nursing home in Mishawaka, IN

Brickyard Healthcare - Twelfth Street Care Center

811 E 12th Street, Mishawaka, IN 46544 · (574) 259-1917

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Brickyard Healthcare - Twelfth Street Care Center at a glance

Brickyard Healthcare - Twelfth Street Care Center is a 87-bed for-profit nursing home in Mishawaka, Indiana (St. Joseph County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Indiana average of 3.1.

Residents receive about 3.4 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (September 12, 2025) found 10 health citations. The Indiana average is 7.2.

It has not received a federal fine in the past three years.

Nursing staff turnover is 67.6% per year (state average 45.9%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
87
Certified for
Medicare and Medicaid
Chain / affiliated entity
Brickyard Healthcare
Medicare-certified since
January 21, 1974
Resident/family council
Resident
County
St. Joseph County
CMS Certification Number
155109

Ratings

MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53.1 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.5 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)5 / 54.1 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.3 / 53.8 / 5Better

Staffing

This facility3.35 hrsIndiana average3.69 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.35 hrs3.69 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.70 hrs0.67 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.17 hrs2.24 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.03 hrs3.25 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)67.6%45.9%45.8%Worse
Registered nurse turnover (yearly) (lower is better)60%40.3%42.9%Worse
Administrators who left in the past year (lower is better)401Worse

Inspections

This facility10Indiana average7U.S. average9
Health citations in the most recent inspection: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1079Worse
Citations from complaint investigations (latest cycle) (lower is better)023Better
Weighted health inspection score ⓘ (lower is better)5149.280.6Better

Penalties

This facility0Indiana average0U.S. average1
Fines in the past 3 years: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)001Better
Total fines in the past 3 years (lower is better)$0$8,742$30,972Better
All federal penalties in the past 3 years (lower is better)001Better

Size

MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Certified beds8796107
Average residents per day587386
Occupancy66.9%76.2%80.9%

Long-stay residents

This facility1.9%Indiana average3.9%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.9%3.9%3.2%Better
Long-stay residents with pressure ulcers (lower is better)1.9%3.6%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)9%13.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.5%1.1%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.5%0.4%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)6.8%11%13.9%Better
Long-stay residents whose walking worsened (lower is better)5.5%11.9%14.1%Better
Long-stay residents who lose too much weight (lower is better)5.3%5.5%5.2%Average
Long-stay residents with depressive symptoms (lower is better)24.3%25.2%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)13.7%23.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)31.1%23.3%19%Worse
Long-stay residents given a flu vaccine (higher is better)96.9%95.4%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)90.9%93.6%93.6%Average

Short-stay residents

This facility2%Indiana average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2%1.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)70.6%79%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)46.4%81.8%82%Worse

