Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
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 - Churchman Care Center during CMS and state inspections, most recent first.
A resident with cerebral infarction and reduced mobility was observed self-propelling in a wheelchair with the left hand and wrist bent toward the palm. The record showed an OT note that the resident refused 1/4 inch foam because it increased pain, and she was not a candidate for a Carrot device or palm protector due to severe contracture. The clinical record lacked a comprehensive person-centered care plan addressing the left hand contracture and the services required, despite the DON stating one should have been in place.
The facility failed to thoroughly report an abuse allegation involving two residents. A resident reported that another resident waved him into their room, where he exposed himself. The DON was informed that the resident was found receiving oral sex from the other resident. The incident was reported to the state health department, but the report lacked specific details. A CNA confirmed witnessing the incident and reported it to an LPN. The facility's policy required comprehensive reporting of abuse allegations.
A resident with severe cognitive impairment and a history of aggression was physically abused by a QMA, who used a folded metal chair against the resident's chest and neck after being struck. Despite the resident's care plan advising de-escalation techniques, the QMA's actions were deemed abusive, as witnessed by other staff who reported the incident to the DON.
The facility failed to maintain sanitary food preparation practices as the Dietary Manager was observed without a hair net during meal preparations. Both the facility's policy and state sanitation requirements mandate the use of hair restraints to prevent hair from contacting exposed food. The Regional Director confirmed the necessity of hair nets for all kitchen staff.
The facility failed to obtain timely consent for pneumococcal vaccinations for four residents, as required by policy. Consent forms were either undated or signed on the day of the survey, rather than upon admission. The residents involved had various medical conditions, including COPD, chronic hepatitis C, and type 2 diabetes.
The facility failed to obtain proper COVID-19 vaccine consent forms for four residents upon admission. One resident's form was signed verbally by the POA and undated, another was signed by the DON instead of the resident, and a third was signed by two staff witnesses but undated. The facility's policy required signed consent before vaccine administration, which was not followed.
A resident was observed with medications left at their bedside without a completed self-medication administration assessment. Medications for glaucoma were found in the resident's room, and a medication cup with unidentified tablets was left for the resident to take after breakfast. The clinical record lacked the necessary assessment, and staff interviews confirmed that medications should not be left in resident rooms.
A facility failed to provide a written Notice of Transfer and Discharge to a resident's representative and the Ombudsman when a resident with congestive heart failure and type 2 diabetes was transferred to the hospital. Although the resident received the notice, there was no documentation that it was shared with the representative or the Ombudsman, as required by the facility's policy.
A resident with dementia, requiring extensive assistance, was observed multiple times with their bed elevated, contrary to the care plan intervention to keep the bed in the lowest position. This failure to implement the care plan for fall prevention was confirmed by a nurse, leading to a deficiency finding.
A facility failed to document the drug dispositions for a discharged resident with multiple medical conditions, including paraplegia and hepatitis C. The resident's record lacked details on the medications sent home, and the Regional Director of Clinical Operations confirmed the absence of documentation and a specific policy for drug dispositions.
A medication cart on the B hall was found unlocked and unattended, containing various medications such as haloperidol, metronidazole, metoprolol, and Eliquis. The Medical Records Director confirmed that the cart should have been locked, in accordance with the facility's policy requiring all drugs to be stored in locked compartments.
The facility failed to administer a two-step Mantoux skin test for tuberculosis screening upon admission for three residents. These residents, with various medical conditions such as COPD, chronic kidney disease, and type 2 diabetes, had no documentation of the required tests in their clinical records. The Regional Director of Clinical Operations confirmed the necessity of these tests upon admission, as per the facility's policy.
The facility failed to secure a biohazard room on the B hall, which was found unlocked and unattended, containing a large canister of soiled linen and emitting a strong odor of urine. The Medical Records Director confirmed the room should be locked, and the facility's policy requires regulated medical waste to be managed according to regulations.
Failure to Develop Comprehensive Care Plan for Left Hand Contracture
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident with a left hand contracture. Resident 26 was observed self-propelling her wheelchair in the hall, and her left hand and wrist were noted to be bent toward the palm. The resident’s diagnoses included cerebral infarction and reduced mobility, and the Annual MDS assessment dated 8/28/25 indicated an impairment on one side of her upper extremity, including her wrist and hand. The clinical record showed an OT note dated 12/31/24 stating the resident did not want to wear 1/4 inch foam in her left hand because it caused increased pain. The record also indicated she was not a candidate for a Carrot device or palm protector due to severe contracture in the left hand. Despite these findings and the resident’s history of refusing treatment for the contracture, the record lacked a comprehensive person-centered care plan describing the impairment or contracture and the services required for it. The DON stated the resident should have had a care plan describing services required for the contracture on her left hand.
