Brickyard Healthcare Brandywine: Resident Assault - IN
It was November 3, 2025. Two residents were standing outside the doorway to one of their rooms at Brickyard Healthcare Brandywine Care Center on North Swope Street. The resident identified in inspection records as Resident D walked up to Resident C and started arguing. Then Resident D slapped Resident C across the right cheek. The CNA, identified in records as CNA 5, said she could hear the impact from where she was standing.
She went to get a nurse. Another aide separated the residents.
That moment, and the facility's response to it, became the subject of a federal complaint inspection completed on November 13, 2025. What inspectors documented was not a facility that ignored the incident. It was a facility whose internal investigation contained a gap that federal reviewers found significant enough to cite as a deficiency under abuse prevention standards.
CNA 5 told inspectors during an interview at 2:43 p.m. on November 13 that she had been the one who witnessed Resident D slap Resident C. She was clear about what she saw and where she was standing. She was also clear about what she had not seen. CNA 5 said she had not witnessed Resident D attempting to choke Resident C.
That detail matters because the facility's own investigation records, reviewed by inspectors, described an alleged choking attempt as part of the same incident. The inspection report does not resolve whether a choking attempt occurred. What it establishes is that the aide positioned closest to the event, close enough to hear the slap, did not see one.
The facility's written abuse policy, provided to inspectors by the Director of Nursing at 1:22 p.m. on November 13, defined physical abuse as including hitting, slapping, punching, biting, and kicking. The policy stated the facility's commitment to developing and implementing written procedures that prohibit and prevent abuse. What inspectors found was that the incident on November 3 met the facility's own definition of physical abuse from the moment Resident D's hand connected with Resident C's face.
Resident D was not at the facility when inspectors arrived. The facility's investigation records showed that following the November 3 incident, Resident D had been sent to an inpatient psychiatric hospital. A follow-up entry dated November 11, 2025, two days before the inspection, noted that Resident D remained hospitalized. The facility indicated it would review and implement any recommendations from the psychiatric facility when Resident D returned and would update care plans accordingly.
Psychiatric services were also to be provided to Resident C as part of the facility's response. Care plan updates were planned for both residents.
The deficiency was cited under F0600, which covers the right of residents to be free from abuse. Inspectors marked the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected. It is the lowest tier of harm classification in the federal inspection system, but the citation itself reflects a finding that the facility's protections failed at the moment Resident D crossed the hallway and raised a hand.
The inspection was a complaint survey, meaning it was triggered by a report filed with regulators rather than a routine scheduled review. Complaint surveys are initiated when someone, whether a resident, a family member, a staff member, or a visitor, contacts a state or federal agency with a concern serious enough to warrant investigation. The facility did not generate this review on its own.
What the inspection record does not contain is a statement from Resident C. There is no documented account of what Resident C experienced in the moment of the slap, or in the days that followed while Resident D remained on the unit before being hospitalized. The record does not say how long that interval was. It does not describe whether Resident C and Resident D were housed in proximity to one another during that time, or what measures, if any, were taken to keep them separated before Resident D left for the hospital.
CNA 5's account is the clearest window the inspection record provides into what happened in that hallway. She was standing near the shower room. She was looking down the hall. She saw Resident D walk up to Resident C, heard the argument start, and then heard the slap. The sound carried.
She did not hesitate. She went for a nurse while another aide physically stepped between the two residents. The immediate response from staff, as the record describes it, was quick. The question inspectors pursued was whether the facility's formal response, its investigation, its documentation, its protections going forward, met the standard its own policy required.
The Director of Nursing handed over the abuse policy when asked. It was a thorough document on paper. It named the behaviors that constitute physical abuse. It committed the facility to prevention and protection.
A piece of paper is not a plan. A plan is what happens in the hallway on a Monday afternoon when one resident walks up to another and the sound of a slap carries far enough for someone to hear it near the shower room.
Resident D was still at the psychiatric hospital when inspectors left the building on November 13. Resident C was still there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Brickyard Healthcare - Brandywine Care Center from 2025-11-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 21, 2026 · Our methodology
BRICKYARD HEALTHCARE - BRANDYWINE CARE CENTER in GREENFIELD, IN was cited for violations during a health inspection on November 13, 2025.
Two residents were standing outside the doorway to one of their rooms at Brickyard Healthcare Brandywine Care Center on North Swope Street.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.