Inspection Reports for Brickyard Healthcare – Knox Care Center

300 E CULVER RD, IN, 46534

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Inspection Report Summary

The most recent inspection on June 17, 2025 found the facility in compliance with Life Safety Code and licensure requirements without deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to Life Safety Code issues such as fire door latching, corridor obstructions, and hazardous area maintenance, as well as resident care concerns including care plan implementation, infection control, and clinical documentation. Complaint investigations conducted over the past two years were all unsubstantiated or found no deficiencies related to the allegations. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The inspection history indicates improvement over time, with recent surveys showing compliance following previous citations.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 6.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

55% worse than Indiana average
Indiana average: 4.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024
2025

Census

Latest occupancy rate 77% occupied

Based on a June 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

35 42 49 56 63 Aug 2022 Jan 2023 Sep 2023 Jul 2024 Apr 2025 Jun 2025
Inspection Report Re-Inspection Census: 44 Capacity: 57 Deficiencies: 0 Jun 17, 2025
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 04/23/25 was performed by the Indiana Department of Health.
Findings
At this Life Safety Code PSR, Brickyard Healthcare - Knox Care Center was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code (LSC), Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2.
Inspection Report Plan of Correction Deficiencies: 0 Apr 28, 2025
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on April 2, 2025.
Findings
Brickyard Healthcare - Knox Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 116.2 regarding the paper compliance review to the Recertification and State Licensure Survey.
Inspection Report Life Safety Census: 48 Capacity: 57 Deficiencies: 5 Apr 23, 2025
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was not in compliance with Life Safety Code requirements. Deficiencies included hazards in a water heater closet, fire doors with excessive gaps, hazardous area doors lacking self-closing devices, an uncovered electrical outlet, and failure to enforce non-smoking policies.
Severity Breakdown
SS=E: 4 SS=D: 1
Deficiencies (5)
DescriptionSeverity
Failed to ensure 1 of 1 water heater closets were free and clear of hazards; storage of boxes and combustibles against gas fired water heaters.SS=E
Failed to ensure 2 of 4 fire door sets were arranged to minimize air leakage; doors had at least a 1/2-inch gap when closed.SS=E
Failed to ensure 1 of over 10 hazardous area doors had properly working self-closing devices; medical records office door did not self-close and latch.SS=E
Failed to ensure electrical outlets were protected in 1 storage closet; outlet cover was missing.SS=D
Failed to enforce 1 of 1 non-smoking policies; employees smoking outside designated area near service hall exit.SS=E
Report Facts
Certified beds: 57 Census: 48 Potentially affected residents: 10 Potentially affected residents: 24 Potentially affected residents: 5 Potentially affected staff: 1
Employees Mentioned
NameTitleContext
Jerrell HarvilleExecutive DirectorSigned the report and plan of correction
Maintenance DirectorInterviewed and acknowledged deficiencies during survey
Inspection Report Renewal Census: 47 Capacity: 47 Deficiencies: 6 Apr 2, 2025
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from March 30 to April 2, 2025.
Findings
The facility was found deficient in multiple areas including failure to update and implement care plans, lack of monitoring sleep patterns, improper catheter care, failure to follow dietary recommendations timely, incomplete clinical documentation related to urinary tract infections, and inadequate infection control practices during wound treatment.
Severity Breakdown
SS=D: 6
Deficiencies (6)
DescriptionSeverity
Failed to ensure care plans were implemented and/or updated for 1 of 15 resident care plans reviewed (Resident 43).SS=D
Failed to ensure residents received necessary care and services related to lack of monitoring of sleep patterns per the care plan for 1 of 1 resident reviewed (Resident 22).SS=D
Failed to ensure indwelling Foley catheter tubing was kept off the floor for 1 of 1 resident reviewed for urinary catheters (Resident 46).SS=D
Failed to ensure timely follow up on dietary recommendations was completed for 1 of 3 residents reviewed for nutrition (Resident 38).SS=D
Failed to maintain clinical records that were complete and accurately documented related to lack of documentation prior to urinalysis on 1 of 1 resident reviewed for UTIs (Resident 9).SS=D
Failed to ensure infection control guidelines were implemented related to not changing gloves and performing hand hygiene during wound treatment for 1 of 2 residents reviewed for pressure ulcers (Resident 14).SS=D
Report Facts
Census: 47 Total Capacity: 47 Deficiencies cited: 6 Survey dates: 2025-03-30 to 2025-04-02
Employees Mentioned
NameTitleContext
Jerrell HarvilleExecutive DirectorSigned the report and plan of correction
LPN 1Licensed Practical NurseNamed in infection prevention and control deficiency related to wound treatment
Director of NursingInterviewed regarding multiple deficiencies including care plans, sleep monitoring, catheter care, dietary follow-up, and urinalysis documentation
Inspection Report Complaint Investigation Census: 50 Capacity: 50 Deficiencies: 0 Mar 10, 2025