Failure to Thoroughly Report Abuse Allegation
Penalty
Summary
The facility failed to thoroughly report all known information regarding an allegation of abuse involving two residents. Resident B reported that a few weeks prior, Resident C had waved him into their room, where Resident B then exposed himself. The Director of Nursing (DON) received a report from an LPN that Resident B was found in Resident C's room with his pants down, receiving oral sex from Resident C. The incident was reported to the state health department, but the report only indicated inappropriate contact between the residents without detailing the specific actions observed. A CNA corroborated the incident, stating she witnessed Resident C performing oral sex on Resident B and reported it to the LPN. The facility's policy required allegations of abuse to be reported to the state survey agency, but the report lacked comprehensive details of the incident.
Failure to Protect Resident from Physical Abuse by QMA
Penalty
Summary
The facility failed to protect a resident's right to be free from physical abuse by a Qualified Medication Aide (QMA). During an incident, the resident, who had a history of physical aggression and severe cognitive impairment, became upset and began hitting the wall and yelling. The QMA, in response to being struck by the resident, picked up a folded metal chair and pressed it against the resident's upper chest and neck. This action was witnessed by other staff members, including an RN and an LPN, who both instructed the QMA to stop and reported the incident to the Director of Nursing (DON) immediately. The resident involved had multiple diagnoses, including epilepsy, bipolar disorder, hypertension, intellectual disabilities, and dysphagia, and was rarely understood due to severe cognitive impairment. The resident's care plan included interventions for physical aggression, such as allowing the resident time to calm down and reapproach. Despite this, the QMA's actions were deemed abusive as they went beyond self-defense, with ample opportunity to deescalate the situation by walking away. The facility's policy on abuse, neglect, and exploitation defines abuse as the willful infliction of injury or punishment resulting in harm, which was violated in this incident.
Sanitation Deficiency in Food Preparation
Penalty
Summary
The facility failed to ensure food was prepared in a sanitary manner during two kitchen observations. The Dietary Manager was observed without a hair net while preparing food for both the morning and noon meals. During an interview, the Dietary Manager acknowledged that hair nets should be worn. The Regional Director for Clinical Operations confirmed that all kitchen staff should wear hair nets when preparing food. The facility's Food Safety policy and the Indiana Food Establishment Sanitation Requirements both mandate the use of hair restraints to prevent hair from contacting exposed food.
Failure to Obtain Timely Consent for Pneumococcal Vaccinations
Penalty
Summary
The facility failed to ensure that residents signed the appropriate consent or refusal forms for pneumococcal vaccinations upon admission. This deficiency was identified for four out of five residents reviewed for immunization records. Resident 3, who had diagnoses including COPD, chronic hepatitis C, and unspecified kidney injury, had a pneumococcal vaccine consent form signed verbally by a Power of Attorney, but the form was undated. Resident 32, with diagnoses of COPD, chronic kidney disease, and type 2 diabetes, had a consent form signed by the resident but also undated. Resident 33, diagnosed with COPD, encephalopathy, and alcoholic liver disease, had a consent form signed by the DON on the day of the survey. Resident 44, with chronic respiratory failure, tracheostomy status, and type 2 diabetes, had a consent form signed by two staff witnesses, dated the same day as the survey. The RDCO confirmed that the forms should have been signed upon admission, and the undated forms were from the day of the survey. The facility's policy required assessment for pneumococcal immunizations upon admission and a signed consent form before vaccine administration, which was not adhered to in these cases.
Failure to Obtain Proper COVID-19 Vaccine Consent Forms
Penalty
Summary
The facility failed to ensure that residents signed the appropriate consent or refusal forms for COVID-19 vaccinations upon admission. This deficiency was identified for four out of five residents reviewed for immunization records. Resident 3's consent form was signed as verbal from the Power of Attorney and was undated. Resident 32's consent form was signed by the resident and dated correctly. However, Resident 33's consent form was signed by the Director of Nursing instead of the resident, and Resident 44's form was signed by two staff witnesses but was undated. During an interview, the Regional Director of Clinical Operations acknowledged that the forms should have been signed upon admission. The consent forms were requested on the first day of the survey and provided the following morning, with all forms either dated for the day of the request or undated. The facility's policy indicated that residents should be offered COVID-19 immunizations and that a consent form must be signed before vaccine administration, which was not adhered to in these cases.
Failure to Complete Self-Medication Assessment
Penalty
Summary
The facility failed to ensure a self-medication administration assessment was completed for a resident who was observed with medications left at their bedside. During multiple observations, medications for the treatment of glaucoma, including Simbrinza Ophthalmic Suspension and Lantanoprost Solution, were found on a table in front of the television and on top of a refrigerator in the resident's room. Additionally, a small plastic medication cup with multiple unidentified tablets and capsules was observed, which the resident indicated were left by a nurse for consumption after breakfast. The clinical record of the resident lacked a self-administration medication assessment, which is necessary to determine if the resident can safely manage their medications. Interviews with a Qualified Medication Aide and the Director of Nursing confirmed that medications should not be left in resident rooms and that the resident did not have a self-administration assessment. The facility's Medication Administration Policy requires staff to observe resident consumption of medication, which was not adhered to in this case.
