Brickyard Healthcare - Twelfth Street Care Center

Nursing Home · Mishawaka, IN

CMS overall rating 2/5 For profit - Corporation

CMS certification number155109

Contact & location

811 E 12Th Street
Mishawaka, IN 46544
St. Joseph County
Phone
(574) 259-1917
ZIP code
46544 – all care providers

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Facility details

Certified beds
87
Residents per day
58.2 (67% occupied)
Ownership
For profit - Corporation
Legal name
Hendricks County Hospital
Chain
Brickyard Healthcare (23 facilities, avg 2.7★)
Medicare certified since
January 21, 1974
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.5
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.35 (state 3.68 · U.S. 3.86)
Registered nurses (RN)
0.70 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.48 (state 0.78 · U.S. 0.86)
Nurse aides
2.17 (state 2.23 · U.S. 2.32)
Weekend total
3.03 (state 3.24 · U.S. 3.42)
Nursing staff turnover
67.6 (state 45.9 · U.S. 45.8)%
RN turnover
60.0 (state 40.3 · U.S. 42.9)%
Administrators who left
4 in the last year

Inspections

Last standard inspection
September 12, 2025
Health deficiencies (last cycle)
10.0 (state 7.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
28 health · 32 fire safety
DateCitationSeverityStatus
2025-09-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-27
2025-09-12 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-27
2025-09-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-27
2025-09-12 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0912 · Environmental Deficiencies		 C
No actual harm, potential for minimal harm		 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.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-26 Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
F0621 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-26 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-26 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-26 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2023-09-26 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-09-26 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-09-26 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0807 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-09-26 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 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
F0655 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2023-10-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Gee, William (individual)Contracted Managing Employee · NOT APPLICABLE
Engels, Erin (individual)Corporate Director · NOT APPLICABLE
Gentry, Mark (individual)Corporate Director · NOT APPLICABLE
Starkey, Tyler (individual)Corporate Director · NOT APPLICABLE
Waite, John (individual)Corporate Director · NOT APPLICABLE
Whicker, Timothy (individual)Corporate Director · NOT APPLICABLE
Fenoughty, Deanna (individual)Corporate Officer · NOT APPLICABLE
Mishawaka Operating LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Brickyard Healthcare - Twelfth Street Care Center?

Brickyard Healthcare - Twelfth Street Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Indiana.

How many beds does Brickyard Healthcare - Twelfth Street Care Center have?

It has 87 certified beds and cares for about 58 residents per day.

Has Brickyard Healthcare - Twelfth Street Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Brickyard Healthcare - Twelfth Street Care Center?

It is part of Brickyard Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Brickyard Healthcare - Twelfth Street Care Center?

(574) 259-1917. The facility is located at 811 E 12Th Street, Mishawaka, IN 46544.

Other nursing homes in Mishawaka

Compare all nursing homes in Mishawaka, IN →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.