nursing home in Mishawaka, IN
Brickyard Healthcare - Twelfth Street Care Center
811 E 12th Street, Mishawaka, IN 46544 · (574) 259-1917
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
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.3 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.35 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.70 hrs | 0.67 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.17 hrs | 2.24 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.03 hrs | 3.25 hrs | 3.42 hrs | Worse |
| 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) | 4 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 51 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $8,742 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 87 | 96 | 107 | |
| Average residents per day | 58 | 73 | 86 | |
| Occupancy | 66.9% | 76.2% | 80.9% |
Long-stay residents
| Measure | This facility | Indiana 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
| Measure | This facility | Indiana 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.
| Date | Citation | Severity | Status |
|---|---|---|---|
| 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.
| Name | Role | Share | Since |
|---|---|---|---|
| GEE, WILLIAM Individual | contracted managing employee | NOT APPLICABLE | 03/07/2023 |
| ENGELS, ERIN Individual | corporate director | NOT APPLICABLE | 10/25/2014 |
| GENTRY, MARK Individual | corporate director | NOT APPLICABLE | 01/12/2022 |
| STARKEY, TYLER Individual | corporate director | NOT APPLICABLE | 08/01/2020 |
| WAITE, JOHN Individual | corporate director | NOT APPLICABLE | 08/01/2020 |
| WHICKER, TIMOTHY Individual | corporate director | NOT APPLICABLE | 01/12/2022 |
| FENOUGHTY, DEANNA Individual | corporate officer | NOT APPLICABLE | 07/10/2023 |
| MISHAWAKA OPERATING LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2012 |
Other nursing homes near Brickyard Healthcare - Twelfth Street Care Center
Trailpoint Village
1950 Ridgedale Rd, South Bend, IN 46614 · 2.5 mi
Government · 183 beds · Part of American Senior Communities
★★★★★4Above averageBrickyard Healthcare - Fountainview Care Center
609 W Tanglewood Ln, Mishawaka, IN 46545 · 3.5 mi
Non-profit · 130 beds · Part of Brickyard Healthcare
★★★★★2Below averageCardinal 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 averageCreekside Village
1420 E Douglas Rd, Mishawaka, IN 46545 · 4 mi
For-profit · 100 beds · Part of American Senior Communities
★★★★★4Above averageBelltower Health & Rehabilitation Center
5805 North Fir Road, Granger, IN 46530 · 4.4 mi
For-profit · 96 beds · Part of Fundamental Healthcare
★★★★★4Above averageSouthfield Village
6450 Miami Cir, South Bend, IN 46614 · 4.5 mi
Government · 60 beds · Part of Greencroft Communities
★★★★★3Average
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.