11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Merrillville, IN
1-star overall rating with 1-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
8800 Virginia Place, Merrillville, IN
(219) 736-1310
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
164
Certified beds
Average residents
142
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Brickyard Healthcare
Operator or chain grouping
Approved since
1990-07-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
23 facilities
Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.60
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.52
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.33
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.12
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.82
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
3.03
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
48%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
9,996
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.60
Performance 21.15% · Measure score 0.60 · Achievement 0.60 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.75
Baseline 8.85% · Performance 6.83% · Measure score 4.75 · Achievement 3.38 · Improvement 4.75
Total nurse turnover
3.25
Baseline 55.14% · Performance 50.40% · Measure score 3.25 · Achievement 3.25 · Improvement 1.06
Adjusted total nurse staffing
0.12
Baseline 2.78 hours · Performance 2.97 hours · Measure score 0.12 · Achievement 0 · Improvement 0.12
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.73% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 75 · Observed rate 12% · Lower 95% interval 7.96% |
| Discharge to community | 33.31% |
50.57%
17.3 pts worse
|
Worse than the National Rate · Eligible stays 56 · Observed rate 21.43% · Lower 95% interval 23.38% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.5% |
95.27%
2.2 pts better
|
Numerator 78 · Denominator 80 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 80 |
| Discharge self-care score | 61.36% |
53.69%
7.7 pts better
|
Numerator 27 · Denominator 44 |
| Discharge mobility score | 54.55% |
50.94%
3.6 pts better
|
Numerator 24 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 5% |
2.29%
2.7 pts worse
|
Numerator 4 · Denominator 80 · Adjusted rate 3.29% |
| Healthcare-associated infections requiring hospitalization | 6.83% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 55 · Observed rate 7.27% · Lower 95% interval 4% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 127 |
| Staff flu vaccination coverage | 18.11% |
42%
23.9 pts worse
|
Numerator 23 · Denominator 127 |
| Discharge function score | 61.36% |
56.45%
4.9 pts better
|
Numerator 27 · Denominator 44 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 10.64% |
25.2%
14.6 pts worse
|
Numerator 5 · Denominator 47 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.8 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
93.6%
4 pts better
|
93.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 96.8% · Q3 96.6% · Q4 100.0% · 4Q avg 97.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.9% |
95.4%
14.5 pts worse
|
95.5%
14.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.8%
0.8 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.8% · Q3 1.7% · Q4 2.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.2% |
24.6%
5.6 pts worse
|
11.4%
18.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 37.4% · Q3 25.0% · Q4 23.1% · 4Q avg 30.2% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.6%
1.8 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.7% · Q3 2.8% · Q4 5.1% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
23.5%
11.4 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 12.6% · Q3 11.7% · Q4 10.9% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.4% |
14.8%
10.4 pts better
|
16.7%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.2% · Q3 1.3% · Q4 3.5% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.5% |
13.3%
4.8 pts better
|
16.3%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 18.6% · Q3 6.3% · Q4 3.2% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.8% |
11.7%
5.9 pts better
|
14.9%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 4.2% · Q3 5.1% · Q4 4.9% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.6% |
24.2%
10.4 pts worse
|
19.8%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 39.3% · Q3 30.9% · Q4 35.3% · 4Q avg 34.6% |
| Percentage of long-stay residents with pressure ulcers | 10.8% |
4.1%
6.7 pts worse
|
5.1%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 11.3% · Q3 11.3% · Q4 8.6% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
81.6%
14.9 pts better
|
81.7%
14.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 95.7% · Q3 97.8% · Q4 96.1% · 4Q avg 96.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
10.5%
3 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 16.2% · Expected 13.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.3%
1.5 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.0% · Q3 3.6% · Q4 4.5% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
79.0%
16.4 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
22.4%
3.5 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 29.4% · Expected 27.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-03
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-10-03
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-07-29
Fire Safety
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.
Corrected 2024-07-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-29
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2024-07-29
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-02-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-21
Fire Safety
Meet other general requirements.
Corrected 2023-09-21
Fire Safety
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.
Corrected 2023-09-21
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-21
Inspection history
Health
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.
Corrected 2026-02-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-12
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-12
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-12
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-12
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-24
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-07-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-12
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-07-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-12
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-07-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-12
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-07-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-12
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-07-12
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-07-12
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-07-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-08-30
Health
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.
Corrected 2023-08-30
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-08-30
Health
Provide or obtain dental services for each resident.
Corrected 2023-08-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-13
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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