Brickyard Healthcare - Brookview Care Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
unable to be located. LPN 8 had gone into the resident's room and found a chair in the bathroom with the screen and window open. A silver alert was immediately called. LPN 8 had never observed the residents' bathroom windows opened by staff nor residents.An interview was conducted with the ED on 10/6/25 at 4:23 p.m. She indicated she had not had any conversations with Resident B's Power of Attorney (POA) regarding the elopement risk of the windows in the residents' bathrooms. The ED had spoken with the facility's admission staff member and case manager. They also had no conversations with the POA about
the elopement risks involving the windows in the residents' bathrooms.On 10/6/25 at 4:01 p.m., an interview was conducted with the Memory Care Director (MCD). The MCD indicated she had spoken with Resident B's family when he was admitted to the facility. The family had informed the MCD that Resident B was an elopement risk but had not told her that Resident B had a history of trying to leave through windows. When Resident B was first admitted to the facility, he displayed exit seeking behaviors. The exit seeking behaviors had subsided after he had been at the facility for a while. Resident B could become agitated and was not always easily redirected. His cognition varied from day to day. The MCD indicated she believed the bathroom windows should have been locked and had not noticed they were not. FM 3 had informed the MCD of the family's concerns about the windows after Resident B had eloped on 10/1/25. The MCD had not seen any of the bathroom windows on the secured unit open. On 10/6/25 at 2:46 p.m., the Executive Director provided the current Elopement and Wandering Residents policy that indicated .This facility ensures that residents who exhibit wandering behavior and/or are at risk for elopement receive adequate supervision to prevent accidents, and receive care in accordance with their person-centered plan of care addressing the unique factors contributing to wandering or elopement risk .Policy Explanation and Compliance Guidelines: 1. The facility is equipped with door locks/ alarms to help avoid elopement . 3. The facility shall establish and utilize a systematic approach to monitoring and managing residents at risk for elopement or unsafe wandering, including identification and assessment of risk, evaluation and analysis of hazards and risks, implementing interventions to reduce hazards and risks, and monitoring for effectiveness and modifying interventions when necessary .The past noncompliance Immediate Jeopardy began on October 1, 2025. The immediate jeopardy was removed and the deficient practice corrected, on October 1, 2025, after the facility implemented a systemic plan that included the following actions: an audit of all residents was completed and elopement assessments were updated, education was given to all staff
on elopement protocol, elopement drills were conducted on every shift, and all windows in the facility were audited to ensure safety blocks were in place. All identified windows missing safety blocks were installed.
This citation is related to Intake 2633368 and Intake 2632780.3.1-45(a)(1)3.1-45(a)(2)
Event ID:
Facility ID:
If continuation sheet
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.