Brownsburg Health Care Center

Name: Brownsburg Health Care Center
Address: 1010 HORNADAY RD, Brownsburg, IN, 46112, US
Telephone: 3178523123

1010 Hornaday Rd, Brownsburg, IN 46112 · Hendricks County · 160 certified beds · avg 78 residents/day · certified since Jun 7, 1982

Abuse citation flag (CMS)SFF Candidate

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5

Health inspection rating (on-site)

Serious findings on record

$31,540

Fines, last 3 years

2.96

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jan 13, 2026 · F-0600

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 2, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (44)

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
May 27, 2026	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
May 27, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
May 27, 2026	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
May 27, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Apr 1, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Apr 1, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 13, 2026	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jan 13, 2026	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jan 13, 2026	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Jan 13, 2026	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.
Jan 13, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jan 13, 2026	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jan 13, 2026	E · Potential for harm, repeated	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.
Jan 13, 2026	E · Potential for harm, repeated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Jan 13, 2026	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.
Jan 13, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 13, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 13, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 13, 2026	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.
Jan 13, 2026	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.
Jan 13, 2026	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.
Jan 13, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Sep 30, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jun 30, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 30, 2025	E · Potential for harm, repeated	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. · from a complaint
Apr 30, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 30, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Apr 30, 2025	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Oct 28, 2024	E · Potential for harm, repeated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Oct 28, 2024	E · Potential for harm, repeated	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Oct 28, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 28, 2024	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.
Oct 28, 2024	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
Oct 28, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Oct 28, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 28, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 28, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 24, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Sep 15, 2023	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Sep 15, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 15, 2023	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 15, 2023	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 15, 2023	D · Potential for harm, one-off	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 15, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (9 → 16).

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	0	F
2024	10	0	E
2025	6	0	E
2026	22	1	J ▲

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)

1 fine totaling $31,540, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Jan 13, 2026	Fine	$31,540
Jan 13, 2026	Payment Denial	3 days from Feb 17, 2026

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)	2.96	3.42	3.95	bottom 26% in Indiana; bottom 13% in the U.S.
Registered Nurse hours	0.46	0.62	0.69	bottom 30% in Indiana; bottom 31% in the U.S.
Weekend total nurse staffing	2.65	3.01	3.50	bottom 31% in Indiana; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.47	0.48	bottom 27% in Indiana; bottom 36% in the U.S.
Total nursing staff turnover (%)	59.8	45.9	45.8	bottom 13% in Indiana; bottom 17% in the U.S.
RN turnover (%)	64.3	40.4	42.9	bottom 13% in Indiana; bottom 16% 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 3.55, RN 0.55, weekend 3.17. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Brownsburg Care Center, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Engels, Erin	Individual	Corporate Director	NOT APPLICABLE	12/01/2014
Fenoughty, Deanna	Individual	Corporate Officer	NOT APPLICABLE	07/10/2023
Fenoughty, Deanna	Individual	Operational/Managerial Control	NOT APPLICABLE	07/10/2023
Forvis Mazars, LLP	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/2023
Forvis Mazars, LLP	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2023
Gentry, Mark	Individual	Corporate Director	NOT APPLICABLE	01/12/2022
Gibraltar Trust	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	03/01/2024
Gurwitz, Solomon	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/18/2025
LTC Consulting Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2024
Opco Ca Skilled Mgmt INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Opco in Skilled Mgmt LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2024
Pease Bell Cpas LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/14/2018
Pike, James	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2024
Scooper Realty, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	03/01/2024
Sigler, Melanie	Individual	Operational/Managerial Control	NOT APPLICABLE	11/11/2024
Starkey, Tyler	Individual	Corporate Director	NOT APPLICABLE	08/01/2020
Sternshein, Jennifer	Individual	Trustee of the SNF	NOT APPLICABLE	03/01/2024
Unger, Jeffrey	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/01/2024
Waite, John	Individual	Corporate Director	NOT APPLICABLE	08/01/2020

Questions to ask on your visit

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

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"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
Brownsburg Meadows	1.1 mi	Brownsburg, IN	★★★☆☆	2/5
Brooke Knoll Village	3.9 mi	Avon, IN	★★☆☆☆	2/5
Wellbrooke of Avon	4.3 mi	Indianapolis, IN	★★★★★	4/5
Eagle Valley Meadows	4.5 mi	Indianapolis, IN	★★☆☆☆	1/5
Westside Retirement Village	5.1 mi	Indianapolis, IN	★★☆☆☆	1/5
Countryside Meadows	5.4 mi	Avon, IN	★★★☆☆	2/5
Majestic Care of Avon	5.8 mi	Avon, IN	★★☆☆☆	2/5
Northwest Manor Health Care Center	5.9 mi	Indianapolis, IN	★★★☆☆	2/5
Avon Health & Rehabilitation Center	6.2 mi	Avon, IN	★★★★★	4/5
Robin Run Health Center	7.3 mi	Indianapolis, IN	★☆☆☆☆	1/5	abuseSFF
Evergreen Crossing and the Lofts	7.5 mi	Indianapolis, IN	★★☆☆☆	1/5
Envive of Indianapolis	7.6 mi	Indianapolis, IN	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 155206.

The Care File

Visit checklist — Brownsburg Health Care Center

1010 Hornaday Rd, Brownsburg, IN 46112 · 3178523123

Health inspection rating 1/5 · CMS overall 1/5 · ▲ FEDERAL ABUSE CITATION FLAG · SFF Candidate· Fines (3y): $31,540

Most serious findings on record:

▲ Jan 13, 2026 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "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 155206 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)