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HomeIndianaBrickyard Healthcare - Willow Springs Care Center

Brickyard Healthcare - Willow Springs Care Center

2002 West 86th Street, Indianapolis, IN 462603178728811
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
4/5
Beds
134
certified
1 fine(s) totaling $17,131

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 134 certified beds with an average of 63.4 residents per day (47% occupancy)

• Last health inspection found 13 deficiencies (inspected May 7, 2025)

• Has been fined a total of $17,131 across 1 fine(s)

• Total nursing staff: 4.03 hours per resident per day

• Staff turnover rate: 58.1% (high)

• Part of the Brickyard Healthcare chain (23 facilities)

Brickyard Healthcare - Willow Springs Care Center is a 1-star Medicare and Medicaid certified nursing home in Indianapolis, Indiana with 134 certified beds. It has been operating since 2015. The facility scored below average compared to Indiana facilities.

Beds
134
Avg Residents/Day
63.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 21, 2015
Sprinklers
Yes
Council
Resident
County
Marion
Last Inspection
May 7, 2025
Deficiencies (Cycle 1)
13
Weighted Score
79.8
Infection Citations
0

Deficiency Citations (42)

F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: Jul 23, 2025Corrected: NoCycle: 1
F0628Potential for Harm

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

Survey: Jul 23, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 23, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 7, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 7, 2025Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: May 7, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: May 7, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: May 7, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: May 7, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: May 7, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 7, 2025Corrected: NoCycle: 1
F0628Potential for Harm

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

Survey: May 7, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Mar 14, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Mar 14, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Mar 14, 2024Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Feb 13, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Feb 13, 2024Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0691Potential for Harm

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 28, 2024Corrected: NoCycle: 2

+ 12 more deficiencies

Total Fines
$17,131
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJun 12, 2023
$17,131

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.27 hrs
National avg: 2.35 hrs
LPN1.04 hrs
National avg: 0.86 hrs
RN0.72 hrs
National avg: 0.68 hrs
Total Nursing4.03 hrs
National avg: 3.89 hrs
Weekend Total3.39 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
58.1%
RN Turnover
44.4%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
HENDRICKS COUNTY HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 10, 2015
NORTH WILLOW OPERATING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 10, 2015
ENGELS, ERINCORPORATE DIRECTORIndividualN/AOct 25, 2014
GENTRY, MARKCORPORATE DIRECTORIndividualN/AJan 12, 2022
STARKEY, TYLERCORPORATE DIRECTORIndividualN/AAug 1, 2020
WAITE, JOHNCORPORATE DIRECTORIndividualN/AAug 1, 2020
WHICKER, TIMOTHYCORPORATE DIRECTORIndividualN/AJan 12, 2022
FENOUGHTY, DEANNACORPORATE OFFICERIndividualN/AJul 10, 2023
PATEL, SONIACONTRACTED MANAGING EMPLOYEEIndividualN/ASep 12, 2022

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Frequently Asked Questions

What is the CMS rating for Brickyard Healthcare - Willow Springs Care Center?▾
Brickyard Healthcare - Willow Springs Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated below average.
Has Brickyard Healthcare - Willow Springs Care Center had any health inspection violations?▾
Brickyard Healthcare - Willow Springs Care Center had 13 deficiency citations in its most recent health inspection (May 7, 2025). The facility has been fined a total of $17,131 across 1 fine(s).
What are the staffing levels at Brickyard Healthcare - Willow Springs Care Center?▾
Brickyard Healthcare - Willow Springs Care Center provides 4.03 total nursing staff hours per resident per day, including 0.72 RN hours, 1.04 LPN hours, and 2.27 nurse aide hours. The total staff turnover rate is 58.1%.
How many beds does Brickyard Healthcare - Willow Springs Care Center have?▾
Brickyard Healthcare - Willow Springs Care Center has 134 certified beds with an average of 63.4 residents per day, resulting in approximately 47% occupancy. The facility is For profit - Corporation owned and is part of the Brickyard Healthcare chain.
Are there other nursing homes near Brickyard Healthcare - Willow Springs Care Center?▾
Yes, there are 43 other nursing homes in Indianapolis, Indiana with an average rating of 2.7/5. You can compare all facilities on the Indianapolis nursing homes page.

Part of Brickyard Healthcare

This chain operates 23 facilities. View all →