Brickyard Healthcare - Brookview Care Center
Inspection Findings
F-Tag F0693
F 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Based on observation, interview, and record review, the facility failed to ensure a resident with a gastrostomy (feeding) tube received flushes per the physician's orders for 1 of 3 residents reviewed for feeding tubes. (Resident D)Findings include:The clinical record for Resident D was reviewed on 8/27/25 at 3:10 p.m. The diagnoses included, but were not limited to, muscle weakness, dysphagia, diabetes mellitus, and gastrostomy status. A Quarterly Minimum Data Set (MDS) assessment, dated 6/27/25, indicated Resident D had a feeding tube and received greater than 51% of their nutrition via the feeding tube. A care plan for tube feeding, initiated 4/14/25, indicated Resident D required tube feeding related to dysphagia.
The interventions included, but were not limited to, see physician orders for current feeding orders and indicated Resident D was dependent with receiving tube feeding and water flushes. A current physician's order, dated 6/23/25, indicated the use of tube feeding to run at 65 milliliters (mLs) per hour and water flushes of 50 mL per hour. An observation was conducted of Resident D, on 8/27/25 at 1:50 p.m., with Registered Nurse (RN) 2. RN 2 pushed a button on the feeding pump to display the amount of water flushes Resident D was receiving. The pump was set to administer 60 mL per hour of water flushes and was confirmed by RN 2. An observation was conducted of Resident D, on 8/27/25 at 4:13 p.m., with Nurse
- 3. Nurse 3 pushed a button of the feeding pump to display the amount of water flushes Resident D was
receiving. The pump was set to administer 60 mL per hour of water flushes and was confirmed by Nurse 3.
A policy entitled Care and Treatment of Feeding Tubes, revised August 2024, was provided by the Director of Nursing on 8/27/25 at 5:00 p.m. The policy indicated feeding tubes would be utilized according to physician orders and direction for staff to provide care to the feeding tube that included, but were not limited to, frequency of and volume for flushing. This citation is related to Intake 2572707. 3.1-46(a)(2)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
BRICKYARD HEALTHCARE - BROOKVIEW CARE CENTER in INDIANAPOLIS, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in INDIANAPOLIS, IN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRICKYARD HEALTHCARE - BROOKVIEW CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.