ElderGrade
C

60.5/100

Average

Brickyard Healthcare - Willow Springs Care Center

2002 West 86Th Street, Indianapolis, IN 46260

CMS 2/5 stars #35 of 46 in Marion County (317) 872-8811
Certified beds
134
Occupancy
47%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 71%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

24/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -6 for 34 total citations against a national median of 17

Staffing

15.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.59 total nurse hours per resident per day (national median 3.77)
  • 0.89 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 71% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.60 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.89 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.00 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 70.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 40 citations

Last standard health inspection: May 7, 2025 (1 year ago).

D Jul 23, 2025 F0627 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 23, 2025 F0628 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 23, 2025 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 7, 2025 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D May 7, 2025 F0628 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D May 7, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D May 7, 2025 F0644

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 7, 2025 F0656

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of BRICKYARD HEALTHCARE, which operates 23 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
PATEL, SONIA Individual CONTRACTED MANAGING EMPLOYEE
ENGELS, ERIN Individual CORPORATE DIRECTOR
GENTRY, MARK Individual CORPORATE DIRECTOR
STARKEY, TYLER Individual CORPORATE DIRECTOR
WAITE, JOHN Individual CORPORATE DIRECTOR
WHICKER, TIMOTHY Individual CORPORATE DIRECTOR
FENOUGHTY, DEANNA Individual CORPORATE OFFICER
NORTH WILLOW OPERATING LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Brickyard Healthcare - Willow Springs Care Center

What is the ElderGrade for Brickyard Healthcare - Willow Springs Care Center? +

Brickyard Healthcare - Willow Springs Care Center holds an ElderGrade of C (60.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Brickyard Healthcare - Willow Springs Care Center? +

Residents receive an average of 3.60 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Brickyard Healthcare - Willow Springs Care Center been cited for harming residents? +

No. None of the 40 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Brickyard Healthcare - Willow Springs Care Center accept Medicaid? +

Yes, Brickyard Healthcare - Willow Springs Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.