St. Joseph County, Indiana · Nursing home
Brickyard Healthcare - Twelfth Street Care Center
2 of 5 overall from CMS
811 E 12th Street, Mishawaka, IN 46544
At a glance
- Overall rating 2 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.35 hours Below the state average of 3.69
- Nursing staff who left in a year 67.6% Above the state average of 45.9%
- Health citations, last 3 inspection cycles 28 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 66.9% of 87 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Brickyard Healthcare - Twelfth Street Care Center is a 87-bed nursing home in Mishawaka, Indiana (St. Joseph County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.35 nurse staffing hours per resident per day, below the Indiana average of 3.69. CMS lists no fines in the past three years.
- Certified beds
- 87
- Residents per day (average)
- 58.2
- Certified since
- 1974 (52 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Brickyard Healthcare (23 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Brickyard Healthcare - Twelfth Street Care Center
Chosen from this home's public data.
- CMS counts 10 health deficiencies in the latest inspection cycle (the standard inspection on Sep 12, 2025 plus complaint and infection-control inspections); the Indiana average is 7.2. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 67.6%, above the Indiana average of 45.9%. How often would the same aides care for my relative?Turnover in CMS data
- About 66.9% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Indiana average 3.1
- Health inspections 2 of 5 Indiana average 2.8
- Staffing 1 of 5 Indiana average 2.5
- Quality measures 5 of 5 Indiana average 4.1
The vertical line marks the Indiana average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.35 h Indiana average 3.69
- Nurse aides 2.17 h Indiana average 2.24
- Licensed practical nurses 0.48 h Indiana average 0.78
- Registered nurses 0.70 h Indiana average 0.67
- All staff, weekends 3.03 h Indiana average 3.25
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Indiana average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover67.6%
- Indiana average45.9%
- Registered nurse turnover60.0%
- Indiana average40.3%
- Administrators who left4
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Indiana and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Indiana | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 6.8% | 11.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.3% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.5% | 1.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 24.3% | 25.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.9% | 93.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 5.5% | 11.9% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.7% | 23.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% | 95.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.9% | 3.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.1% | 23.3% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.0% | 13.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.44 | 1.78 |
Short-stay residents
| Measure | This home | Indiana | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.4% | 81.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.6% | 79.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 22.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 10.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 28 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 4 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 12, 2025 | 10 | 19 |
| Sep 26, 2024 | 9 | 7 |
| Sep 26, 2023 | 9 | 6 |
Indiana homes averaged 7.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (28)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 27, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Oct 27, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Oct 27, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Oct 27, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Oct 27, 2025)
Show 23 more
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 27, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 27, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 27, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Oct 27, 2025)
-
CPotential for minimal harm, widespread
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Oct 27, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Nov 1, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Nov 1, 2024)
-
DPotential for more than minimal harm, isolated
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 1, 2024)
-
DPotential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 1, 2024)
-
FPotential for more than minimal harm, widespread
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Oct 26, 2023)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 26, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Oct 26, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 26, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 26, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 26, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Oct 26, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Oct 26, 2023)
-
BPotential for minimal harm, pattern
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 · Deficient, Provider has date of correction (Oct 26, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Indiana homes averaged 0.3 fines and $8,742 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Indiana
- Size271 of 507 by certified beds
- Indiana average residents per day72.5
- ChainBrickyard Healthcare
- Chain average overall rating2.7 of 5
- Resident or family councilResident
- Homes in Mishawaka3
- Homes in St. Joseph County18
Common questions
What is the CMS star rating for Brickyard Healthcare - Twelfth Street Care Center?
Brickyard Healthcare - Twelfth Street Care Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 5.
How many beds does Brickyard Healthcare - Twelfth Street Care Center have?
Brickyard Healthcare - Twelfth Street Care Center has 87 certified beds. It averages 58.2 residents per day, about 66.9% of its certified beds.
How much nursing care do residents get at Brickyard Healthcare - Twelfth Street Care Center?
The home reports 3.35 hours of nurse staffing per resident per day, including 0.70 hours from registered nurses. The Indiana average is 3.69 hours and 0.67 hours from registered nurses.
Has Brickyard Healthcare - Twelfth Street Care Center been fined?
CMS lists no fines for this home in the past three years.
Does Brickyard Healthcare - Twelfth Street Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Trailpoint Village 183beds 58.5%in use 3.57nurse hours a day
- 2 of 5 Brickyard Healthcare - Fountainview Care Center 130beds 73.9%in use 3.22nurse hours a day
- 5 of 5 Cardinal Nursing and Rehabilitation Center 144beds 46.7%in use 3.35nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Joseph County
Who to call in Indiana
These offices serve residents of every nursing home in Indiana.
- Long-term care ombudsman Indiana Long-Term Care Ombudsman Program 1-800-622-4484 (Also 317-232-7134. Email: LongTermCareOmbudsman@ombudsman.IN.gov) An advocate for residents and their families.
- File a complaint about a nursing home Indiana Department of Health complaint intake (health care facility complaints) 1-800-246-8909 (Voicemail line for people without internet or email access; IDOH says the online complaint form is the best way to file.) The state agency that inspects nursing homes.
Indiana staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 155109. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.