Federal inspection record · CMS data as of October 1, 2026

Brickyard Healthcare - Elkhart Care Center

1001 W Hively Ave, Elkhart, IN · (574) 294-7641

CMS overall rating

1 of 5

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Certified beds
175
Residents per day
118
Ownership
For-Profit
Chain
Brickyard Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 18, 2001

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Brickyard Healthcare - Elkhart Care Center carries 77 inspection points. That is fewer than 17% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 77 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–24 pts
  • 3★ 24–42 pts
  • 2★ 42–72 pts
  • 1★ over 72 pts

Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 29 4 pts
E 7 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 1, 2026 · Complaint inspection · Nutrition and Dietary · F804 · Corrected June 12, 2026

Everything else, by area of care

Quality of Life and Care10D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 16, 2026 · Complaint · F684 · Corrected February 13, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 12, 2025 · Standard · F684 · Corrected September 1, 2025

  3. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    August 12, 2025 · Standard · F688 · Corrected September 1, 2025

  4. D

    Provide activities to meet all resident's needs.

    August 5, 2024 · Standard · F679 · Corrected September 4, 2024

  5. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 5, 2024 · Standard · F684 · Corrected September 4, 2024

  6. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    August 5, 2024 · Standard · F688 · Corrected September 4, 2024

  7. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    August 5, 2024 · Standard · F694 · Corrected September 4, 2024

  8. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 5, 2024 · Standard · F695 · Corrected September 4, 2024

  9. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 27, 2023 · Standard · F677 · Corrected September 8, 2023

  10. D

    Provide safe and appropriate respiratory care for a resident when needed.

    July 27, 2023 · Standard · F695 · Corrected September 8, 2023

Resident Rights9E
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 16, 2026 · Complaint · F580 · Corrected February 13, 2026

  2. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 12, 2025 · Standard · F584 · Corrected September 1, 2025

  3. E

    Honor the resident's right to manage his or her financial affairs.

    August 5, 2024 · Standard · F567 · Corrected September 4, 2024

  4. E

    Assure the security of all personal funds of residents deposited with the facility.

    August 5, 2024 · Standard · F570 · Corrected September 4, 2024

  5. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    August 5, 2024 · Standard · F578 · Corrected September 4, 2024

  6. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    July 27, 2023 · Standard · F578 · Corrected September 8, 2023

  7. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    July 27, 2023 · Standard · F580 · Corrected September 8, 2023

  8. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    July 27, 2023 · Standard · F623 · Corrected September 8, 2023

  9. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    July 27, 2023 · Standard · F625 · Corrected September 8, 2023

Pharmacy Service5E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 12, 2025 · Standard · F755 · Corrected September 1, 2025

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 5, 2024 · Standard · F755 · Corrected September 4, 2024

  3. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    August 5, 2024 · Standard · F758 · Corrected September 4, 2024

  4. E

    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.

    July 27, 2023 · Standard · F761 · Corrected September 8, 2023

  5. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    July 27, 2023 · Standard · F755 · Corrected September 8, 2023

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 1, 2026 · Complaint · F609 · Corrected June 12, 2026

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 2, 2025 · Complaint · F600 · Corrected December 19, 2025

  3. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    August 12, 2025 · Standard · F605 · Corrected September 1, 2025

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 23, 2025 · Complaint · F609 · Corrected February 14, 2025

Nutrition and Dietary4F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 12, 2025 · Standard · F812 · Corrected September 1, 2025

  2. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    October 4, 2024 · Complaint · F804 · Corrected October 21, 2024

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 5, 2024 · Standard · F812 · Corrected September 4, 2024

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 27, 2023 · Standard · F812 · Corrected September 8, 2023

Resident Assessment and Care Planning4E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 12, 2025 · Standard · F656 · Corrected September 1, 2025

  2. E

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    August 5, 2024 · Standard · F655 · Corrected September 4, 2024

  3. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 5, 2024 · Standard · F656 · Corrected September 4, 2024

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 27, 2023 · Standard · F656 · Corrected September 8, 2023

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    August 5, 2024 · Standard · F880 · Corrected September 4, 2024

Environmental1D
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    July 27, 2023 · Standard · F921 · Corrected September 8, 2023

Inspection history

  1. 2025-08-12

    12 health deficiencies · 9 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2024-08-05

    16 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2023-07-27

    11 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 24 min of nursing staff time a day, 26 min of it from a registered nurse.

