Nursing homes › Indiana › Brickyard Healthcare - Twelfth Street Care Center
811 E 12Th Street, Mishawaka, IN 46544 · 5742591917 · 87 certified beds
Per CMS filings, this facility is affiliated with Brickyard Healthcare, a group operating 23 facilities in 1 states. Group record: average rating 2.7/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $149,513 in federal fines. This facility rates below its group average (2.7/5).
Total nurse staffing: 3.35 (Indiana median: 3.55). RN hours: 0.70. Weekend total: 3.03. Nursing staff turnover: 68%.
All-time on record: 28 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-10-27 |
| 2025-09-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-10-27 |
| 2025-09-12 | 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. | E | Health | corrected 2025-10-27 |
| 2025-09-12 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-10-27 |
| 2025-09-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-10-27 |
| 2025-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-10-27 |
| 2025-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-10-27 |
| 2025-09-12 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-10-27 |
| 2025-09-12 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2025-10-27 |
| 2025-09-12 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Health | corrected 2025-10-27 |
| 2025-03-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-04-17 |
| 2025-03-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-04-17 |
| 2025-03-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-04-17 |
| 2024-09-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-11-01 |
| 2024-09-26 | 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. | D | Health | corrected 2024-11-01 |
| 2024-09-26 | Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source | D | complaint | corrected 2024-11-01 |
| 2024-09-26 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-11-01 |
| 2024-09-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-11-01 |
| 2024-09-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-11-01 |
| 2023-09-26 | Keep all essential equipment working safely. | F | Health | corrected 2023-10-26 |
| 2023-09-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-10-26 |
| 2023-09-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-10-26 |
| 2023-09-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-10-26 |
| 2023-09-26 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2023-10-26 |
| 2023-09-26 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Health | corrected 2023-10-26 |
| 2023-09-26 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2023-10-26 |
| 2023-09-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-10-26 |
| 2023-09-26 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | Health | corrected 2023-10-26 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ENGELS, ERIN | Corporate Director | Individual | NOT APPLICABLE | since 10/25/2014 |
| GENTRY, MARK | Corporate Director | Individual | NOT APPLICABLE | since 01/12/2022 |
| STARKEY, TYLER | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| WAITE, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| WHICKER, TIMOTHY | Corporate Director | Individual | NOT APPLICABLE | since 01/12/2022 |
| FENOUGHTY, DEANNA | Corporate Officer | Individual | NOT APPLICABLE | since 07/10/2023 |
| MISHAWAKA OPERATING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2012 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 155109. Corrections: data@carerecords.org.