Brownsburg Health Care Center

1010 Hornaday Rd · Brownsburg, IN · 46112 · 3178523123

160 certified beds For profit - Corporation

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 21
Serious harm & abuse 20% 40
Staffing 20% 58
Federal penalties 15% 100
Trend 10% 19
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.293.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)none

Inspection citations (40 in the current record)

  • Potential for harm · D April 1, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 2, 2026 · Pharmacy Service

  • Potential for harm · D April 1, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 2, 2026 · Infection Control

  • Immediate jeopardy · J January 13, 2026

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 13, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 2, 2026 · Resident Rights

  • Potential for harm · E January 13, 2026

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected February 2, 2026 · Resident Rights

  • Potential for harm · D January 13, 2026

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected February 2, 2026 · Resident Rights

  • Potential for harm · E January 13, 2026

    Respond appropriately to all alleged violations.

    Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 13, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected February 2, 2026 · Resident Rights

  • Potential for harm · E January 13, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 13, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 13, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 2, 2026 · Quality of Life and Care

  • Potential for harm · D January 13, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 2, 2026 · Quality of Life and Care

  • Potential for harm · D January 13, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 2, 2026 · Quality of Life and Care

  • Potential for harm · D January 13, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected February 2, 2026 · Quality of Life and Care

  • Potential for harm · F January 13, 2026

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected February 2, 2026 · Nursing and Physician Services

  • Potential for harm · E January 13, 2026

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · E January 13, 2026

    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.

    Corrected February 2, 2026 · Pharmacy Service

  • Potential for harm · F January 13, 2026

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected February 2, 2026 · Administration

  • Potential for harm · E September 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 13, 2025 · Infection Control

  • Potential for harm · D June 30, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 30, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 14, 2025 · Quality of Life and Care

  • Potential for harm · E April 30, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 14, 2025 · Quality of Life and Care

  • Potential for harm · E April 30, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 14, 2025 · Quality of Life and Care

  • Potential for harm · E April 30, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected May 14, 2025 · Nursing and Physician Services

  • Potential for harm · D October 28, 2024

    Ensure each resident receives an accurate assessment.

    Corrected November 25, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155206 · certified since June 7, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.