Brickyard Healthcare - Brandywine Care Center
BRICKYARD HEALTHCARE - BRANDYWINE CARE CENTER in GREENFIELD, IN — inspection on November 13, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 11/13/25 at 2:43 p.m., CNA 5 indicated she had witnessed Resident D slap Resident C on 11/3/25. CNA 5 had been standing next to the unit shower room, looking down the hallway.
Resident C and another resident were standing outside of the doorway to Resident C's room.
Resident D had walked up to Resident C and began verbally arguing.
Resident D then slapped Resident C on the right cheek. CNA 5 was able to hear the slap from where she was standing. CNA 5 had not witnessed Resident D attempting to choke Resident C.
Another CNA had separated the residents while CNA 5 went to get the nurse. On 11/13/25 at 1:22 p.m., the Director of Nursing (DON) provided the current Abuse, Neglect and Exploitation policy, that read It is the policy of this facility to provide protection for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property.
Definitions .Physical Abuse includes, but is not limited to hitting, slapping, punching, biting, and kicking. It also includes controlling behavior through corporal punishment .This citation relates to Intake 26597183.1-27(a)(1)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Brickyard Healthcare - Brandywine Care Center
745 N Swope St Greenfield, IN 46140
SUMMARY STATEMENT OF DEFICIENCIES
to S483.10(g)(14) F-F580 for notification of physician, family of significant changes.
Modalities/Respiratory Therapy/Care/Services A variety of respiratory therapy modalities and care may be provided in the nursing home, including coughing/deep breathing, therapeutic percussion/vibration and postural drainage, aerosol/nebulizers, humidification, and therapeutic gas administration, BiPAP or CPAP, tracheostomy care and tracheal suctioning, and mechanical ventilation and oxygenation support.
Coughing/deep breathing, therapeutic percussion/vibration and bronchopulmonary drainage If a resident has written orders for postural drainage, chest percussion, and vibration to increase the mobility of pulmonary secretions, the care plan must include, based upon the resident's assessments and identified needs, the type of exercise, including when and how often provided.
The resident's record should reflect how staff are monitoring the condition of the resident prior to, during and after the treatments, and, as appropriate, vital signs including the respiratory rate, pulse oximetry, presence of dyspnea, and/or signs of infection.
The record should reflect the resident's response to the treatment and notification of the practitioner if necessary for a change in the resident's condition or as necessary, the need to revise or alter the respiratory care provided.
Refer to S483.10(g)(14) F-F580 for notification of physician of significant changes.
Respiratory medications via aerosol generators There are three common types of aerosol generators used for inhaled drug delivery: A small-volume nebulizer (SVN); A pressurized metered-dose inhaler (pMDI); and A dry-powder inhaler (DPI).
A nebulizer therapy policy was provided by the DON on 11/13/25 at 9:12 a.m. It indicated, .Policy: It is the policy of this facility for nebulizer treatments, once ordered, to be administered by nursing staff as directed using proper technique and standard precautions.Care of the Resident.6.
Obtain resident's vital signs, and perform respiratory assessment to establish a baseline.Documentation.
Record the following information in the resident's medical record: 1.
Date, time, and duration of therapy. 2.
Type and amount of medication. 3.
Oxygen flow, if administered. 4.
Resident vital signs and respiratory assessment. 5.
Resident's response to treatment. 6.
Any resident teaching provided and the resident's understanding of the treatment.
This citation relates to Intakes 2659041 and 2649985. 3.1-47(a)(6)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Brickyard Healthcare - Brandywine Care Center
745 N Swope St Greenfield, IN 46140
SUMMARY STATEMENT OF DEFICIENCIES
receive necessary behavioral health services to assist them in reaching and maintaining their highest level of mental and psychosocial functioning and well- being. 3.
The facility will ensure that necessary behavioral health care services are person-centered and reflect the resident's goals for care, while maximizing the resident's dignity, autonomy, privacy, socialization, independence, choice, and safety.5.
Behavioral health care and services shall be provided in an environment that is conducive to mental and psychosocial well-being. 7.f.
Assess and develop a person-centered care plan for concerns identified in the resident's assessment. G. share concerns with the interdisciplinary team [IDT] to determine underlying causes of mood and behavior changes, including differential diagnosis. h.
Accurately document the changes, including the frequency of occurrences and potential triggers in the resident's record.k. evaluate resident and care plan routinely to ensure the approaches are meeting the needs of the resident.11.
Facility staff will implement person-centered care approaches designed to meet the individual goals and needs of each resident, which includes non-pharmacological interventions. 3.1-37
Facility ID: