Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brickyard Healthcare - Brentwood Care Center during CMS and state inspections, most recent first.
The facility failed to properly date, label, and manage expired medications in one medication cart and two storage rooms. A Humalog Insulin pen lacked an open date, and expired medications, including Mary's Medical Mouth Wash and 0.9% Sodium Chloride Solution, were found. Staff interviews revealed non-compliance with medication labeling and storage policies.
A resident with an indwelling catheter experienced multiple UTIs due to inadequate care and documentation failures. The catheter bag was observed dragging on the floor, and orders for a voiding trial and urology referral were not completed timely. The care plan was outdated, and there was confusion among staff regarding the resident's treatment, leading to incorrect documentation.
A resident with acute and chronic respiratory failure was observed receiving 4L of oxygen, contrary to the physician's order for 3L. The resident, who was cognitively intact, confirmed the discrepancy. The DON was unaware of any order change, and the facility's policy requires oxygen to be administered per physician's orders, which was not followed.
The facility failed to implement infection prevention standards for two residents requiring Enhanced Barrier Precautions (EBP). A hospice nurse and a Qualified Medicine Aide did not wear the necessary personal protective equipment (PPE) during high-contact care activities, despite facility policy and signage indicating the need for such precautions. Both residents had indwelling catheters and were at risk for infection.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to ensure that medications were properly dated, labeled, and not expired, as observed in one of four medication carts and two medication storage rooms. On the 400 Hall Medication Cart, a Humalog Insulin pen for a patient was found without an open date. In the North Hall Medication Storage Room Refrigerator, an expired bottle of Mary's Medical Mouth Wash for a resident was observed, with an expiration date of January 15, 2025. Additionally, in the South Hall Medication Storage Room and Refrigerator, two bottles of 0.9% Sodium Chloride Solution were found expired, with expiration dates of October 19, 2024, and January 24, 2025, respectively. A vial of Tuberculin Solution was also found without an open date. Interviews with facility staff revealed a lack of adherence to medication labeling and storage policies. An LPN indicated that medications should have a label and date if there is a physician order, and they should be dated when opened and destroyed if expired. An RN confirmed that tuberculin solution should be dated once opened. The facility's policies on labeling and medication storage, provided by the Administrator, were current but undated, and they outlined requirements for labeling medications with resident names and expiration dates, as well as routine inspections for discontinued and outdated medications.
Failure to Prevent UTIs in Resident with Indwelling Catheter
Penalty
Summary
The facility failed to provide adequate care to prevent urinary tract infections (UTIs) for a resident with an indwelling urinary catheter. The resident, who was not cognitively intact and required substantial assistance for toileting, was observed with a catheter bag and tubing dragging on the floor, which is against professional standards of practice. The resident's clinical record indicated a history of obstructive and reflux uropathy and retention of urine, and he was admitted with an indwelling catheter. Despite orders for a voiding trial and a referral to a urologist, these were not completed in a timely manner. The resident experienced multiple UTIs, as evidenced by several physician orders for antibiotics, including Macrobid, cefuroxime axetil, and Bactrim, over a period of months. The care plan was not updated to reflect new orders or the resident's current condition, such as the use of an 18 French catheter instead of a 14 French catheter. Additionally, there was a lack of documentation indicating that the resident was assessed by a nurse practitioner (NP) for an enlarged testicle, despite multiple progress notes mentioning the condition. Interviews with facility staff, including the Director of Nursing (DON) and the Administrator, revealed communication and documentation issues. The NP who was responsible for the resident's care during the critical period no longer worked at the facility, and there was confusion regarding the completion of a voiding trial. The Administrator acknowledged that the NP had confused the resident with another patient, leading to incorrect documentation. The facility's policies on documentation and catheter care were not adhered to, contributing to the deficiency.
Failure to Adhere to Physician's Oxygen Orders for Resident
Penalty
Summary
The facility failed to provide respiratory services according to professional standards for a resident receiving hospice care. The resident, who was diagnosed with acute and chronic respiratory failure with hypoxia, was observed on multiple occasions receiving 4 liters of oxygen via nasal cannula, despite the physician's order for continuous oxygen at 3 liters. The resident, who was cognitively intact, confirmed that he was supposed to be receiving 2 liters of oxygen, indicating a discrepancy between the care provided and the physician's orders. The Director of Nursing confirmed that the resident should have been on 3 liters of oxygen and was unaware of any order to increase it to 4 liters. The facility's current oxygen administration policy requires oxygen to be administered under a physician's orders, which was not adhered to in this case. The resident's care plan, which included administering oxygen as needed per physician order, was not followed, leading to the deficiency identified by the surveyors.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement infection prevention standards during care for two residents requiring Enhanced Barrier Precautions (EBP). In the first instance, a hospice nurse assisted in repositioning a resident in bed without wearing a gown, despite a sign on the resident's door indicating that enhanced barrier precautions should be followed. The resident had an indwelling catheter and was at risk for infection due to multi-drug-resistant organisms. The infection preventionist confirmed that all staff should wear gloves and a gown when providing direct care to residents requiring EBP. In the second instance, a Qualified Medicine Aide entered a resident's room without donning personal protective equipment, despite the resident being on Enhanced Barrier Protocol. The aide was observed changing the resident's incontinent brief without wearing the necessary PPE. The resident had a suprapubic catheter and was dependent on dressing and toileting. The facility's policy indicated that PPE is necessary for high-contact care activities to prevent the transmission of multidrug-resistant organisms.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Evansville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aperion Care Lincoln | 1.3 mi | ★★★★★ | 13 | 0 |
| Columbia Healthcare Center | 1.4 mi | ★★★★★ | 9 | 0 |
| Brickyard Healthcare - Woodbridge Care Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Envive Of River City | 1.5 mi | ★★★★★ | 25 | 0 |
| Envive Of Evansville | 2.7 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.