Brickyard Healthcare - Willow Springs Care CenterCMS ratings, inspections and fines
- Address
- 2002 West 86th Street, Indianapolis, IN 46260
- CCN
- 155834
- Ownership type
- For-profit, corporation
- Certified beds
- 134
- Chain
- Brickyard Healthcare
- Residents per day
- 63
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Brickyard Healthcare - Willow Springs Care Center an overall rating of 2 of 5 stars. The last standard survey was on 7 May 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Indiana is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Marion County median | Indiana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 46 homes in the county, 507 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Indiana median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2025 | 11 | 6 |
| Cycle 2 | 28 Jun 2024 | 17 | 6 |
| Cycle 3 | No date | 13 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 8 Dec 2025 |
| 7 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 6 Jun 2025 |
| 7 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0761 | 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. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Jun 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jul 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 14 Aug 2025 |
| 23 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 14 Aug 2025 |
| 23 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 14 Aug 2025 |
| 28 Jun 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0578 | 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. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0625 | 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. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0700 | 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. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0761 | 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. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 26 Jul 2024 |
| 28 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Jul 2024 |
| 28 Jun 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 26 Jul 2024 |
Survey cycle 3: 13 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Mar 2024 | F0584 | 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. | D | Complaint investigation | 5 Apr 2024 |
| 14 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 5 Apr 2024 |
| 14 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 5 Apr 2024 |
| 13 Feb 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 30 Jan 2024 |
| 13 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Apr 2024 |
| 26 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 5 Apr 2024 |
| 31 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 21 Sep 2023 |
| 27 Mar 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Apr 2023 |
| 27 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 24 Apr 2023 |
| 27 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Apr 2023 |
| 27 Mar 2023 | F0761 | 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. | D | Standard survey | 24 Apr 2023 |
| 27 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 24 Apr 2023 |
| 27 Mar 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 24 Apr 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Indiana median | Indiana average (CMS) |
|---|---|---|---|
| All nurse staff | 3.60 | 3.60 | 3.68 |
| Registered nurses (RN) | 0.89 | 0.60 | 0.67 |
| Licensed practical nurses (LPN) | 1.06 | 0.78 | |
| Nurse aides | 1.66 | 2.23 | |
| All nurse staff, weekends | 3.00 | 3.10 | 3.24 |
- Nurse staff turnover in a year
- 70.9%
- Nurse staff turnover, Indiana median
- 45.4%
- RN turnover in a year
- 54.5%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Indiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.4% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.8% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.3% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.1% | 11.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Hendricks County Hospital
- Chain
- Brickyard Healthcare (23 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| North Willow Operating LLC | Operational/managerial control | 10 Apr 2015 |
The site shows organisations only. It does not show the names of persons.
Other homes in Marion County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Spring Mill Meadows | Indianapolis | 3 of 5 | 11 | $0 | 5 Aug 2025 | |
| St Augustine Home for the Aged | Indianapolis | 5 of 5 | 3 | $0 | 2 Jul 2025 | |
| Harcourt Terrace Nursing and Rehabilitation | Indianapolis | 2 of 5 | 19 | $0 | 9 Jan 2026 | |
| Marquette | Indianapolis | 5 of 5 | 1 | $0 | 2 Feb 2026 | |
| Hooverwood | Indianapolis | 1 of 5 | 7 | $41,064 | 20 Apr 2026 | |
| Hoosier Village | Indianapolis | 4 of 5 | 3 | $0 | 9 May 2025 | |
| Robin Run Health CenterSpecial Focus candidate | Indianapolis | 1 of 5 | 33 | $119,592 | 23 Sep 2025 | |
| Evergreen Crossing and the Lofts | Indianapolis | 2 of 5 | 18 | $0 | 17 Apr 2026 | |
| American Village | Indianapolis | 3 of 5 | 6 | $0 | 25 Mar 2026 | |
| Allison Pointe Healthcare Center | Indianapolis | 2 of 5 | 13 | $56,381 | 25 Feb 2026 | |
| Creekside Health and Rehabilitation Center | Indianapolis | 3 of 5 | 8 | $0 | 11 Feb 2026 | |
| Alpha Home - A Waters Community | Indianapolis | 1 of 5 | 12 | $22,386 | 5 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Brickyard Healthcare - Willow Springs Care Center (CCN 155834). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/brickyard-healthcare-willow-springs-care-center-indianapolis-in-155834/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Brickyard Healthcare - Willow Springs Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 5 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 28 Jun 2024.
- Who operates Brickyard Healthcare - Willow Springs Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Brickyard Healthcare. The CMS ownership file names North Willow Operating LLC for operational or managerial control. This site does not show the names of persons.
- Is Brickyard Healthcare - Willow Springs Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Indiana as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.