Failure to Notify Resident's Representative and Ombudsman of Transfer
Penalty
Summary
The facility failed to provide a written Notice of Transfer and Discharge to the resident's representative and the Office of the State Long-Term Ombudsman for a resident who was transferred to the hospital emergency department. The resident, who was cognitively intact and had diagnoses including congestive heart failure and type 2 diabetes, was transferred on August 5, 2024. Although the resident received a copy of the transfer document, there was no documentation that the notice was provided to the resident's representative or the Ombudsman. Interviews with the Director of Nursing Services and the Social Service Director confirmed the lack of verification and inclusion of the necessary documentation in the monthly report to the Ombudsman. The facility's policy required that transfer/discharge notices be provided to both the resident and their representative, as well as copies for emergency transfers to the Ombudsman, but this was not adhered to in this instance.
Failure to Implement Fall Prevention Care Plan
Penalty
Summary
The facility failed to implement the comprehensive care plan for a resident identified as being at risk for falls. The resident, who has a diagnosis of dementia and requires extensive assistance with bed mobility and transfers, was observed on multiple occasions with their bed elevated approximately 4 feet from the floor, contrary to the care plan intervention that specified the bed should be kept in the lowest position. These observations were made on three separate dates, and during an interview, a registered nurse confirmed that the bed should always be in the lowest position. The care plan, which was updated to include this intervention, was not followed, leading to the deficiency noted in the report.
Failure to Document Drug Dispositions for Discharged Resident
Penalty
Summary
The facility failed to document the drug dispositions for Resident 49, who was one of the three closed record residents reviewed. Resident 49 had a range of medical conditions, including paraplegia, hepatitis C, and the acquired absence of bilateral legs above the knee. A review of the physician's order summary report dated for active orders as of 10/14/24 listed multiple medications prescribed for various conditions such as hyperlipidemia, anxiety, pain, and depression. However, upon discharge on 10/14/24, there was no documentation in Resident 49's record indicating the name, type, or amount of medications that were sent home with the resident or their representative. During interviews conducted on 10/18/24, the Regional Director of Clinical Operations (RDOC) confirmed that the facility lacked documentation for the drug dispositions for Resident 49. Furthermore, the RDOC indicated that the facility did not have a specific policy in place for drug dispositions. This lack of documentation and policy represents a deficiency in the facility's pharmaceutical services, as it failed to ensure proper documentation of medications provided to the resident upon discharge.
Medication Cart Found Unlocked and Unattended
Penalty
Summary
The facility failed to ensure that a medication cart was locked, as observed on the B hall. During the observation period from 9:25 a.m. to 9:40 a.m., the medication cart was found unlocked and unattended, with no staff visible in the area. The cart contained multiple residents' medications, including haloperidol, metronidazole, metoprolol, and Eliquis. An interview with the Medical Records Director confirmed that the medication cart should have been locked. The facility's policy, provided by the Regional Director of Clinical Services, mandates that all drugs and biologicals be stored in locked compartments, including medication carts.
Failure to Administer Tuberculosis Skin Tests Upon Admission
Penalty
Summary
The facility failed to ensure that three residents received a two-step Mantoux skin test for tuberculosis screening upon admission. Resident 32, diagnosed with COPD, chronic kidney disease, and type 2 diabetes, had no documentation of the required skin tests in their clinical record. Similarly, Resident 33, with diagnoses including COPD, encephalopathy, and alcoholic liver disease, also lacked documentation of the Mantoux skin tests. Resident 44, who had chronic respiratory failure, tracheostomy status, and type 2 diabetes, was found to have no record of the tuberculosis skin tests upon admission. During an interview, the Regional Director of Clinical Operations confirmed that Mantoux skin tests should be administered upon admission. The facility's policy, provided by the Administrator, indicated that tuberculosis screening should be conducted in accordance with state requirements, with tuberculin skin tests completed within three months prior to or upon admission.
Biohazard Room Security Lapse
Penalty
Summary
The facility failed to ensure that biohazard materials were stored securely, as observed in the B hall biohazard room. On October 16, 2024, at 10:45 a.m., the biohazard room was found unlocked and unattended, despite a sign on the door indicating that it should remain locked due to the presence of biohazard materials. Inside the room, a large canister of soiled linen was observed, and there was a strong odor of urine. During an interview shortly after the observation, the Medical Records Director confirmed that the biohazard room should be locked. The following day, the Regional Director of Clinical Operations provided a policy document titled 'Medical Waste,' which stated that regulated medical waste must be managed, handled, stored, and transported according to federal, state, and local regulations.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fairway Village | 0.5 mi | ★★★★★ | 8 | 0 |
| Envive Of Beech Grove | 0.5 mi | ★★★★★ | 5 | 0 |
| Beech Grove Meadows | 0.6 mi | ★★★★★ | 12 | 0 |
| Waters Of Indianapolis, The | 1.5 mi | ★★★★★ | 2 | 0 |
| Altenheim Health & Living Community | 1.5 mi | ★★★★★ | 2 | 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.