This home

3 h 24 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 31% of nursing staff and 27% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better0.71.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.61.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts worse90.9%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.1 pts worse85.0%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better2.9%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms14.3 pts better11.2%25.5%13.5%
Percentage of long-stay residents who lose too much weight2.1 pts better3.2%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts better17.0%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.6 pts better13.1%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.1 pts better10.0%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse13.3%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse0.4%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts worse25.6%22.4%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better3.0%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts worse68.5%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.5 pts better4.4%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better0.5%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.1 pts worse55.1%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts worse25.1%21.8%23.4%

·

Who owns and runs it

8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Elkhart Operating LLCOperational/Managerial Control · Organization0%1 facilities
Engels, ErinCorporate Officer · Individual0%44 facilities
Fenoughty, DeannaCorporate Officer · Individual0%45 facilities
Gentry, MarkCorporate Director · Individual0%45 facilities
Knisley, ChadContracted Managing Employee · Individual0%1 facilities
Starkey, TylerCorporate Officer · Individual0%45 facilities
Waite, JohnCorporate Officer · Individual0%45 facilities
Whicker, TimothyCorporate Director · Individual0%45 facilities

·

Fire safety

25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 12, 2025 · K353 · Corrected October 15, 2025

  2. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    August 12, 2025 · K354 · Corrected October 15, 2025

  3. E

    Provide properly protected cooking facilities.

    August 12, 2025 · K324 · Corrected October 15, 2025

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 12, 2025 · K372 · Corrected October 15, 2025

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 5, 2024 · K353 · Corrected September 13, 2024

  6. E

    Install an approved automatic sprinkler system.

    August 5, 2024 · K351 · Corrected September 13, 2024

  7. E

    Install a fire alarm system that can be heard throughout the facility.

    July 27, 2023 · K341 · Corrected September 15, 2023

  8. E

    Install corridor and hallway doors that block smoke.

    July 27, 2023 · K363 · Corrected September 15, 2023

Egress6F
  1. F

    Have exits that are accessible at all times.

    August 12, 2025 · K271 · Corrected October 15, 2025

  2. F

    Install proper backup exit lighting.

    August 12, 2025 · K281 · Corrected October 15, 2025

  3. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    August 5, 2024 · K222 · Corrected September 13, 2024

  4. E

    Have properly located and lighted "Exit" signs.

    August 5, 2024 · K293 · Corrected September 13, 2024

  5. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    July 27, 2023 · K222 · Corrected September 15, 2023

  6. E

    Have properly located and lighted "Exit" signs.

    July 27, 2023 · K293 · Corrected September 15, 2023

Gas, Vacuum, and Electrical Systems6F
  1. F

    Have proper medical gas storage and administration areas.

    August 12, 2025 · K923 · Corrected October 15, 2025

  2. F

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    August 12, 2025 · K927 · Corrected October 15, 2025

  3. F

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    August 5, 2024 · K927 · Corrected September 13, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    July 27, 2023 · K918 · Corrected September 15, 2023

  5. E

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    July 27, 2023 · K927 · Corrected September 15, 2023

  6. D

    Ensure proper usage of power strips and extension cords.

    July 27, 2023 · K920 · Corrected September 15, 2023

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    August 12, 2025 · K712 · Corrected October 15, 2025

  2. F

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 5, 2024 · K741 · Corrected September 13, 2024

  3. F

    Have simulated fire drills held at unexpected times.

    July 27, 2023 · K712 · Corrected September 15, 2023

Emergency Preparedness2F
  1. F

    Provide primary/alternate means for communication.

    August 5, 2024 · E32 · Corrected September 13, 2024

  2. F

    Implement emergency and standby power systems.

    July 27, 2023 · E41 · Corrected September 15, 2023

·

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