Nursing homeActive
Brickyard Healthcare - Twelfth Street Care Center
811 E 12th Street, Mishawaka, IN 46544574259191787 certified beds · 58 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
28
● 2● 26● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-09-12
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Indiana Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-12 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2025-03-19 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-09-26 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-09-26 | Standard | 180 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F552
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F692
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-27Record 155109-20250912-F921
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2025-10-27Record 155109-20250912-F912
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-17Record 155109-20250319-F580
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-17Record 155109-20250319-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-17Record 155109-20250319-F684
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-01Record 155109-20240926-F580
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-01Record 155109-20240926-F585
F621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment sourceScope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-01Record 155109-20240926-F621
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-01Record 155109-20240926-F637
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-01Record 155109-20240926-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-01Record 155109-20240926-F686
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F677
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F740
F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F807
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F849
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F883
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-26Record 155109-20230926-F908
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-10-26Record 155109-20230926-F655
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.70
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day3.35
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.03
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover68%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover60%
Facility
Indiana
National
Indiana 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Indiana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.9% | 3.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.9% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.0% | 13.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 1.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.8% | 11.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.3% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.7% | 23.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Mishawaka Operating LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Engels, Erin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fenoughty, Deanna Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gee, William Individual | CONTRACTED MANAGING EMPLOYEE | 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 | — | — |
Part of a chain
Brickyard Healthcare — 23 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.
No county cost figures on file for St. Joseph.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Trailpoint Village South Bend | 2.5 mi | 2026-04-13 | 0121 |
| Brickyard Healthcare - Fountainview Care Center Mishawaka | 3.5 mi | 2026-02-23 | 0290 |
| Creekside Village Mishawaka | 4.0 mi | 2026-03-31 | 0210 |
| Belltower Health & Rehabilitation Center Granger | 4.4 mi | 2025-10-29 | 070 |
| Holy Cross Rehabilitation And Wellness South Bend | 4.6 mi | 2026-05-15 | 0230 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |