Above average — CMS composite of the measures below.
A standard survey is most likely before 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 - Valparaiso Care Center during CMS and state inspections, most recent first.
A resident with a history of stroke, cancer, and heart failure was ordered a venous doppler scan for lower extremity edema, but the facility failed to complete the test as ordered. Documentation incorrectly indicated the test was negative, and the administrator later confirmed the scan was never performed, resulting in a failure to follow physician orders and facility policy.
A resident with a history of stroke, cancer, and heart failure was ordered a venous doppler scan for lower extremity edema. Although records indicated the scan was completed and negative, the resident reported not receiving the test, and the administrator later confirmed the scan was never performed. The facility documented inaccurate diagnostic test results in the resident's medical record.
PRN Lorazepam Given Without Documented Indication: A resident with dementia, psychotic disorder with delusions, and anxiety disorder received PRN lorazepam multiple times, but the MAR did not document the reason for use or assessment findings for each administration. The order allowed the medication for anxiety, insomnia, or SOB, and the DON/Administrator could not provide additional documentation supporting why it was given.
Inaccurate MDS Coding for Wandering Behavior: A resident with Alzheimer's disease, dementia, and anxiety had an MDS that indicated no wandering during the look-back period, even though progress notes documented repeated hallway wandering. The care plan identified the resident as an elopement risk with a Wander Guard and noted behaviors including entering other residents' rooms and making sexually inappropriate comments. The MDS Coordinator and DON stated the wandering should have been coded on the MDS.
A resident with paranoid schizophrenia, bipolar disorder, sleep disorder, generalized anxiety disorder, and moderate cognitive impairment was receiving Depakote and risperidone, but the care plans did not include implemented plans for the anticonvulsant or antipsychotic medications. The resident’s care plans addressed other risks and medication uses, and the Administrator and Nurse Consultant acknowledged the missing care plans.
A resident with COPD and HF received PRN ipratropium-albuterol nebulizer treatments, but the chart lacked required pre-treatment VS and lung sound documentation. The order required a respiratory assessment before administration, and the facility later stated the orders were entered separately so staff were not prompted to complete the assessment and documentation.
A resident with multiple health conditions was admitted to a facility without being informed of her rights and the facility's rules. Despite signing a Consent to Treatment Form, there was no documentation that her rights or the rules were discussed with her. The issue arose because the Admissions Director was on unexpected leave, and the covering staff were still catching up.
A resident with chronic respiratory issues was not properly monitored, as the facility failed to notify the physician about ongoing symptoms and the inability to obtain a urine sample for testing. Despite initial notification and a chest x-ray order, there was no further communication about the resident's persistent cough or the unsuccessful attempts to collect a urine sample due to incontinence until the order was discontinued.
The facility failed to administer medications according to physician orders for two residents, leading to unnecessary medication administration. One resident received midodrine and hydralazine outside of prescribed blood pressure parameters, while another was given midodrine without holding it for high systolic blood pressure. Additionally, a skin discoloration on a cognitively impaired resident was not documented in weekly assessments, indicating a lapse in monitoring.
A resident with neuromuscular dysfunction of the bladder and dementia was found with their Foley catheter collection bag and tubing on the floor, contrary to the facility's policy. The resident's care plan required catheter care every shift, but the catheter was not properly managed, as confirmed by an RN. The facility's policy stated that the drainage bag and tubing should not touch the floor to prevent UTIs.
Failure to Obtain Ordered Diagnostic Test for Resident with Edema
Penalty
Summary
A deficiency occurred when the facility failed to obtain a prompt diagnostic test, specifically a venous doppler scan, as ordered by a physician for a resident with multiple diagnoses including hemiplegia, hemiparesis following a stroke, breast and bone cancer, and heart failure. The resident was identified as having bilateral lower extremity edema, and a physician's order was placed for a doppler scan of the left lower extremity to investigate the cause of the edema. Although a physician's note later indicated that the doppler study was negative and attributed the edema to positional causes, there was no documentation in the resident's record that the doppler scan had actually been completed. During an interview, the facility administrator confirmed that the resident did not receive the ordered doppler scan and that the physician's note stating the test was negative was entered in error. The facility's policy requires that diagnostic tests be scheduled and performed according to physician orders, and that results be communicated to the ordering physician within a specified timeframe. The lack of documentation and failure to complete the ordered diagnostic test constituted a failure to follow both physician orders and facility policy.
