Brickyard Healthcare - Twelfth Street Care Center

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

87 certified beds For profit - Corporation Chain: Brickyard Healthcare

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 100
Staffing 20% 62
Federal penalties 15% 100
Trend 10% 43
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.593.48 min · 4.1 strong
RN hours / resident-day0.680.55–0.75
Weekend hours / resident-day2.95≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)none

Inspection citations (28 in the current record)

  • Potential for harm · E September 12, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 27, 2025 · Resident Rights

  • Potential for harm · D September 12, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected October 27, 2025 · Resident Rights

  • Potential for harm · D September 12, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 27, 2025 · Resident Rights

  • Potential for harm · D September 12, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 27, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 27, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected October 27, 2025 · Quality of Life and Care

  • Potential for harm · E September 12, 2025

    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.

    Corrected October 27, 2025 · Pharmacy Service

  • Potential for harm · F September 12, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 27, 2025 · Nutrition and Dietary

  • Potential for harm · D September 12, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected October 27, 2025 · Environmental

  • No harm found · C September 12, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected October 27, 2025 · Environmental

  • Potential for harm · D March 19, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 17, 2025 · Resident Rights

  • Potential for harm · D March 19, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 19, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 17, 2025 · Quality of Life and Care

  • Potential for harm · D September 26, 2024 · found via complaint

    Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

    Corrected November 1, 2024 · Resident Rights

  • Potential for harm · D September 26, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 1, 2024 · Resident Rights

  • Potential for harm · D September 26, 2024

    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.

    Corrected November 1, 2024 · Resident Rights

  • Potential for harm · D September 26, 2024

    Assess the resident when there is a significant change in condition

    Corrected November 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 1, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 1, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected October 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 26, 2023 · Quality of Life and Care

  • Potential for harm · D September 26, 2023

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected October 26, 2023 · Quality of Life and Care

  • Potential for harm · D September 26, 2023

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Corrected October 26, 2023 · Nutrition and Dietary

  • Potential for harm · E September 26, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 26, 2023 · Nutrition and Dietary

  • Potential for harm · D September 26, 2023

    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.

    Corrected October 26, 2023 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155109 · certified since January 21, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.