Brickyard Healthcare - Twelfth Street Care Center

Name: Brickyard Healthcare - Twelfth Street Care Center
Address: 811 E 12TH STREET, Mishawaka, IN, 46544, US
Telephone: 5742591917

811 E 12th Street, Mishawaka, IN 46544 · St. Joseph County · 87 certified beds · avg 58 residents/day · certified since Jan 21, 1974

Part of chain: BRICKYARD HEALTHCARE (23 facilities, chain avg rating 2.7★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.95

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (28)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 12, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 12, 2025	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 12, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Sep 12, 2025	C · Minimal risk, facility-wide	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Sep 26, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not treat all residents equally in transfers, discharges, and services — treatment differed based on how a resident paid, such as Medicaid versus private pay. · from a complaint
Sep 26, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 26, 2023	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Sep 26, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 26, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 26, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 26, 2023	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Sep 26, 2023	D · Potential for harm, one-off	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated.
Sep 26, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Sep 26, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Sep 26, 2023	B · Minimal risk, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 10).

Year	Citations	Worst severity that year
2023	9	F
2024	6	D
2025	13	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.95	3.42	3.95	bottom 24% in Indiana; bottom 12% in the U.S.
Registered Nurse hours	0.62	0.62	0.69	top 40% in Indiana; top 45% in the U.S.
Weekend total nurse staffing	2.66	3.01	3.50	bottom 32% in Indiana; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.47	0.48	top 23% in Indiana; top 24% in the U.S.
Total nursing staff turnover (%)	67.6	45.9	45.8	bottom 4% in Indiana; bottom 8% in the U.S.
RN turnover (%)	60.0	40.4	42.9	bottom 18% in Indiana; bottom 22% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.35, RN 0.70, weekend 3.03. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Engels, Erin	Individual	Corporate Director	NOT APPLICABLE	10/25/2014
Fenoughty, Deanna	Individual	Corporate Officer	NOT APPLICABLE	07/10/2023
Gee, William	Individual	Contracted Managing Employee	NOT APPLICABLE	03/07/2023
Gentry, Mark	Individual	Corporate Director	NOT APPLICABLE	01/12/2022
Mishawaka Operating LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2012
Starkey, Tyler	Individual	Corporate Director	NOT APPLICABLE	08/01/2020
Waite, John	Individual	Corporate Director	NOT APPLICABLE	08/01/2020
Whicker, Timothy	Individual	Corporate Director	NOT APPLICABLE	01/12/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you explain health changes and treatment options to residents and their families?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Trailpoint Village	2.5 mi	South Bend, IN	★★☆☆☆	2/5	abuse
Brickyard Healthcare - Fountainview Care Center	3.5 mi	Mishawaka, IN	★★☆☆☆	2/5
Cardinal Nursing and Rehabilitation Center	3.9 mi	South Bend, IN	★★★★★	5/5
Creekside Village	4.0 mi	Mishawaka, IN	★★★★☆	3/5
Belltower Health & Rehabilitation Center	4.4 mi	Granger, IN	★★★★☆	4/5
Southfield Village	4.5 mi	South Bend, IN	★★★☆☆	2/5
Holy Cross Rehabilitation and Wellness	4.6 mi	South Bend, IN	★★☆☆☆	2/5
Milton Home, the	4.6 mi	South Bend, IN	★★★★★	4/5
Holy Cross Village at Notre Dame INC	4.7 mi	Notre Dame, IN	★★★☆☆	3/5
Wellbrooke of South Bend	5.8 mi	South Bend, IN	★★★★☆	3/5
Majestic Care of South Bend	5.9 mi	South Bend, IN	★☆☆☆☆	1/5
Healthwin Health & Rehabilitation	7.4 mi	South Bend, IN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Mishawaka →

Facility data as of CMS processing date 2026-08-01. CCN 155109.

The Care File

Visit checklist — Brickyard Healthcare - Twelfth Street Care Center

811 E 12th Street, Mishawaka, IN 46544 · 5742591917

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155109 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)