Brickyard Healthcare - Twelfth Street Care CenterCMS ratings, inspections and fines
- Address
- 811 E 12th Street, Mishawaka, IN 46544
- CCN
- 155109
- Ownership type
- For-profit, corporation
- Certified beds
- 87
- Chain
- Brickyard Healthcare
- Residents per day
- 58
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Brickyard Healthcare - Twelfth Street Care Center an overall rating of 2 of 5 stars. The last standard survey was on 12 Sep 2025. The latest survey cycle has 10 health citations. The median for nursing homes in Indiana is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | St. Joseph County median | Indiana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 18 homes in the county, 507 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Indiana median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Sep 2025 | 10 | 6 |
| Cycle 2 | 26 Sep 2024 | 9 | 6 |
| Cycle 3 | No date | 9 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard survey | 27 Oct 2025 |
| 12 Sep 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 27 Oct 2025 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 17 Apr 2025 |
| 19 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Apr 2025 |
| 19 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Apr 2025 |
| 26 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 1 Nov 2024 |
| 26 Sep 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 1 Nov 2024 |
| 26 Sep 2024 | F0621 | Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source | D | Complaint investigation | 1 Nov 2024 |
| 26 Sep 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 1 Nov 2024 |
| 26 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Nov 2024 |
| 26 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Nov 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Sep 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 26 Oct 2023 |
| 26 Sep 2023 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 26 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Indiana median | Indiana average (CMS) |
|---|---|---|---|
| All nurse staff | 3.35 | 3.60 | 3.68 |
| Registered nurses (RN) | 0.70 | 0.60 | 0.67 |
| Licensed practical nurses (LPN) | 0.48 | 0.78 | |
| Nurse aides | 2.17 | 2.23 | |
| All nurse staff, weekends | 3.03 | 3.10 | 3.24 |
- Nurse staff turnover in a year
- 67.6%
- Nurse staff turnover, Indiana median
- 45.4%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 4
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Indiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.8% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.5% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.0% | 11.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Hendricks County Hospital
- Chain
- Brickyard Healthcare (23 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mishawaka Operating LLC | Operational/managerial control | 1 Sep 2012 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Joseph County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Trailpoint Village | South Bend | 2 of 5 | 4 | $14,069 | 13 Apr 2026 | |
| Brickyard Healthcare - Fountainview Care Center | Mishawaka | 2 of 5 | 12 | $0 | 27 May 2025 | |
| Cardinal Nursing and Rehabilitation Center | South Bend | 5 of 5 | 0 | $0 | 16 Apr 2025 | |
| Creekside Village | Mishawaka | 4 of 5 | 5 | $0 | 31 Mar 2026 | |
| Belltower Health & Rehabilitation Center | Granger | 4 of 5 | 2 | $0 | 9 Jun 2025 | |
| Southfield Village | South Bend | 3 of 5 | 8 | $0 | 13 Jan 2026 | |
| Holy Cross Rehabilitation and Wellness | South Bend | 2 of 5 | 13 | $0 | 28 Apr 2025 | |
| Milton Home, The | South Bend | 5 of 5 | 3 | $0 | 5 Jan 2026 | |
| Holy Cross Village at Notre Dame Inc | Notre Dame | 3 of 5 | 7 | $0 | 6 May 2026 | |
| Wellbrooke of South Bend | South Bend | 4 of 5 | 7 | $0 | 20 Apr 2026 | |
| Majestic Care of South Bend | South Bend | 1 of 5 | 9 | $116,322 | 19 Aug 2025 | |
| Healthwin Health & Rehabilitation | South Bend | 2 of 5 | 10 | $0 | 22 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Brickyard Healthcare - Twelfth Street Care Center (CCN 155109). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/brickyard-healthcare-twelfth-street-care-center-mishawaka-in-155109/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Brickyard Healthcare - Twelfth Street Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 12 Sep 2025. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 26 Sep 2024.
- Who operates Brickyard Healthcare - Twelfth Street Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Brickyard Healthcare. The CMS ownership file names Mishawaka Operating LLC for operational or managerial control. This site does not show the names of persons.
- Is Brickyard Healthcare - Twelfth Street Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Indiana as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.