Visit Reason
This visit was conducted for the investigation of complaints IN00451806, IN00453558, and IN00454353 at Brickyard Healthcare - Knox Care Center.
Findings
No deficiencies related to the allegations in complaints IN00451806, IN00453558, and IN00454353 were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaints IN00451806, IN00453558, and IN00454353 were investigated and found to have no deficiencies related to the allegations.
Report Facts
Census Bed Type: 50 Census Payor Type - Medicare: 4 Census Payor Type - Medicaid: 33 Census Payor Type - Other: 13
Inspection Report Complaint Investigation Census: 48 Deficiencies: 0 Aug 27, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00438535 and IN00440702.
Findings
No deficiencies related to the allegations in complaints IN00438535 and IN00440702 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00438535 and Complaint IN00440702 were investigated and found to have no deficiencies related to the allegations.
Report Facts
Census: 48 Medicare residents: 3 Medicaid residents: 34 Other residents: 11
Inspection Report Life Safety Census: 53 Capacity: 57 Deficiencies: 2 Jul 24, 2024
Visit Reason
A Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a) and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code.
Findings
The facility was found not in compliance with Life Safety Code requirements due to obstructions in one corridor egress and a resident room corridor door that did not latch properly. The facility was otherwise sprinklered and had a monitored fire alarm system.
Severity Breakdown
SS=E: 1 SS=D: 1
Deficiencies (2)
DescriptionSeverity
Failed to ensure 1 of 5 corridor means of egresses were continuously maintained free of obstructions; a Personal Protective Equipment (PPE) cart without wheels was left in the hallway obstructing egress.SS=E
Failed to ensure 1 of 30 resident room corridor doors was provided with a means suitable for keeping the door closed, had no impediment to closing, latching and would resist the passage of smoke; door to resident room 12 did not latch properly.SS=D
Report Facts
Certified beds: 57 Census: 53 Residents affected: 15 Residents affected: 4
Employees Mentioned
NameTitleContext
Jerrell HarvilleExecutive DirectorSigned plan of correction and mentioned in report
Maintenance DirectorInterviewed regarding deficiencies related to corridor obstruction and door latch
Inspection Report Life Safety Deficiencies: 0 Jul 24, 2024
Visit Reason
Paper compliance to the Life Safety Code Recertification and State Licensure Survey conducted on 07/24/24.
Findings
Brickyard Healthcare - Knox Care Center was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 Edition of the National Fire Protection Association (NFPA) 101, Life Safety Code.
Inspection Report Annual Inspection Census: 52 Capacity: 52 Deficiencies: 4 Jun 28, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from June 24 to June 28, 2024.
Findings
The facility was found deficient in several areas including accuracy of Minimum Data Set (MDS) assessments, development and implementation of comprehensive care plans, and ensuring activities met the interests and needs of residents. Specific deficiencies involved inaccurate medication assessments, incomplete or outdated care plans for multiple residents, and failure to implement appropriate activity programming for a cognitively impaired resident.
Severity Breakdown
SS=A: 1 SS=D: 3
Deficiencies (4)
DescriptionSeverity
Failed to ensure the Minimum Data Set (MDS) assessment was accurately completed related to antiplatelet medication use for 1 of 16 MDS assessments reviewed (Resident 21).SS=A
Failed to ensure a comprehensive care plan was developed and in place for pain for 1 of 16 resident care plans reviewed (Residents 20 and 21).SS=D
Failed to ensure care plans were implemented and/or updated with changes for 3 of 16 resident care plans reviewed (Residents 44, 21, and 32).SS=D
Failed to ensure activities were implemented for a cognitively impaired dependent resident for 1 of 1 residents reviewed for activities (Resident 4).SS=D
Report Facts
Census: 52 Total Capacity: 52 Survey Dates: 5 Medicare Residents: 4 Medicaid Residents: 35 Other Payor Residents: 13
Employees Mentioned
NameTitleContext
Jerrell HarvilleHFANamed in plan of correction submission
Director of NursingInterviewed regarding deficiencies in MDS accuracy and care plan updates
Vice President of Regulatory ComplianceInterviewed regarding care plan audits and corrective actions
Activity DirectorInterviewed regarding activity programming for Resident 4
Inspection Report Plan of Correction Deficiencies: 0 Jun 28, 2024
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on June 28, 2024.
Findings
Golden Living Center-Knox was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 116.2 regarding the paper compliance review for the Recertification and State Licensure Survey.
Inspection Report Re-Inspection Census: 42 Capacity: 57 Deficiencies: 0 Nov 9, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 09/28/23 by the Indiana Department of Health.
Findings
At this Life Safety Code PSR, Brickyard Healthcare - Knox Care Center was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code, Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2.
Report Facts
Facility capacity: 57 Census: 42
Inspection Report Life Safety Census: 45 Capacity: 57 Deficiencies: 1 Sep 28, 2023
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was found not in compliance with Life Safety Code requirements related to HVAC heating device ventilation. Specifically, the boiler room lacked adequate fresh air intake ventilation, posing a potential carbon monoxide risk to staff and residents.
