Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
BRICKYARD HEALTHCARE - CHURCHMAN CARE CENTER
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 3/22/2024
 
Posted to the Web on: 4/3/2024
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 2860 CHURCHMAN AVE
City: INDIANAPOLIS
Telephone: (317) 787-3451
Web Site:  
 
NAME CHANGES:
Most recent name change: BRICKYARD HEALTHCARE – CHURCHMAN CARE CENTER
Date of most recent name change: 9/2/2022 11:38:12 AM
 
LICENSE INFORMATION:
  License number: 23-000063-1
  License effective date: 9/1/2023
  License expiration date: 8/31/2024
 


Administration and Staff

Administrator: KEARY DYE
  Start date: 2/17/2024
 
Director of Nursing: BRIANNA KIMBROUGH
  Start date: 9/11/2023
 
Medical director: Ibrar Paracha
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HENDRICKS COUNTY HOSPITAL
1000 EAST MAIN STREET
DANVILLE IN 46122
 
Ownership type:  OTHER
 
Officer(s): KEVIN SPEER
            ERIN ENGELS
            TODD DAVIS
            YVONNE CULPEPPER
            D. MICHELLE FENOUGHTY
            STANTON "STAN" RISSER
            LISA IMLAY
            GARY EVERLING
            MICHAEL KIRSCHNER
            TYLER STARKEY
            JOHN WAITE
            MARK GENTRY
            TIM WHICKER
            SHANE SOMMERS
            NANCY FOSTER
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: INDIANAPOLIS OPERATING LLC
Date of last change of ownership: 9/1/2012
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    0
Number of Medicare/Medicaid beds (SNF/NF):        115
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     115
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            115
 
CENSUS:
Facility census:  68
As reported by the facility on: 7/10/2019 
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 7/10/2019 
 
Residential care beds occupied:  0
As reported by the facility on: 7/10/2019 
 
Alzheimer Beds:  0
Alzheimer Beds Occupied:  0
As reported by the facility on:   /  /  
 
Ventilator Beds:  0
Ventilator Beds Occupied:  0
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 100
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 50
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - BRANDON POPE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINT DIR
Date form completed - 3/29/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 7/26/2002
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2004
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 8/23/2025
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     NURSE AIDE TRAINING CENTER LLC
         Approved: 10/20/2005
         Terminated: 8/22/2006
     BENCHMARQ MEDICAL EDUCATION,INC
         Approved: 8/10/2006
         Terminated: 8/22/2006
     HEALTH CARE INSTITUTE
         Approved: 2/10/1998
         Terminated: 8/22/2006
     IVY TECH COMMUNITY COLLEGE
         Approved: 9/21/1999
         Terminated: 8/22/2006
     GOLDEN LIVING TRAINING CENTER
         Approved: 5/7/2015
         Terminated: 12/27/2018
     BRICKYARD HEALTHCARE - BROOKVIEW CARE CENTER
         Approved: 12/23/1996
         Terminated: 4/1/2004
     BRICKYARD HEALTHCARE - CHURCHMAN CARE CENTER
         Approved: 5/18/1998
         Terminated: 12/27/2018
     HARCOURT TERRACE NURSING AND REHABILITATION
         Approved: 3/10/1998
         Terminated: 8/22/2006
     GOLDEN LIVING TRAINING CENTER
         Approved: 1/10/2013
         Terminated: 4/1/2014
     RENEWED HOPE IN CARE LLC
         Approved: 9/20/2021
         Terminated: 12/27/2018
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  1

 


Facility Report Card



 


 
3/1/2020 Current QTR
12/1/2019 Previous QTR
9/1/2019 Previous QTR
6/1/2019 Previous QTR


Report Card Score
202
271
277
304


Rank of Score
89
79
78
70


Average Score
302
296
295
296


 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 



Overview of Survey findings




 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set

Immediate Jeopardy
No
No
No


 Substandard Quality of Care 
No
No
No


Administrator Change
Yes
Yes
Yes


Owner Change
No
No
No


Number of Substantiated Complaints With Deficiencies
0
0
0


Deficiency Free Standard Health Survey
No
No
No


 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Civil Money Penalty
     Date Imposed: 8/9/2023  Date Ended: 8/26/2023
     Amount proposed per day: 
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 10/23/2021  Date Ended: 11/4/2021
     Directed Plan of Correction
     Date Imposed: 8/28/2021  Date Ended: 9/14/2021
     Civil Money Penalty
     Date Imposed: 8/4/2021  Date Ended: 8/4/2021
     Amount proposed per day: 
 
Date terminated from Medicare/Medicaid: N/A
 


Survey History


    The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
    The survey report therefore will likely not be posted until four to six weeks after the exit date.
        
    In the grid below click on an event ID that is underlined to see the survey report for that event.


 
Event ID
Survey Type
Exit Date

H2LP11
Complaint
2/29/2024


EPHX11
Complaint
1/31/2024


U4H722
Recertification, Follow Up, Life Safety Code
1/26/2024


U4H712
Recertification, Follow Up, State Licensure
1/8/2024


U4H721
Recertification, Life Safety Code
12/19/2023


U4H711
Recertification, Complaint, State Licensure
12/1/2023


P0CR11
Complaint
10/11/2023


SK2H11
Complaint
8/31/2023


EZJH11
Complaint
8/24/2023


Z5O911
Complaint
8/2/2023


7WUN12
Complaint, Follow Up
7/17/2023


7WUN11
Complaint
6/1/2023


78V511
Complaint, Other
5/9/2023


0T7H11
Complaint
3/7/2023


IPS911
Complaint
1/26/2023


YFHE11
Complaint
12/30/2022


2IU712
Recertification, Follow Up, State Licensure
12/20/2022


2IU721
Recertification, Life Safety Code
12/6/2022


2IU711
Recertification, Complaint, State Licensure
11/10/2022


SBP911
Complaint
10/20/2022


NJG411
Complaint
9/16/2022


EUMK11
Complaint
8/1/2022


ZH2R11
Complaint
6/15/2022


PTLT12
Complaint, Follow Up
3/9/2022


PTLT11
Complaint
2/9/2022


HUQD11
Complaint
1/26/2022


F58Y11
Complaint
1/4/2022


HULU11
Complaint, Other
11/5/2021


EY9C23
Recertification, Follow Up, Life Safety Code
11/4/2021


O8DE11
Complaint
10/27/2021


69YB11
Complaint
10/12/2021


EY9C22
Recertification, Follow Up, Life Safety Code
10/4/2021


8ZNE11
Complaint
9/23/2021


EY9C12
Recertification, Follow Up, State Licensure
9/14/2021


CJTW11
Complaint
9/14/2021


EY9C21
Recertification, Life Safety Code
8/12/2021


EY9C11
Recertification, Complaint, State Licensure
8/4/2021


YBJE12
Complaint, Follow Up
7/2/2021


YBJE11
Complaint
6/7/2021


MLWQ11
Complaint
3/25/2021


 
 


Links and Resources

 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.