NURSING HOME PUBLIC RECORD
CMS lists this provider in Jasper, IN, with 27 certified beds, an overall rating of 5/5, and 9 citation rows in the current August 2026 release.
1111 Church Ave · Jasper, IN 47546 · Dubois County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Brookside Village Inc in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-12 | 4 | 2026-05-12 | 0 |
| Cycle 2 | 2025-03-19 | 0 | 2025-03-19 | 0 |
| Cycle 3 | 2024-02-26 | 2 | 2024-02-26 | 3 |
CMS reports 9 citation rows, including 0 with G–L codes and 0 with J–L codes.
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag code appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-05-31Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-05-31Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-05-31Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-31Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-03-11Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-04-12Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-04-18Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-04-15Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-10-30 · complaint · infection controlThe August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
CMS matched 60 ownership disclosure rows to Brookside Village Inc; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 4.08 total nurse hours and 1.16 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 4 other published facility records near Jasper, IN, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