Inaccurate Documentation of Diagnostic Test Results
Penalty
Summary
The facility failed to maintain complete and accurate clinical records for a resident who was ordered a venous doppler scan to the left lower extremity due to edema. The resident, who had a history of hemiplegia, hemiparesis following stroke, breast and bone cancer, and heart failure, was noted to have bilateral lower extremity edema. Although a physician's order was placed for a doppler scan, and subsequent documentation indicated the test was negative, the resident later reported not having received the scan. Upon review, the facility administrator confirmed that the doppler scan was never performed and that the documentation stating otherwise was charted in error. This resulted in inaccurate documentation of diagnostic testing in the resident's medical record.
PRN Lorazepam Given Without Documented Indication
Penalty
Summary
The facility failed to ensure that an indication or reason for use was documented before administering a PRN anti-anxiety medication for Resident 42. The resident had diagnoses including dementia with behavioral disturbance, psychotic disorder with delusions, and anxiety disorder. The quarterly MDS dated 6/5/25 indicated the resident was cognitively impaired and received anti-anxiety medications. A physician’s order dated 7/14/25 directed lorazepam 2 mg/ml, 0.5 ml by mouth every 2 hours as needed for anxiety, insomnia, or shortness of breath, and the care plan updated on 7/24/25 indicated the resident used anti-anxiety medication. The MAR for 7/2025 showed lorazepam was administered on multiple occasions without any documented indication or reason for use, including on 7/19/25 at 3:00 p.m., 7/20/25 at 3:00 p.m., 7/22/25 at 7:20 a.m., 1:00 p.m., and 3:32 p.m., and 7/23/25 at 8:25 a.m. and 10:42 a.m. During interview, the Administrator stated she was unable to provide any further documentation as to why the medication had been administered. The facility policy on PRN medications stated that documentation must show adequate indications for a medication’s use and the diagnosed condition for which it was prescribed, and that when administering a PRN medication, the reason voiced by the resident and/or assessment findings must be documented.
Inaccurate MDS Coding for Wandering Behavior
Penalty
Summary
The facility failed to ensure an accurate MDS assessment for wandering behaviors for one resident with Alzheimer's disease, late-onset dementia, and generalized anxiety disorder. The resident's discharge MDS, dated 6/25/25, indicated moderate cognitive impairment with inattention and disorganized thinking that fluctuated, and it marked no wandering behaviors during the 7-day look-back period. However, the resident's record showed multiple progress notes documenting wandering in the hallways during that look-back period, including on 6/17/25, 6/18/25, 6/21/25, and 6/25/25. The care plan identified the resident as an elopement risk, required a Wander Guard, and noted behaviors including sexually inappropriate comments and wandering into other residents' rooms to attempt to take personal items. During interview, the MDS Coordinator and Administrator stated the wandering behavior should have been marked on the MDS assessment.
Care plans missing for antipsychotic and anticonvulsant medication use
Penalty
Summary
The facility failed to ensure care plans were implemented for 1 of 18 resident care plans reviewed, involving Resident 13. The resident’s record showed diagnoses including paranoid schizophrenia, bipolar disorder, sleep disorder, and generalized anxiety disorder, and the Quarterly MDS dated 6/28/25 indicated moderate cognitive impairment with no behavioral symptoms. He was receiving scheduled pain medication, an antipsychotic, an antianxiety medication, an antidepressant, a diuretic, an antiplatelet, and an anticonvulsant. Physician orders included Depakote sprinkles 500 mg in the morning and 1000 mg at bedtime, and risperidone 1 mg twice daily. The resident’s current care plans addressed fall risk, pain risk, antianxiety medication use, antidepressant medication use, antiplatelet therapy, and a mood problem related to paranoid schizophrenia and bipolar disorder, but there were no implemented care plans related to the resident receiving antipsychotic or anticonvulsant medications. During interview, the Administrator and Nurse Consultant stated the care plans should have been in place for the anticonvulsant and antipsychotic medication use.
Failure to Document Respiratory Assessment Before PRN Nebulizer Treatment
Penalty
Summary
The facility failed to follow a physician's order for a PRN ipratropium-albuterol nebulizer treatment for Resident 13, who had diagnoses including chronic obstructive pulmonary disease and heart failure and was moderately cognitively impaired on the quarterly MDS assessment. The July 2025 physician's order summary directed staff to document the minutes of treatment and record vital signs and lung sounds before administering the nebulizer treatment. The resident received the nebulizer treatment on 6/14/25 at 1:40 p.m. and on 6/15/25 at 9:14 a.m., but there was no documentation of vital signs or lung sounds before either treatment was given. During interview, the Administrator and Nurse Consultant stated they could not find any documentation of an assessment prior to administration, and explained that the orders were entered separately so nurses were not prompted to complete the assessment when the treatment was administered. The facility policy for Nebulizer Therapy required obtaining vital signs and performing a respiratory assessment before treatment and documenting the resident's vital signs, respiratory assessment, response to treatment, and related information in the medical record.
