Brickyard Healthcare - Fountainview Care Center
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to ensure a physician order for CAT scan was completed for 1 of 3 residents reviewed (Resident U).Findings include:On 12/30/25 at 2:30 P.M., Resident U was interviewed in her room. She was observed with faded bruising around her right eye. The faded bruising extended from below her right eyebrow to below her right eye. A dark red/purple quarter size bruise was observed on top of her right cheekbone. When asked, Resident U indicated she had been hit on her forehead by a part of the mechanical lift used to transfer her. When asked, Resident U indicated she was told she was to have a CAT scan done but she hadn't had one done.On 12/30/25 at 1:43 P.M., Resident U's record was reviewed. Diagnoses included falls with fractured right femur.A care plan indicated Resident U was on antiplatelet therapy related to a fracture. She was prescribed Aspirin 81 milligrams by mouth 2 times per day.A nurse note, dated 12/8/25 at 2:17 p.m., indicated Resident U was being transferred with a Hoyer lift when the lift tipped and the resident hit her forehead on the weight mechanism.
A large hematoma appeared immediately on her forehead. The resident was given pain medication and ice pack to relieve swelling to the area.A physician order, dated 12/13/25, was to obtain a CAT scan of Resident U's head and face due to direct trauma with a large frontal hematoma and periorbital (around eyes) ecchymosis.Review of records didn't show results for a CAT scan dated on or after 12/13/25.On 12/30/25 at 3:20 P.M., the Regional Nurse Consulted (RNC) was interviewed. She indicated she was unable to find a CAT scan report, ordered on 12/13/25. The RNC indicated she would follow up to see if the scan had been completed as ordered.On 12/31/25 at 11:20 A.M., the RNC indicated the CAT scan ordered
on 12/13/25 had not been completed as ordered but should have been done.A current policy, titled Provision of Physician Ordered Services, provided by the Assistant Director of Nursing on 12/31/25 at 4:00 P.M., stated: The purpose of this policy is to provide a reliable process for the proper and consistent provision of physician ordered services according to professional standards of quality.Facility will maintain a schedule of diagnostic tests in accordance with the physician's orders.Nursing personnel will submit timely requests for physician ordered services (laboratory, radiology, consultations) to the appropriate entity.This Citation relates to Intake 2691743.3.1-37
Residents Affected - Few
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 - FOUNTAINVIEW CARE CENTER in MISHAWAKA, 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 MISHAWAKA, 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 - FOUNTAINVIEW CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.