Inspection citations

State inspectors cited this home for 28 health deficiencies and 32 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
September 12, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected February 3, 2026
September 12, 2025
Fire safety
Meet other general requirements that are deficient.
Egress Deficiencies · Tag K0300
F
Potential harm, widespread
Corrected February 3, 2026
September 12, 2025
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected February 3, 2026
September 12, 2025
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected February 3, 2026
September 12, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected February 3, 2026
September 12, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected February 3, 2026
September 12, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Have an externally vented heating system.
Services Deficiencies · Tag K0522
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected February 3, 2026
September 12, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected February 3, 2026
September 12, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected October 27, 2025
September 12, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected October 27, 2025
September 12, 2025
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected October 27, 2025
September 12, 2025
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected October 27, 2025
September 12, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected October 27, 2025
September 12, 2025
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected October 27, 2025
September 12, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 27, 2025
September 12, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected October 27, 2025
September 12, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected October 27, 2025
September 12, 2025
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
C
No harm, widespread
Corrected October 27, 2025
March 19, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected April 17, 2025
March 19, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected April 17, 2025
March 19, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected April 17, 2025
September 26, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected November 1, 2024
September 26, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected November 1, 2024
September 26, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected November 1, 2024
September 26, 2024
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
E
Potential harm, pattern
Corrected November 1, 2024
September 26, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected November 1, 2024
September 26, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected November 1, 2024
September 26, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected November 1, 2024
September 26, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected November 1, 2024
September 26, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected November 1, 2024
September 26, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected November 1, 2024
September 26, 2024
Standard
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Tag F0585
D
Potential harm, isolated
Corrected November 1, 2024
September 26, 2024
Complaint
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Resident Rights Deficiencies · Tag F0621
D
Potential harm, isolated
Corrected November 1, 2024
September 26, 2024
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
D
Potential harm, isolated
Corrected November 1, 2024
September 26, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected December 15, 2023
September 26, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected December 15, 2023
September 26, 2023
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
E
Potential harm, pattern
Corrected December 1, 2023
September 26, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected December 1, 2023
September 26, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected December 1, 2023
September 26, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected December 1, 2023
September 26, 2023
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
F
Potential harm, widespread
Corrected October 26, 2023
September 26, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected October 26, 2023
September 26, 2023
Standard
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected October 26, 2023
September 26, 2023
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected October 26, 2023
September 26, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected October 26, 2023
September 26, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected October 26, 2023
September 26, 2023
Standard
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
D
Potential harm, isolated
Corrected October 26, 2023
September 26, 2023
Standard
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · Tag F0807
D
Potential harm, isolated
Corrected October 26, 2023
September 26, 2023
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
B
No harm, pattern
Corrected October 26, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
GEE, WILLIAM
Individual
contracted managing employeeNOT APPLICABLE03/07/2023
ENGELS, ERIN
Individual
corporate directorNOT APPLICABLE10/25/2014
GENTRY, MARK
Individual
corporate directorNOT APPLICABLE01/12/2022
STARKEY, TYLER
Individual
corporate directorNOT APPLICABLE08/01/2020
WAITE, JOHN
Individual
corporate directorNOT APPLICABLE08/01/2020
WHICKER, TIMOTHY
Individual
corporate directorNOT APPLICABLE01/12/2022
FENOUGHTY, DEANNA
Individual
corporate officerNOT APPLICABLE07/10/2023
MISHAWAKA OPERATING LLC
Organization
operational/managerial controlNOT APPLICABLE09/01/2012

Other nursing homes near Brickyard Healthcare - Twelfth Street Care Center

  1. Trailpoint Village

    1950 Ridgedale Rd, South Bend, IN 46614 · 2.5 mi

    Government · 183 beds · Part of American Senior Communities

    ★★★★★4Above average
  2. Brickyard Healthcare - Fountainview Care Center

    609 W Tanglewood Ln, Mishawaka, IN 46545 · 3.5 mi

    Non-profit · 130 beds · Part of Brickyard Healthcare

    ★★★★★2Below average
  3. Cardinal Nursing and Rehabilitation Center

    1121 E Lasalle Ave, South Bend, IN 46617 · 3.9 mi

    For-profit · 144 beds · Part of American Senior Communities

    ★★★★★5Much above average
  4. Creekside Village

    1420 E Douglas Rd, Mishawaka, IN 46545 · 4 mi

    For-profit · 100 beds · Part of American Senior Communities

    ★★★★★4Above average
  5. Belltower Health & Rehabilitation Center

    5805 North Fir Road, Granger, IN 46530 · 4.4 mi

    For-profit · 96 beds · Part of Fundamental Healthcare

    ★★★★★4Above average
  6. Southfield Village

    6450 Miami Cir, South Bend, IN 46614 · 4.5 mi

    Government · 60 beds · Part of Greencroft Communities

    ★★★★★3Average

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Frequently asked questions

What is Brickyard Healthcare - Twelfth Street Care Center's rating?

Brickyard Healthcare - Twelfth Street Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Indiana nursing homes is 3.1 stars.

How many inspection citations did Brickyard Healthcare - Twelfth Street Care Center receive?

Its most recent standard health inspection found 10 citations, compared with a Indiana average of 7.2. Every citation is listed on this page with its severity.

Does Brickyard Healthcare - Twelfth Street Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Brickyard Healthcare - Twelfth Street Care Center?

It is for profit - corporation and part of Brickyard Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Brickyard Healthcare - Twelfth Street Care Center and how do I contact it?

Brickyard Healthcare - Twelfth Street Care Center is at 811 E 12th Street, Mishawaka, IN 46544. Phone: (574) 259-1917.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.