Brickyard Healthcare - Brookview Care Center
BRICKYARD HEALTHCARE - BROOKVIEW CARE CENTER in INDIANAPOLIS, IN — inspection on October 7, 2025.
Found 1 citation. 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
jeopardy to resident health or safety
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)
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