were not limited to, dementia with behavioral disturbance, psychotic disorder with delusions, and anxiety disorder. The Quarterly Minimum Data Set (MDS) assessment, dated 6/5/25, indicated the resident was cognitively impaired and received anti-anxiety medications. […]

• No harm, potential for more than minimal, isolatedF641Jul 25, 2025

  Based on observation, record review, and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately completed related to wandering behaviors for 1 of 18 MDS assessments reviewed. (Resident 78) Finding includes: On 7/21/25 at 1:08 p.m., Resident 78 was observed wandering in a hallway unaccompanied by any staff. He was headed towards a side entrance door. He was unable to open the door and then continued to enter another resident's room. Resident 78's record was reviewed on 7/23/25 at 3:24 p.m. Diagnoses included, but were not limited to, Alzheimer's Disease with late onset, dementia, and generalized anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF657Jul 25, 2025

  Based on record review and interview, the facility failed to ensure care plans were implemented for 1 of 18 resident care plans reviewed. (Resident 13) Finding includes: Resident 13's record was reviewed on 7/24/25 at 11:35 a.m. Diagnoses included, but were not limited to, paranoid schizophrenia, bipolar disorder, sleep disorder, and generalized anxiety disorder. The Quarterly Minimum Data Set (MDS) assessment, dated 6/28/25, indicated the resident was moderately cognitively impaired. He had no behavioral symptoms. He received a scheduled pain medication regimen, antipsychotic, antianxiety, antidepressant, diuretic, antiplatelet, and anticonvulsant medications. […]

• No harm, potential for more than minimal, isolatedF684Jul 25, 2025

  Based on record review and interview, the facility failed to ensure physician's orders were followed for a respiratory assessment with administration of an as needed (PRN) nebulizer treatment for 1 of 5 resident's reviewed for unnecessary medications. (Resident 13) Finding includes: Resident 13's record was reviewed on 7/24/25 at 11:35 a.m. Diagnoses included, but were not limited to, chronic obstructive pulmonary disease and heart failure. The Quarterly Minimum Data Set (MDS) assessment, dated 6/28/25, indicated the resident was moderately cognitively impaired. He had no behavioral symptoms. He received a scheduled pain medication regimen, antipsychotic, antianxiety, antidepressant, diuretic, antiplatelet, and anticonvulsant medications. […]