Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

BRICKYARD HEALTHCARE - BLOOMINGTON CARE CENTER

NURSING HOME

SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED

Created on: 6/3/2022

Posted to the Web on: 6/15/2022
Basic Information
FACILITY CONTACT INFORMATION: Address: 155 E BURKS DR City: BLOOMINGTON Telephone: (812) 332-4437 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 21-000177-2 License effective date: 9/1/2021 License expiration date: 8/31/2022
Administration and Staff
Administrator: SCOTT SWABY Start date: 2/26/2021 Director of Nursing: MISTI HICKMAN Start date: 12/18/2020 Medical director: 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 YVONNE CULPEPPER STANTON "STAN" RISSER KELLI WAGGONER GORDON REED TYLER STARKEY JOHN WAITE PREVIOUS OWNERSHIP CHANGES: Name of previous owner: GGNSC BLOOMINGTON 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): 153 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 153 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 153 CENSUS: Facility census: 125 As reported by the facility on: 2/4/2022 1 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 2/4/2022 1 Residential care beds occupied: 0 As reported by the facility on: 2/4/2022 1 Alzheimer Beds: 48 Alzheimer Beds Occupied: 43 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: 79 Number of comprehensive care resident rooms with battery operated smoke detectors: 79 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - JERRY VESSELS Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR Date form completed - 4/11/2022
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 4/10/2014 Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2018 Nurse aide training and competency evaluation program (NATCEP) banned: Yes Nurse aide training and competency evaluation program (NATCEP) ban expires: 9/5/2022 CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: IVY TECH COMMUNITY COLLEGE Approved: 9/4/2012 Terminated: 1/9/2018 BRICKYARD HEALTHCARE - BLOOMINGTON CARE CENTER Approved: 4/10/2014 Terminated: 4/1/2018 ALZHEIMER'S RESOURCE SERVICE, IU HEALTH COMMUNITY Approved: 8/31/2017 Terminated: 1/9/2018 FAITH HEALTHCARE TRAINING CENTER Approved: 12/30/2021 Terminated: 9/6/2021 FAITH HEALTHCARE TRAINING CENTER Approved: 9/23/2021 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  1
  Previous year:  1
  2 years previous:  0
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 273 273 378 358
Rank of Score 78 79 41 49
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 No No
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 Discretionary Deny Pay for New Admits Date Imposed: 9/6/2020 Date Ended: 9/28/2020 Directed Plan of Correction Date Imposed: 8/7/2020 Date Ended: 9/29/2020 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
GN4O11 Complaint 5/16/2022
4J7V12 Complaint, Follow Up 5/6/2022
OSJT11 Complaint 4/11/2022
4J7V11 Complaint 3/28/2022
BEK211 Complaint, Other 1/20/2022
8LN011 Complaint 12/29/2021
WERI11 Complaint 11/16/2021
GZHC11 Other 11/10/2021
ADES11 Complaint 9/28/2021
Y5BB11 Other 8/30/2021
8VFW11 Complaint 8/25/2021
SZ7D11 Complaint 8/13/2021
7UC212 Recertification, Follow Up, State Licensure 6/29/2021
D5K711 Complaint 6/29/2021
7UC222 Recertification, Follow Up, Life Safety Code 6/16/2021
7UC211 Recertification, State Licensure 5/24/2021
7UC221 Recertification, Life Safety Code 5/18/2021
GRHK12 Complaint, Follow Up 5/4/2021
GRHK11 Complaint 3/30/2021
P9PZ11 Other 2/9/2021
3SUZ11 Complaint 2/3/2021
IP2B11 Other 1/11/2021
003O11 Other 12/7/2020
LU0H12 Follow Up, Other 10/13/2020
QLWG11 Complaint, Other 10/9/2020
S5H611 Complaint 10/6/2020
C1RY11 Complaint, Other 8/20/2020
06GU11 Complaint, Other 6/24/2020
6PT211 Complaint, Other 6/4/2020
S4NT11 Complaint, Other 5/29/2020
XD5U11 Complaint, Other 5/20/2020
WNJV11 Complaint 1/29/2020
70YD22 Follow Up, Life Safety Code, Recertification 10/11/2019
70YD12 Follow Up, Recertification, State Licensure 8/13/2019
70YD21 Recertification, Life Safety Code 8/12/2019
BVVL11 Complaint 7/23/2019
70YD11 Recertification, Complaint, State Licensure 7/1/2019
 
 
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.