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: 3/8/2024
 
Posted to the Web on: 3/20/2024
 
 



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: 23-000177-1
  License effective date: 9/1/2023
  License expiration date: 8/31/2024
 


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
            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: 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:  126
As reported by the facility on: 1/11/2024 
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/11/2024 
 
Residential care beds occupied:  0
As reported by the facility on: 1/11/2024 
 
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: 79
 
  If hard wired and/or wireless smoke detectors are provided in resident's room, do they:
    (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes
    (B) Transmit to a central station service - Yes
    (C) Connect to the health facility's fire alarm system - Yes
 
Person completing form - CURTIS PORTER
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 3/20/2023
 


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: 9/6/2021
     FAITH HEALTHCARE TRAINING CENTER
         Approved: 9/21/2023
         Terminated: N/A
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  3
  2 years previous:  4

 


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
No
No
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
 
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

DATX11
Complaint
2/14/2024


J87D11
Complaint
2/6/2024


ZNFM11
Complaint
11/21/2023


OFJ511
Complaint
10/13/2023


1C4422
Recertification, Follow Up, Life Safety Code
9/12/2023


1C4412
Recertification, Follow Up, State Licensure
8/25/2023


1C4421
Recertification, Life Safety Code
8/8/2023


1C4411
Recertification, State Licensure
7/24/2023


9F1411
Complaint
4/12/2023


B1SQ12
Complaint, Follow Up
3/14/2023


B1SQ11
Complaint, Other
2/10/2023


47IP12
Complaint, Follow Up
1/17/2023


47IP11
Complaint
12/5/2022


SV9Q12
Complaint, Follow Up, Other
11/10/2022


MC4312
Complaint, Follow Up
11/10/2022


MC4311
Complaint
10/17/2022


SV9Q11
Complaint, Other
9/9/2022


NPFE22
Recertification, Follow Up, Life Safety Code
8/1/2022


NPFE12
Recertification, Complaint, Follow Up, State Licensure
7/12/2022


NPFE21
Recertification, Life Safety Code
7/7/2022


9QDD11
Complaint
7/7/2022


NPFE11
Recertification, Complaint, State Licensure
6/10/2022


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


D5K711
Complaint
6/29/2021


7UC212
Recertification, Follow Up, State Licensure
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


 
 


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.