Brickyard Healthcare Fountainview: Missed CAT Scan - IN
The resident, identified in inspection records only as Resident U, was sitting for an interview in her room on December 30 when an inspector noticed bruising across her right eye. It was faded but extensive, running from below her right eyebrow down past her cheekbone, where a dark red and purple bruise the size of a quarter was still visible. She told the inspector she had been hit in the forehead by the weight mechanism of a Hoyer lift while being transferred. She also said she had been told she was supposed to have a CAT scan. She hadn't had one.
The nursing note from December 8 described what happened: the lift tipped during a transfer, the resident's forehead struck the weight mechanism, and a large hematoma appeared immediately. Staff gave her pain medication and an ice pack.
Five days later, on December 13, a physician ordered a CAT scan of her head and face. The order cited the reason directly: direct trauma, a large frontal hematoma, and periorbital ecchymosis, bruising that had spread to the tissue around her eyes.
The scan was never done.
When the regional nurse consultant was asked about it on December 30, she said she couldn't locate a CAT scan report and would follow up to find out whether it had been completed. The next morning, she confirmed it had not been completed and said it should have been.
The resident's medical record added context that made the lapse harder to explain. She had a diagnosis of falls with a fractured right femur. She was on antiplatelet therapy related to that fracture and was taking aspirin twice daily. Antiplatelet medications reduce the blood's ability to clot, which matters considerably when a patient has suffered a head injury with visible bleeding under the skin. A CAT scan after that kind of trauma is not a precautionary formality.
The facility provided a copy of its own policy on December 31. The policy stated that nursing personnel would submit timely requests for physician-ordered services, including radiology, and that the facility would maintain a schedule of diagnostic tests in accordance with physician orders.
The inspection was conducted as a complaint investigation. Federal inspectors classified the violation as causing minimal harm or potential for actual harm, the lower end of the harm scale, affecting a small number of residents.
What the record shows is a woman on blood thinners who was struck hard enough in the head to produce an immediate hematoma and bruising that spread around her eye socket. A doctor looked at that and ordered imaging. Nobody followed through. She sat in her room for nearly three weeks, the bruising slowly fading, still waiting for a scan that the facility's own consultant couldn't account for until an outside inspector came asking.
On December 30, she told the inspector herself: she knew the scan had been ordered. She knew it hadn't been done.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Brickyard Healthcare - Fountainview Care Center from 2025-12-31 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
BRICKYARD HEALTHCARE - FOUNTAINVIEW CARE CENTER in MISHAWAKA, IN was cited for violations during a health inspection on December 31, 2025.
She told the inspector she had been hit in the forehead by the weight mechanism of a Hoyer lift while being transferred.
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.