• 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.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Reasonably accommodate the needs and preferences of each resident.
Ensure each resident receives an accurate assessment.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Provide and implement an infection prevention and control program.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe and appropriate respiratory care for a resident when needed.
Protect each resident from the wrongful use of the resident's belongings or money.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Provide or obtain dental services for each resident.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
+ 12 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| HENDRICKS COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 10, 2015 |
| NORTH WILLOW OPERATING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 10, 2015 |
| ENGELS, ERIN | CORPORATE DIRECTOR | Individual | N/A | Oct 25, 2014 |
| GENTRY, MARK | CORPORATE DIRECTOR | Individual | N/A | Jan 12, 2022 |
| STARKEY, TYLER | CORPORATE DIRECTOR | Individual | N/A | Aug 1, 2020 |
| WAITE, JOHN | CORPORATE DIRECTOR | Individual | N/A | Aug 1, 2020 |
| WHICKER, TIMOTHY | CORPORATE DIRECTOR | Individual | N/A | Jan 12, 2022 |
| FENOUGHTY, DEANNA | CORPORATE OFFICER | Individual | N/A | Jul 10, 2023 |
| PATEL, SONIA | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Sep 12, 2022 |
This chain operates 23 facilities. View all →