Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

BROOKSIDE CARE STRATEGIES

NURSING HOME

NURSING FACILITY

Created on: 07/25/2025

Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION: Address: 505 N GAVIN ST City: MUNCIE Telephone: (765) 289-1915 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 24-000311-1 License effective date: 12/01/2024 License expiration date: 11/30/2025
Administration and Staff
Administrator: PAUL STANLEY Start date: 02/08/2024 Director of Nursing: NIKKI NORRIS Start date: 12/31/2024 Medical director: Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: PULASKI MEMORIAL HOSPITAL 616 E 13TH STREET WINAMAC IN 46996 Ownership type: OTHER Officer(s): MICHAEL MCKAY LINDA WEBB CHARLES HUTTON GREGG MALOTT CLINT KAUFFMAN STEVE JAROSINSKI ADAM BENNETT JENNIFER SMITH TAYLOR WHITE JENNIFER MELLON PREVIOUS OWNERSHIP CHANGES: Name of previous owner: MAJOR HOSPITAL Date of last change of ownership: 12/01/2018
Bed Counts and Census
COMPREHENSIVE CARE BEDS: Number of Medicaid beds (NF): 42 Number of Medicare beds (SNF): 0 Number of Medicare/Medicaid beds (SNF/NF): 0 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 42 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 42 CENSUS: Facility census: 33 As reported by the facility on: 07/12/2024 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 07/12/2024 Residential care beds occupied: 0 As reported by the facility on: 07/12/2024 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: 22 Number of comprehensive care resident rooms with battery operated smoke detectors: 22 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - JARROD GULLETT Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR Date form completed - 04/11/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: Nurse aide training and competency evaluation program (NATCEP) expires: Nurse aide training and competency evaluation program (NATCEP) banned: Yes Nurse aide training and competency evaluation program (NATCEP) ban expires: 08/22/2026 CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: TRULY DIVINE CARE Approved: 05/25/2021 Terminated: 10/25/2021
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  0
Facility Report Card
  03/01/2020 Current QTR 12/01/2019 Previous QTR 09/01/2019 Previous QTR 06/01/2019 Previous QTR
Report Card Score 260 308 314 242
Rank of Score 82 67 66 84
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 Yes No Yes
Substandard Quality of Care No No Yes
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
Event ID: w2cc11 Action - Citation / Fine Notice to facility: 05/28/2025 Appeal: N/A Action Cease/Recind: 06/23/2023 Case Closed: 06/23/2023 Initial Amount: $250 Event ID: 19IF11 Action - Probationary license Notice to facility: 06/14/2023 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: 2IGT11 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: 07/11/2023 Case Closed: 07/11/2023 Initial Amount: $7500 Event ID: YKZR11 Action - Citation / Fine Notice to facility: 03/01/2023 Appeal: N/A Action Cease/Recind: 03/16/2023 Case Closed: 03/16/2023 Initial Amount: $5000 Event ID: HT8O11 Action - Citation / Fine Notice to facility: 09/19/2022 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $5000 Federal Certification Actions Imposed Discretionary Deny Pay for New Admits Date Imposed: 09/27/2024 Date Ended: 10/29/2024 Discretionary Deny Pay for New Admits Date Imposed: 09/08/2023 Date Ended: 10/27/2023 Discretionary Deny Pay for New Admits Date Imposed: 12/07/2022 Date Ended: 05/05/2023 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
9DQ811 Complaint 06/12/2025
GBPC11 Complaint 04/09/2025
OXVS12 Complaint, Follow Up 04/01/2025
OXVS11 Complaint 02/20/2025
T7NN12 Complaint, Follow Up 02/10/2025
T7NN11 Complaint 01/08/2025
W2CC11 State Licensure, Other 01/07/2025
234J22 Follow Up, Life Safety Code, Recertification 10/31/2024
TQUJ12 Complaint, Follow Up 10/29/2024
234J12 Recertification, Complaint, Follow Up, State Licensure 10/29/2024
OMSW11 Complaint 10/29/2024
234J21 Recertification, Life Safety Code 10/07/2024
234J11 Recertification, Complaint, State Licensure 09/26/2024
TQUJ11 Complaint 08/23/2024
WIMU12 Complaint, Follow Up 08/16/2024
WIMU11 Complaint 07/24/2024
0KP511 Complaint 06/20/2024
DKO112 Complaint, Follow Up 03/26/2024
4VC011 Other 03/15/2024
DKO111 Complaint 02/23/2024
S7T422 Recertification, Follow Up, Life Safety Code 01/11/2024
S7T412 Recertification, Complaint, Follow Up, State Licensure 01/10/2024
LPHD11 Complaint 12/21/2023
S7T421 Recertification, Life Safety Code 11/27/2023
S7T411 Recertification, Complaint, State Licensure 11/17/2023
GLRR12 Complaint, Follow Up 10/30/2023
I6UM12 Complaint, Follow Up 10/30/2023
I6UM11 Complaint 08/30/2023
GLRR11 Complaint 08/09/2023
TXQJ12 Complaint, Follow Up 07/20/2023
TXQJ11 Complaint 05/12/2023
19IF12 Complaint, Follow Up 05/05/2023
JO8H12 Complaint, Follow Up 05/05/2023
PD4B12 Complaint, Follow Up 05/05/2023
YKZR13 Complaint, Follow Up, Other 05/05/2023
2IGT12 Complaint, Follow Up 05/05/2023
19IF11 Complaint 03/30/2023
PD4B11 Complaint 03/14/2023
2IGT11 Complaint 02/27/2023
JO8H11 Complaint 01/27/2023
455311 Complaint 01/13/2023
YKZR12 Complaint, Follow Up, Other 01/03/2023
N3OF23 Recertification, Follow Up, Life Safety Code 12/22/2022
N3OF22 Recertification, Follow Up, Life Safety Code 12/08/2022
YKZR11 Complaint, Other 11/15/2022
N3OF12 Recertification, Follow Up, State Licensure 11/09/2022
N3OF21 Recertification, Life Safety Code 10/24/2022
N3OF11 Recertification, State Licensure 09/23/2022
 
 
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.