Cycle 1
Health 2025-07-25 · Fire 2025-07-25
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Valparaiso, IN
Brickyard Healthcare - Valparaiso Care Center
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
251 Sturdy Rd, Valparaiso, IN
(219) 462-6158
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
85
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Brickyard Healthcare
Operator or chain grouping
Approved since
1972-10-03
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
Hours and turnover
RN hours / resident day
0.80
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.91
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
3.22
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,103
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.38% · Performance 22.25% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.46
Baseline 8.09% · Performance 6.86% · Measure score 3.46 · Achievement 3.25 · Improvement 3.46
Total nurse turnover
4.89
Baseline 47.89% · Performance 43.68% · Measure score 4.89 · Achievement 4.89 · Improvement 1.33
Adjusted total nurse staffing
0.21
Baseline 2.90 hours · Performance 3.10 hours · Measure score 0.21 · Achievement 0 · Improvement 0.21
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.01% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 6.06% · Lower 95% interval 5.86% |
| Discharge to community | 44.12% |
50.57%
6.5 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 33.33% · Lower 95% interval 30.43% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.4% |
95.27%
2.1 pts better
|
Numerator 75 · Denominator 77 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 77 |
| Discharge self-care score | 33.33% |
53.69%
20.4 pts worse
|
Numerator 16 · Denominator 48 |
| Discharge mobility score | 39.58% |
50.94%
11.4 pts worse
|
Numerator 19 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 3.9% |
2.29%
1.6 pts worse
|
Numerator 3 · Denominator 77 · Adjusted rate 2.85% |
| Healthcare-associated infections requiring hospitalization | 6.86% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 8.62% · Lower 95% interval 4.41% |
| Staff COVID-19 vaccination coverage | 4.11% |
8.2%
4.1 pts worse
|
Numerator 3 · Denominator 73 |
| Staff flu vaccination coverage | 25.33% |
42%
16.7 pts worse
|
Numerator 19 · Denominator 75 |
| Discharge function score | 45.83% |
56.45%
10.6 pts worse
|
Numerator 22 · Denominator 48 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 15% |
25.2%
10.2 pts worse
|
Numerator 6 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% |
93.6%
10.3 pts worse
|
93.4%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.6% · Q2 86.7% · Q3 88.4% · Q4 87.0% · 4Q avg 83.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.4% |
95.4%
11 pts worse
|
95.5%
11.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.8%
0.2 pts better
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.0% · Q3 2.9% · Q4 1.4% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.3% |
24.6%
4.3 pts better
|
11.4%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 25.4% · Q3 16.9% · Q4 22.7% · 4Q avg 20.3% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
5.6%
0.4 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 10.0% · Q3 1.9% · Q4 0.0% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.3% |
23.5%
5.8 pts worse
|
19.6%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 26.7% · Q3 28.3% · Q4 36.2% · 4Q avg 29.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.3% |
14.8%
1.5 pts better
|
16.7%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 12.2% · Q3 9.8% · Q4 13.0% · 4Q avg 13.3% · 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 | 11.1% |
13.3%
2.2 pts better
|
16.3%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 14.6% · Q3 7.8% · Q4 4.2% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.7% |
11.7%
6 pts better
|
14.9%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.7% · Q3 5.8% · Q4 3.5% · 4Q avg 5.7% · 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 | 29.2% |
24.2%
5 pts worse
|
19.8%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 27.0% · Q3 32.8% · Q4 25.3% · 4Q avg 29.2% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
4.1%
1.1 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 1.8% · Q3 1.0% · Q4 2.1% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.0% |
81.6%
50.6 pts worse
|
81.7%
50.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.1% · Q3 34.8% · Q4 46.9% · 4Q avg 31.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.8% |
10.5%
2.3 pts worse
|
12.0%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 15.4% · Expected 13.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.8% |
1.3%
3.5 pts worse
|
1.6%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 4.2% · Q3 5.3% · Q4 3.0% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 28.8% |
79.0%
50.2 pts worse
|
79.7%
50.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 28.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
22.4%
2.2 pts worse
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 28.8% · Expected 28.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-04 · Fire 2024-10-04
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-12-15 · Fire 2023-12-15
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-07-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-09
E · Potential for more than minimal harm
2023-12-15
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-02-05
E · Potential for more than minimal harm
2023-12-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-02-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-25
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-25
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-25
F777 · Administration Deficiencies
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-03
D · Potential for more than minimal harm
2024-10-04
F572 · Resident Rights Deficiencies
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2024-11-02
D · Potential for more than minimal harm
2024-10-04
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-02
D · Potential for more than minimal harm
2024-10-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-02
D · Potential for more than minimal harm
2024-10-04
F690 · Quality of Life and Care Deficiencies
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 2024-11-02
D · Potential for more than minimal harm
2023-12-15
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-13
D · Potential for more than minimal harm
2023-12-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-13
D · Potential for more than minimal harm
2023-12-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-13
D · Potential for more than minimal harm
2023-12-15
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-13
Penalties and ownership
What sits behind the stars
Ownership
Hendricks County Hospital
5% Or Greater Direct Ownership Interest · Organization
Engels, Erin
Corporate Director · Individual
Fenoughty, Deanna
Corporate Officer · Individual
Gentry, Mark
Corporate Director · Individual
Starkey, Tyler
Corporate Director · Individual
Sydow, Tiffany
Contracted Managing Employee · Individual
Valpariaso Operating LLC
Operational/Managerial Control · Organization
Waite, John
Corporate Director · Individual
Whicker, Timothy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Life Care Center Of The Willows
Valparaiso, IN
1-star overall rating with 1-star inspections with $14,886 in total fines with 16 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
#2
Avalon Springs Health Campus
Valparaiso, IN
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Valparaiso Care & Rehabilitation
Valparaiso, IN
1-star overall rating with 2-star inspections with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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