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Brookside Care Strategies

505 N Gavin St, Muncie, IN 47303 · 7652891915 · 42 certified beds

OverallNot rated
Health inspectionsNot rated
StaffingNot rated
Quality measuresNot rated
Special Focus: CMS lists this facility as SFF — among the facilities with the most serious ongoing compliance problems in the country.
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.

Staffing (hours per resident per day)

Total nurse staffing: 2.69 (Indiana median: 3.55). RN hours: 0.36. Weekend total: 2.90.

Inspection deficiencies

All-time on record: 54 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-21Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. GHealthcorrected 2026-06-08
2026-05-21Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2026-06-08
2026-05-21Respond appropriately to all alleged violations. DHealthcorrected 2026-06-08
2026-05-21Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. DHealthcorrected 2026-06-08
2026-05-21Provide and implement an infection prevention and control program. DHealthcorrected 2026-06-08
2026-05-21Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. CHealthcorrected 2026-06-08
2026-05-21Post nurse staffing information every day. CHealthcorrected 2026-06-08
2026-03-31Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DcomplaintPast Non-Compliance
2026-02-20Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2026-03-18
2025-12-19Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2026-01-15
2025-09-26Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-10-07
2025-08-22Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. FHealthcorrected 2025-08-25
2025-08-22Have 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. FHealthcorrected 2025-08-25
2025-08-22Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Ecomplaintcorrected 2025-08-25
2025-08-22Assure the security of all personal funds of residents deposited with the facility. Ecomplaintcorrected 2025-08-25
2025-08-22Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2025-08-25
2025-08-22Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2025-08-25
2025-08-22Post nurse staffing information every day. DHealthcorrected 2025-08-25
2025-08-22Provide medically-related social services to help each resident achieve the highest possible quality of life. Dcomplaintcorrected 2025-08-25
2025-08-22Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. DHealthcorrected 2025-08-25
2025-08-22Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2025-09-01
2025-08-22Educate 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. DHealthcorrected 2025-09-01
2025-02-20Provide and implement an infection prevention and control program. Ecomplaintcorrected 2025-03-07
2025-02-20Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2025-03-07
2025-01-08Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2025-01-22
2024-09-26Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-10-29
2024-09-26Have a plan that describes the process for conducting QAPI and QAA activities. FHealthcorrected 2024-10-29
2024-09-26Make sure that a working call system is available in each resident's bathroom and bathing area. FHealthcorrected 2024-10-29
2024-09-26Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. EHealthcorrected 2024-10-29
2024-09-26Honor 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. EHealthcorrected 2024-10-29
2024-09-26Provide and implement an infection prevention and control program. EHealthcorrected 2024-10-29
2024-09-26Make 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. EHealthcorrected 2024-10-29
2024-09-26Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-10-29
2024-09-26Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-10-29
2024-09-26Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted DHealthcorrected 2024-10-29
2024-09-26Provide appropriate pressure ulcer care and prevent new ulcers from developing. DHealthcorrected 2024-10-29
2024-09-26Provide 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. DHealthcorrected 2024-10-29
2024-09-26Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2024-10-29
2024-09-26Ensure 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. DHealthcorrected 2024-10-29
2024-09-26Post nurse staffing information every day. CHealthcorrected 2024-10-29

Federal penalties

DateTypeAmount
2023-08-09Payment Denial50 days payment denial

Ownership & control records (CMS filings)

No detailed ownership records on file.

Compare nearby (Delaware County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 15E064. Corrections: data@carerecords.org.