Failure to Inform Resident of Rights and Rules Upon Admission
Penalty
Summary
The facility failed to ensure that a resident was informed of their rights and the facility's rules upon admission. Resident 225, who has diagnoses including type 2 diabetes mellitus, bipolar disorder, and hypertension, was admitted to the facility and was responsible for herself. During an interview, the resident indicated that she had not received any orientation or information about her rights and the facility's rules since her admission. A review of her records showed that while a Consent to Treatment Form was signed, there was no documentation that her rights or the facility's rules had been discussed with her. The facility's Administrator later confirmed that the admission paperwork, including resident rights, was only reviewed with the resident after the issue was identified, due to the Admissions Director being on unexpected leave and the staff covering still trying to catch up.
Failure to Notify Physician of Ongoing Symptoms and Testing Issues
Penalty
Summary
The facility failed to notify the physician in a timely manner regarding ongoing respiratory symptoms and the inability to obtain a urine sample for laboratory testing for a resident with chronic obstructive pulmonary disease, vascular dementia with behavioral disturbance, and psychotic disorder with hallucinations. The resident was observed coughing in the Memory Care Unit, and her medical records indicated a history of respiratory issues. Despite the physician being notified initially and ordering a chest x-ray, there was no further communication about the resident's persistent cough from the time the x-ray was ordered until a urinalysis with culture and sensitivity (UA with C&S) was ordered. Attempts to collect the urine sample for the UA with C&S were unsuccessful due to the resident's incontinence, and there was no documentation of notifying the physician about these difficulties until the order was discontinued. The Director of Nursing confirmed that the staff were unable to obtain the sample as ordered, and the physician was only informed of this issue when the order was discontinued. This lack of timely communication and documentation regarding the resident's ongoing symptoms and the inability to perform the ordered tests contributed to the deficiency.
Medication Administration and Skin Assessment Deficiencies
Penalty
Summary
The facility failed to administer medications according to physician orders for two residents, leading to unnecessary medication administration. Resident 59, who has diagnoses including end-stage renal disease and diabetes mellitus, received midodrine and hydralazine outside of the prescribed blood pressure parameters on multiple occasions in August and September 2024. Despite orders to hold midodrine for systolic blood pressure greater than 120 and hydralazine for systolic blood pressure less than 120 or 140, the medications were administered when the resident's blood pressure readings were outside these parameters. The Director of Nursing confirmed that the medications were given outside of the ordered parameters. Similarly, Resident 177, with conditions such as hypertension and depression, was administered midodrine without holding it for systolic blood pressure above 120, as ordered. The medication was given on several dates in September 2024 when the resident's blood pressure exceeded the specified limit. Additionally, the facility failed to assess and monitor a skin discoloration on Resident 71, who has severe cognitive impairment. Despite a physician's order for weekly skin assessments, a discoloration above the resident's left elbow was not documented in the weekly skin review, indicating a lapse in monitoring. The Director of Nursing acknowledged the oversight after being notified of the discoloration.
Improper Foley Catheter Management
Penalty
Summary
The facility failed to ensure proper care for a resident with an indwelling Foley catheter, as observed during a survey. The resident, who had neuromuscular dysfunction of the bladder and dementia, was found with the catheter collection bag and tubing lying on the floor. This observation was made while the resident was in bed, which had been lowered to the ground with a fall mat placed beside it. The resident's baseline care plan required Foley catheter care every shift, but the catheter was not properly managed, as confirmed by RN 1 during an interview. The facility's policy on catheter care explicitly stated that the drainage bag and tubing should not touch the floor to reduce the risk of urinary tract infections. The Director of Nursing had no additional information to provide regarding the incident.
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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 Valparaiso
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of The Willows | 1.3 mi | ★★★★★ | 40 | 0 |
| Avalon Springs Health Campus | 2.1 mi | ★★★★★ | 14 | 0 |
| Valparaiso Care & Rehabilitation | 2.2 mi | ★★★★★ | 28 | 0 |
| Life Care Center Of Valparaiso | 3.1 mi | ★★★★★ | 15 | 0 |
| Ignite Medical Resort Chesterton | 8.2 mi | ★★★★★ | 27 | 0 |
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