F

BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER

2002 WEST 86TH STREET, INDIANAPOLIS, IN 46260
Score: 31 / 100

With a score of 31/100, Brickyard Healthcare - Willow Springs Care Center ranks in the bottom tier of Indiana nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Brickyard Healthcare - Willow Springs Care Center is near the national average, with 4.03 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 42 deficiencies at Brickyard Healthcare - Willow Springs Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.03 3.8 Average
Registered Nurses (RN) 0.72 0.7 Average
Licensed Practical Nurses (LPN) 1.04 0.7 Above Average
Certified Nursing Assistants (CNA) 2.27 2.4 Average
Weekend Total Nursing 3.39 3.8 Below Average
Weekend RN Hours 0.47 0.7 Below Average

🔍 Inspection & Deficiency History

42
Total Deficiencies
Jul 22, 2025
Most Recent Inspection
🟠 41 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0627 Severity D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    Jul 22, 2025 · Resident Rights Deficiencies
  • Tag 0628 Severity D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Jul 22, 2025 · Resident Rights Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jul 22, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    May 6, 2025 · Resident Rights Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    May 6, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.3% 4.5% Worse
Falls with major injury 0.9% 3.0% Better
On antipsychotic medication 14.4% 14.5% Average
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 8.6% 14.0% Better
Excessive weight loss 4.7% 7.5% Better
New/worsened incontinence 33.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $17,131

How This Grade Was Calculated

This facility's grade of F is based on a score of 31 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
134
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 6, 2025
Deficiencies (Cycle 1)
13