Brickyard Healthcare - Fountainview Care Center
BRICKYARD HEALTHCARE - FOUNTAINVIEW CARE CENTER in MISHAWAKA, IN — inspection on February 23, 2026.
Found 2 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
into the resident.
The Speech Therapist indicated the liquid diet was not due to a swallowing concern
2/17/26 at 3:31 P.M.
Resident B was admitted to the facility with diagnoses that included but were
(COPD), Right eye blindness, polyneuropathy, hearing loss, dementia, acute kidney failure, and signs and symptoms concerning food and fluid intake.
Review of the Resident's face sheet indicated her daughter was her Power of Attorney.A Nutrition assessment dated [DATE], indicated the facility was to encourage food and fluid intakes for the resident.A Hospital Inpatient Nutrition Services consult note dated 2/6/26 at 10:08 A.M., indicated the resident was admitted to the ER on [DATE] for hypernatremia and that the Registered Dietician intervention was needed for an evaluation.
The note indicated the resident was on a full liquid diet to promote nutritional intake and that Resident B had been improving her oral intakes and had had a good oral nutrition supplement intake.A Care Plan meeting note dated 2/13/2026 at 2:35 P.M., indicated Resident B's family had requested a meeting and the family had discussed their concerns about the resident's current diet and orders that had followed the resident from the hospital.
The family indicated that they were able to feed their mother cottage cheese, pudding, and yogurt in the hospital.
They indicated that she was able to eat these types of food items with no problems.
The Administrator informed the family that she could have the facility legal team complete a waiver for family going against medical advice.
Physician Orders included but were not limited to a full liquid diet dated 2/8/2026, and discontinued on 2/18/2026, followed by a regular diet of pureed texture initiated on 2/18/2026 at 11:25 A.M.On 2/23/26 at 11:11 A.M., Director of Nursing 2 provided the policy titled, Resident Rights, dated 2025 and indicated it was the current facility policy.
The policy indicated the resident had the right to self-determination and the resident representative had the right to exercise the resident's right to the extent those rights were delegated to the resident representative.
The policy indicated the resident had the right of self-determination and the facility must promote and facilitate resident self-determination.
This Citation relates to Intakes 2737137 and 2738679.1.3-20(a)
155178 02/23/2026
Brickyard Healthcare - Fountainview Care Center 609 W Tanglewood LN Mishawaka, IN 46545
During an observation on 2/18/25 at 11:20 A.M., Resident B remained in the 200 Hall common area and there were no fluids available to her.
During an interview on 2/17/26 at 9:28 A.M., Resident B's family member indicated the facility had not pushed fluids for the resident, which had resulted in a recent hospitalization for dehydration and elevated sodium levels.
The family member indicated that he or one of his siblings had came to the facility daily to feed their mother because the staff did not feed her enough and the facility had not offered her enough fluids.
The family member indicated earlier in the month, they were unable to come to the facility due to their illnesses to feed their mother and she had became dehydrated.
The facility felt it was due to the lack of staff offering her adequate fluids.
The family member indicated the facility continued to not offer fluids after the resident had returned to the facility.
During an interview with Certified Nursing Assistant (CNA) 4, she indicated she had not given the resident fluids between breakfast and lunch.Resident B's clinical record was reviewed on 2/17/26 at 3:31 P.M.
Resident B was admitted to the facility with diagnoses that included but were not limited to Alzheimer's Disease, hypertension, emphysema, chronic obstructive pulmonary disease (COPD), Right eye blindness, polyneuropathy, hearing loss, dementia, acute kidney failure, and signs and symptoms concerning food and fluid intake.A Nutrition assessment dated [DATE], indicated the facility was to encourage food and fluid intake.An Emergency Department note from a local hospital dated 2/3/26 at 3:12 P.M., indicated the resident had been admitted to the hospital and was very dehydrated with a dry oral cavity, significant abnormal lab results including an elevated sodium level of 170 and a low potassium level of 3.0.
The note indicated the resident was admitted to the hospital from [DATE] to 2/5/26 where treatment included, but was not limited to, receiving intravenous (IV) fluids for dehydration.Resident B's Care Plans included but were not limited to the following:The Resident has dehydration or potential for fluid deficit related to diuretic use, dated 12/10/25.
The Care Plan indicated the resident would be free of symptoms of dehydration.A policy titled, Hydration, dated 2025, was provided by Director of Nursing 2 on 2/17/26 at 3:24 P.M.
The policy indicated that the facility would offer each resident sufficient fluid, including water and consistent with the residents' needs and preferences to maintain proper hydration and health.
Sufficient meaning the amount of fluid needed to prevent dehydration and maintain health.This Citation relates to Intake 2737137 and Intake
- 1.3-46(b)