Brownsburg Health Care Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 99 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (22 vs median 6)
- High staff turnover (62%)
- High RN turnover (61%)
Below average in IN · Below recommended RN staffing · No penalties on record · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While the facility has a strong reputation for physical therapy and some compassionate staff, the recent increase in reports regarding neglected call lights and poor hygiene is concerning. If you are considering this facility, we strongly recommend conducting an unannounced visit during a weekend or evening shift to observe staffing levels and response times firsthand.
Google Reviews
Google Reviews
99 reviews on Google“Brownsburg Health Care Center receives highly polarized feedback, with some families praising the rehabilitation therapy and individual staff members, while others report severe neglect and safety concerns. Critical reviews frequently cite ignored call lights, poor hygiene, and inadequate assistance with meals, suggesting significant inconsistency in the quality of care provided.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and rehabilitation therapy
- Some highly compassionate and attentive individual staff members
- Clean and well-maintained facility environment
- Engaging activities for residents
Concerns
- Slow or ignored call light response times (mentioned by 6 reviewers)
- Poor assistance with meals and nutrition (mentioned by 5 reviewers)
- Inadequate hygiene and personal care (mentioned by 5 reviewers)
- Understaffing and high staff turnover (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 102 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that staffing levels are a priority for your residents, what specific steps are you taking to improve staff retention and ensure consistent, timely responses to call lights?
- 2I noticed that meal assistance is a vital part of daily care; could you walk me through how your team ensures residents receive the necessary support and nutrition during dining hours?
- 3With the recent focus on enhancing hygiene and personal care standards, what protocols do you have in place to ensure every resident receives consistent, high-quality attention throughout the day?
- 4I see that your rehabilitation and physical therapy programs are highly regarded; how do you integrate those successful therapy routines into the resident's overall daily care plan?
- 5Regarding medication management, what systems do you have in place to ensure accuracy and safety for residents who require complex daily regimens?
- 6I appreciate that you actively engage with online feedback; how do you use that resident and family input to drive improvements in the facility's day-to-day operations?
Personalized based on this facility's data
Key Review Excerpts
“My sister was at the facility for about 3 weeks. Call lights were ignored, basic hygiene ignored, human decency ignored. Food trays not delivered, or when delivered set across the room where she could not get it.”
“We moved my grandma into the memory care unit from another facility where she was being severely neglected. Overall, I was happy with this facility. She initially was roomed with someone who was not so pleasant, and they switched grandma rooms. She seemed so much more happy and content here.”
“My mother went to the Brownsburg Health Care Center for rehabilitation. She went in on a stretcher, had 3 weeks of physical therapy and great care, and came home with just a cane. The family can't thank the staff enough to give us our mother back!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns including a serious resident protection violation and multiple family complaints. Recent deficiencies span fire safety, nursing staffing, and medication management, with many fire safety issues remaining uncorrected. Families have filed complaints about infection control, daily care assistance, accident prevention, and respiratory care. While individual issues show correction dates, the recurring problems across surveys and multiple complaint-triggered investigations suggest ongoing quality concerns families should carefully evaluate.
Jan 13, 2026Routine35
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Services Deficiencies
Have an externally vented heating system.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
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
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Sep 30, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 30, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 30, 2025Complaint4
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Oct 28, 2024Routine12
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 28, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operations
Who Operates This Facility
Brownsburg Health Care Center
for profit
Ownership & Management
Owners
Gurwitz, Solomon
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
99 reviews from families & visitors
Official Website
Visit brownsburghcc.com
Medicare data downloads
Original nursing home datasets
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