Inspection Reports for Brickyard Healthcare – Valparaiso Care Center
251 STURDY RD, IN, 46383
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 2, 2025, was a complaint investigation and found no deficiencies related to the allegations. Earlier inspections showed a pattern of deficiencies primarily involving medication administration, resident care documentation, and some life safety code issues such as fire safety equipment and emergency generator maintenance. Complaint investigations were mostly unsubstantiated, with one substantiated complaint that did not result in cited deficiencies. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows some recurring issues but also evidence of corrective actions and improvements over time, particularly in life safety compliance.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 76
Capacity: 76
Deficiencies: 0
May 2, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00455786.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the complaint investigation.
Complaint Details
Complaint IN00455786 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census SNF/NF beds: 76
Census total residents: 76
Census Medicare residents: 6
Census Medicaid residents: 49
Census Other payor residents: 21
Inspection Report
Complaint Investigation
Census: 78
Capacity: 78
Deficiencies: 0
Mar 16, 2025
Visit Reason
This visit was conducted for the investigation of Complaints IN00451649 and IN00455285.
Findings
No deficiencies related to the allegations in Complaints IN00451649 and IN00455285 were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1.
Complaint Details
Complaint IN00451649 - No deficiencies related to the allegations are cited. Complaint IN00455285 - No deficiencies related to the allegations are cited.
Report Facts
Census: 78
Total Capacity: 78
Medicare Census: 5
Medicaid Census: 59
Other Payor Census: 14
Inspection Report
Census: 81
Capacity: 85
Deficiencies: 0
Oct 15, 2024
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).
Findings
The facility was found in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, and 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.
Report Facts
Certified beds: 85
Census: 81
Generator capacity: 250
Inspection Report
Annual Inspection
Census: 79
Capacity: 79
Deficiencies: 4
Oct 4, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the investigation of two complaints (IN00437912 and IN00443529).
Findings
The facility was found deficient in multiple areas including failure to inform a resident of rights and facility rules upon admission, failure to notify physicians timely regarding respiratory symptoms and inability to obtain lab samples, failure to administer medications within ordered parameters, failure to assess and monitor skin discoloration, and failure to keep urinary catheter tubing and collection bags off the floor.
Complaint Details
Complaint IN00437912 and Complaint IN00443529 were investigated with no deficiencies related to the allegations cited.
Severity Breakdown
SS=D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure a resident was informed of resident rights and facility rules upon admission for 1 of 1 resident reviewed. | SS=D |
| Failed to notify the physician timely related to ongoing respiratory symptoms and inability to obtain a sample for ordered laboratory testing for 1 of 1 resident reviewed. | SS=D |
| Failed to ensure residents received medications as ordered related to following blood pressure parameters prior to administration for 1 of 5 residents reviewed for unnecessary medications and 1 of 2 residents reviewed for pain; also failed to assess and monitor a skin discoloration for 1 of 3 residents reviewed for non-pressure skin conditions. | SS=D |
| Failed to ensure an indwelling Foley catheter tubing and collection bag was kept off the floor for 1 of 1 resident reviewed. | SS=D |
Report Facts
Census: 79
Total Capacity: 79
Medicare Census: 7
Medicaid Census: 49
Other Payor Census: 23
Survey Dates: 5
Medication administration errors: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Sydow | Health Facility Administrator | Signed the report |
Inspection Report
Renewal
Deficiencies: 0
Oct 4, 2024
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on October 4, 2024.
Findings
Brickyard Healthcare - Valparaiso Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review to the Recertification and State Licensure Survey.
Inspection Report
Life Safety
Deficiencies: 0
Jan 23, 2024
Visit Reason
The visit was a Life Safety Code Recertification and State Licensure Survey conducted to assess compliance with fire safety and life safety regulations.
Findings
Brickyard Healthcare - Valparaiso Care Center was found in compliance with the 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.
Inspection Report
Life Safety
Census: 78
Capacity: 85
Deficiencies: 2
Jan 10, 2024
Visit Reason
The survey was conducted as a Life Safety Code Recertification and State Licensure Survey by the Indiana Department of Health in accordance with 42 CFR 483.90(a) and NFPA 101, Chapter 19, Existing Health Care Occupancies.
Findings
The facility was found not in compliance with Life Safety Code requirements due to deficiencies including a stairwell door with penetrations reducing fire resistance rating and obstruction of sprinkler spray pattern in a kitchen freezer. Corrective actions were taken immediately and education and audits were planned to ensure ongoing compliance.
Severity Breakdown
SS=E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Stairwell door next to employee entrance/kitchen area had two circular half-inch through-and-through penetrations decreasing the fire resistance rating of the door. | SS=E |
| Sprinkler head in kitchen freezer was obstructed by storage of cardboard boxes and food items within approximately four inches, preventing proper spray pattern. | SS=E |
Report Facts
Certified beds: 85
Census: 78
Staff potentially affected: 5
Residents potentially affected: 15
Staff potentially affected: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Sydow | Health Facility Administrator | Signed the report |
| Maintenance Director | Interviewed regarding stairwell door penetrations and sprinkler obstruction | |
| Administrator | Present during observations and exit conference |
Inspection Report
Annual Inspection
Census: 76
Capacity: 76
Deficiencies: 4
Dec 15, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00423959.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found deficient in timely reporting of a nasal fracture from a resident altercation, documentation of lymphedema pump use, proper respiratory care related to oxygen mask use, and medication administration errors resulting in a 23% medication error rate for one resident.
