Federal inspection record · CMS data as of October 1, 2026
Brookside Care Strategies
505 N Gavin St, Muncie, IN · (765) 289-1915
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 42
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- November 1, 1974
3
What inspectors found
49 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (4)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
-
J
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation10D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights8E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care6D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services5F
- C
Post nurse staffing information every day.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Post nurse staffing information every day.
- C
Post nurse staffing information every day.
Environmental4F
- F
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
- D
Keep all essential equipment working safely.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration2F
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspection history
2026-05-21
10 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2025-08-22
15 health deficiencies · 9 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-09-26
24 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 33 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.4 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts worse | 90.6% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts worse | 90.9% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.7% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.4 pts better | 14.1% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 4.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.1 pts worse | 32.6% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication43.7 pts worse | 57.4% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened18.3 pts worse | 29.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased16 pts worse | 26.8% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.6 pts worse | 3.9% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 2.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.6 pts worse | 28.0% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 2.7% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.4 pts worse | 65.5% | 81.9% | 82.3% |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Emergency Preparedness6F
- F
Establish staff and initial training requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop Emergency Preparedness policies and procedures.
- F
Conduct risk assessment and an All-Hazards approach.
- C
Create arrangements with other facilities to receive patients.
Egress4E
- E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Miscellaneous1C
- C
Provide a written emergency evacuation plan.
·
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Waters Of Muncie, The
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Signature Healthcare Of Muncie
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