BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER – Nursing Home, INDIANAPOLIS, Indiana
Medicare and Medicaid
Nursing homes in INDIANAPOLIS, IN → · Recently updated in IN →
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
18 substantiated complaints
Last cited survey: 23 July 2025 · 100 health and 72 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in INDIANAPOLIS. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER
Address
2002 WEST 86TH STREET, INDIANAPOLIS, IN 46260
Federal Provider Number
155834
Phone
(317) 872-8811
Ownership Type
For profit - Corporation
Certified Beds
134
Residents in Certified Beds
67.9
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
HENDRICKS COUNTY HOSPITAL
Date of First Medicare/Medicaid Approval
2015-05-21
Continuing Care Retirement Community
Data current as of
31 May 2026
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Location
2002 WEST 86TH STREET
INDIANAPOLIS, IN 46260
Phone: (317) 872-8811
Compare to IN average
See how this facility compares to the IN state average among rated nursing homes (530 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | IN average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 1 | 3.16 | 4 |
| Health inspection | 1 | 2.84 | 4 |
| Staffing | 3 | 2.48 | 2 |
| Quality measures | 4 | 4.18 | 5 |
| Certified beds | 134 | 94.8 | — |
| Citations on file (health + fire) | 198 | ~9.3 health* | — |
- ALLISON POINTE HEALTHCARE CENTER — 1★ overall
- ALPHA HOME - A WATERS COMMUNITY — 1★ overall
- ALTENHEIM HEALTH & LIVING COMMUNITY — 4★ overall
- AMERICAN VILLAGE — 4★ overall
- ARLINGTON PLACE HEALTH CAMPUS — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| PATEL, SONIA | CONTRACTED MANAGING EMPLOYEE | Individual | 0.00 | 09/12/2022 |
| WHICKER, TIMOTHY A | CORPORATE DIRECTOR | Individual | - | 01/12/2022 |
| FENOUGHTY, DEANNA M | CORPORATE OFFICER | Individual | 0.00 | 07/10/2023 |
| ENGELS, ERIN M | CORPORATE DIRECTOR | Individual | - | 10/25/2014 |
| WAITE, JOHN | CORPORATE DIRECTOR | Individual | - | 08/01/2020 |
| HENDRICKS COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 04/10/2015 |
| GENTRY, MARK EDWARD | CORPORATE DIRECTOR | Individual | - | 01/12/2022 |
| STARKEY, TYLER | CORPORATE DIRECTOR | Individual | - | 08/01/2020 |
| NORTH WILLOW OPERATING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | 100.00 | 04/10/2015 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
172 citations on file · Latest survey: 23 July 2025 · 100 health · 72 fire safety
D: 106
E: 48
F: 15
C: 3
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-07-23 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-07-23 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-07-23 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-07-23 | F628 | D — Minimal harm, isolated | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2025-07-23 | F628 | D — Minimal harm, isolated | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2025-07-23 | F628 | D — Minimal harm, isolated | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2025-07-23 | F627 | D — Minimal harm, isolated | Health | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. |
| 2025-07-23 | F627 | D — Minimal harm, isolated | Health | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. |
| 2025-07-23 | F627 | D — Minimal harm, isolated | Health | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. |
| 2025-05-07 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-05-07 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-05-07 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-05-07 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-05-07 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-05-07 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-05-07 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2025-05-07 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2025-05-07 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2025-05-07 | F755 | D — Minimal harm, isolated | Health | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2025-05-07 | F755 | D — Minimal harm, isolated | Health | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-05-07 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-05-07 | K920 | E — Minimal harm, pattern | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-05-07 | K920 | E — Minimal harm, pattern | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-05-07 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-05-07 | K920 | E — Minimal harm, pattern | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-05-07 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2024-06-28 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-06-28 | K761 | E — Minimal harm, pattern | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-06-28 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2024-06-28 | K920 | E — Minimal harm, pattern | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-06-28 | K923 | E — Minimal harm, pattern | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-06-28 | K914 | E — Minimal harm, pattern | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2024-06-28 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2024-06-28 | K222 | E — Minimal harm, pattern | Fire Safety | 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. |
| 2024-06-28 | K300 | F — Minimal harm, widespread | Fire Safety | Meet other general requirements that are deficient. |
| 2024-06-28 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2024-06-28 | K351 | E — Minimal harm, pattern | Fire Safety | Install an approved automatic sprinkler system. |
| 2024-06-28 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2024-06-28 | K222 | E — Minimal harm, pattern | Fire Safety | 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. |
| 2024-06-28 | K300 | F — Minimal harm, widespread | Fire Safety | Meet other general requirements that are deficient. |
Additional information
Get more details on BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 2 |
| Quality of Resident Care Rating (Short Stay) | 3 |
| Staffing Rating | 3 |
| RN Staffing Rating | 3 |
| Reported CNA Staffing Hours per Resident per Day | 2.56371 |
| Reported LPN Staffing Hours per Resident per Day | 1.03085 |
| Reported RN Staffing Hours per Resident per Day | 0.87445 |
| Reported Licensed Staffing Hours per Resident per Day | 1.9053 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.64812 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.07397 |
| Casemix CNA Staffing Hours per Resident per Day | 2.12439 |
| Casemix LPN Staffing Hours per Resident per Day | 0.79572 |
| Casemix RN Staffing Hours per Resident per Day | 0.46554 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.38565 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.49135 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.0078 |
| Adjusted RN Staffing Hours per Resident per Day | 0.85489 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.56652 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-09-25 |
Date of Standard Health Survey (Cycle 2) | 2018-08-29 |
Total Number of Health Deficiencies (Cycle 1) | 18 |
Number of Standard Health Deficiencies (Cycle 1) | 11 |
Number of Complaint Health Deficiencies (Cycle 1) | 7 |
Health Deficiency Score (Cycle 1) | 108 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 108 |
Total Number of Health Deficiencies (Cycle 2) | 21 |
Number of Standard Health Deficiencies (Cycle 2) | 14 |
Number of Complaint Health Deficiencies (Cycle 2) | 7 |
Health Deficiency Score (Cycle 2) | 120 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 120 |
Date of Standard Health Survey (Cycle 3) | 2017-08-18 |
Total Number of Health Deficiencies (Cycle 3) | 9 |
Number of Standard Health Deficiencies (Cycle 3) | 8 |
Number of Complaint Health Deficiencies (Cycle 3) | 1 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 52 |
Total Health Score (Cycle 3) | 52 |
Total Weighted Health Survey Score | 79.75 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 1 |
Number of Substantiated Complaints | 18 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 17131 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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