Complaint Details
Complaint IN00423959 was investigated with no deficiencies related to the allegations cited.
Severity Breakdown
SS=D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure the Interim Administrator was notified immediately of a nasal fracture resulting from a resident to resident altercation for 1 of 2 residents reviewed for abuse (Resident 36). | SS=D |
| Failed to ensure Physician's Orders for lymphedema pumps were documented as completed for 1 of 4 residents reviewed for non-pressure skin conditions (Resident 29). | SS=D |
| Failed to provide necessary respiratory care related to improper use of an oxygen delivery mask for 1 of 1 observations (Resident 10). | SS=D |
| Failed to ensure medication error rate was less than 5%; observed a 23% medication error rate during medication pass for 1 of 8 residents (Resident 36). | SS=D |
Report Facts
Census: 76
Total Capacity: 76
Medication error rate: 23
Medication error opportunities: 30
Medication errors observed: 7
Survey dates: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Sydow | Health Facility Administrator | Signed the report |
Inspection Report
Renewal
Deficiencies: 0
Dec 15, 2023
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on December 15, 2023.
Findings
Brickyard Healthcare - Valparaiso Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the paper compliance review to the Recertification and State Licensure Survey.
Inspection Report
Complaint Investigation
Census: 75
Capacity: 75
Deficiencies: 0
Aug 28, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00411760.
Findings
No deficiencies related to the allegations in Complaint IN00411760 were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00411760 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census Bed Type: 75
Medicare Census: 7
Medicaid Census: 47
Other Payor Census: 21
Inspection Report
Complaint Investigation
Census: 73
Capacity: 73
Deficiencies: 0
Mar 2, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00396122.
Findings
The complaint IN00396122 was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00396122 - Substantiated. No deficiencies related to the allegations are cited.
Report Facts
Medicare census: 8
Medicaid census: 50
Other census: 15
Inspection Report
Life Safety
Census: 76
Capacity: 85
Deficiencies: 3
Dec 27, 2022
Visit Reason
The survey was conducted as a Life Safety Code Recertification and State Licensure Survey by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
The facility was found not in compliance with certain Life Safety Code requirements, including obstructed and improperly marked portable fire extinguishers and failure to ensure continuing reliability of the emergency generator. Corrective actions and audits were planned to address these deficiencies.
Severity Breakdown
SS=E: 2
SS=F: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 2 portable fire extinguishers in the main dining room were not obstructed by a wheelchair. | SS=E |
| Failed to ensure 2 of 15 portable fire extinguishers were properly identified and marked within the path of egress in the basement. | SS=E |
| Failed to ensure the continuing reliability and integrity of 1 of 1 emergency generators due to recommended but not yet performed maintenance. | SS=F |
Report Facts
Facility capacity: 85
Census: 76
Portable fire extinguishers inspected: 15
Generator maintenance inspections per year: 12
Generator full test interval: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Sydow | Health Facility Administrator | Named as the Health Facility Administrator signing the report |
| Maintenance Director | Mentioned in relation to fire extinguisher and generator findings but no full name provided |
Inspection Report
Life Safety
Deficiencies: 0
Dec 27, 2022
Visit Reason
The visit was a Life Safety Code Recertification and State Licensure Survey conducted to assess compliance with fire safety and life safety regulations.
Findings
Brickyard Healthcare - Valparaiso Care Center was found in compliance with Medicare/Medicaid participation requirements, the Life Safety Code from Fire, and the 2012 Edition of the NFPA 101 Life Safety Code, Chapter 19, Existing Health Care Occupancies, and 410 IAC 16.2.
Inspection Report
Annual Inspection
Census: 73
Capacity: 73
Deficiencies: 3
Nov 17, 2022
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00393203.
Findings
The complaint was substantiated but no deficiencies related to the allegations were cited. Deficiencies were found related to failure to develop and implement a comprehensive care plan for a resident's skin discolorations, medication error rates exceeding 5%, and failure to maintain a sanitary kitchen environment.
Complaint Details
Complaint IN00393203 was substantiated; however, no deficiencies related to the allegations were cited.
Severity Breakdown
SS=D: 2
SS=E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to develop and implement a care plan for a resident's skin discolorations for 1 of 20 residents reviewed. | SS=D |
| Failed to ensure a medication error rate of less than 5% for 2 of 5 residents observed during medication pass, resulting in a 9% error rate. | SS=D |
| Failed to ensure a sanitary kitchen related to staff not wearing hairnets and dirty shelves and carts. | SS=E |
Report Facts
Census: 73
Total Capacity: 73
Medication error rate: 9
Medication administration opportunities: 33
Medication errors observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Sydow | BA, HFA | Signed plan of correction and facility representative |
| LPN 1 | Observed preparing and administering medications; involved in medication error finding | |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding care plan documentation for resident's birthmarks |
| Wound Nurse | Interviewed regarding resident's skin discolorations | |
| Cook | Observed not wearing hairnet during kitchen inspection | |
| Assistant Dietary Manager | Observed not wearing hairnet during kitchen inspection | |
| Kitchen Manager | Interviewed regarding kitchen cleanliness and sanitation |
Inspection Report
Renewal
Deficiencies: 0
Nov 17, 2022
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on November 17, 2022.
Findings
Brickyard Healthcare - Valparaiso Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the paper compliance review to the Recertification and State Licensure Survey.
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