Severity Breakdown
SS=E: 1
Deficiencies (1)
DescriptionSeverity
Failed to ensure 1 of 1 boiler rooms were provided with intake combustion air from the outside for rooms containing fuel fired equipment, creating a potential carbon monoxide hazard.SS=E
Report Facts
Certified beds: 57 Census: 45
Employees Mentioned
NameTitleContext
Jerrell HarvilleExecutive DirectorSigned plan of correction and submission documents
Maintenance DirectorInterviewed regarding boiler room ventilation deficiency and discussed findings at exit conference
Inspection Report Renewal Census: 47 Capacity: 47 Deficiencies: 1 Sep 8, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from September 5 to 8, 2023.
Findings
The facility failed to properly care for a PICC line for one resident by not flushing the line with saline before and after antibiotic administration as per professional standards and physician orders. The deficiency was addressed with corrective actions including order clarification and staff education.
Severity Breakdown
SS=D: 1
Deficiencies (1)
DescriptionSeverity
Failure to care for a PICC line by not flushing with saline before and after antibiotic administration for Resident 148.SS=D
Report Facts
Census SNF/NF: 47 Census Medicare: 3 Census Medicaid: 36 Census Other: 8 Deficiency completion date: Sep 24, 2023
Employees Mentioned
NameTitleContext
Jerrell HarvilleExecutive DirectorSigned plan of correction and report
Jerrell HarvilleHFASubmitted plan of correction
Inspection Report Renewal Deficiencies: 0 Sep 8, 2023
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on September 8, 2023.
Findings
Golden Living Center-Knox was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 116.2 regarding the paper compliance review to the Recertification and State Licensure Survey.
Inspection Report Complaint Investigation Census: 49 Capacity: 49 Deficiencies: 0 Jul 11, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00412003.
Findings
No deficiencies related to the allegations in Complaint IN00412003 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00412003 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Medicare census: 5 Medicaid census: 33 Other payor census: 11
Inspection Report Re-Inspection Census: 45 Capacity: 57 Deficiencies: 0 Jan 6, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 11/30/22 by the Indiana Department of Health.
Findings
Brickyard Healthcare - Knox Care Center was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 edition of the NFPA 101 Life Safety Code. The facility was fully sprinklered with monitored fire alarm systems and battery-operated smoke detectors in resident rooms.
Inspection Report Life Safety Census: 48 Capacity: 57 Deficiencies: 7 Nov 30, 2022
Visit Reason
A Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
The facility was found not in compliance with Life Safety Code requirements, with deficiencies noted in fire door latching, kitchen suppression system testing, interior wall finish flame spread rating, fire alarm system time accuracy, sprinkler system maintenance, and boiler inspection certification.
Severity Breakdown
SS=E: 3 SS=C: 1 SS=F: 1 SS=D: 1 SS=B: 1
Deficiencies (7)
DescriptionSeverity
Laundry room door, a hazardous area containing combustible storage, did not latch into the door frame as required for self-closing doors.SS=E
Kitchen commercial cooking equipment was not maintained in accordance with NFPA 96; the kitchen suppression system was overdue for a 12-year hydrostatic test.SS=E
Interior wall and ceiling finishes in housekeeping storage and boiler room used wood paneling without documented fire retardant treatment meeting flame spread Class A or B.SS=E
Fire alarm control panel displayed incorrect time and date, failing to maintain accurate system time.SS=C
Automatic sprinkler system deficiencies included lack of documentation for testing quick response sprinkler heads, wires resting on sprinkler piping, and insufficient spare sprinkler heads and cabinet size.SS=F
One resident room corridor door did not latch properly to resist passage of smoke and maintain closure.SS=D
One of four fuel-fired water heaters lacked current inspection certificates to ensure safe operating condition.SS=B
Report Facts
Facility capacity: 57 Census: 48 Deficiencies cited: 7 Residents affected by door latch deficiency: 2 Residents potentially affected by sprinkler system deficiency: 20
Employees Mentioned
NameTitleContext
Maintenance DirectorInterviewed and involved in observations and corrective actions for multiple deficiencies including door latching, sprinkler system, fire alarm panel, and kitchen suppression system.
AdministratorParticipated in exit conference and review of findings.
Inspection Report Renewal Census: 42 Capacity: 42 Deficiencies: 0 Oct 20, 2022
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted over October 17-20, 2022.
Findings
Brickyard Healthcare - Knox Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 during the Recertification and State Licensure Survey.
Report Facts
Census Payor Type - Medicare: 2 Census Payor Type - Medicaid: 31 Census Payor Type - Other: 9
Inspection Report Complaint Investigation Census: 49 Capacity: 49 Deficiencies: 0 Aug 5, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00385868.
Findings
The complaint IN00385868 was found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00385868 was investigated and found unsubstantiated due to lack of evidence.
Report Facts
Medicare residents: 7 Medicaid residents: 34 Other residents: 8

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