Nursing homes › Indiana › Brickyard Healthcare - Willow Springs Care Center
2002 West 86Th Street, Indianapolis, IN 46260 · 3178728811 · 134 certified beds
Per CMS filings, this facility is affiliated with Brickyard Healthcare, a group operating 23 facilities in 1 states. Group record: average rating 2.7/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $149,513 in federal fines. This facility rates below its group average (2.7/5).
Total nurse staffing: 3.60 (Indiana median: 3.55). RN hours: 0.89. Weekend total: 3.00. Nursing staff turnover: 71%.
All-time on record: 40 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-23 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2025-08-14 |
| 2025-07-23 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-08-14 |
| 2025-07-23 | 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 | corrected 2025-08-14 |
| 2025-05-07 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-06-06 |
| 2025-05-07 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-06-06 |
| 2025-05-07 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-06-06 |
| 2025-05-07 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-06-06 |
| 2025-05-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-06 |
| 2025-05-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-06 |
| 2025-05-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-06-06 |
| 2025-05-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-06-06 |
| 2025-05-07 | 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 | Health | corrected 2025-06-06 |
| 2025-05-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-06 |
| 2024-06-28 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | 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 | Health | corrected 2024-07-26 |
| 2024-06-28 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | 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 | Health | corrected 2024-07-26 |
| 2024-06-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | 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 | Health | corrected 2024-07-26 |
| 2024-06-28 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | 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 | Health | corrected 2024-07-26 |
| 2024-06-28 | Provide or obtain dental services for each resident. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2024-07-26 |
| 2024-06-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-07-26 |
| 2024-06-28 | 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 | Health | corrected 2024-07-26 |
| 2024-03-14 | 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 | corrected 2024-04-05 |
| 2024-03-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-04-05 |
| 2024-03-14 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-04-05 |
| 2024-02-13 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-01-30 |
| 2024-02-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-04-05 |
| 2024-01-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-04-05 |
| 2023-08-31 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2023-09-21 |
| 2023-03-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-04-24 |
| 2023-03-27 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2023-04-24 |
| 2023-03-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-04-24 |
| 2023-03-27 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-04-24 |
| 2023-03-27 | 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 | Health | corrected 2023-04-24 |
| 2023-03-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2023-04-24 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ENGELS, ERIN | Corporate Director | Individual | NOT APPLICABLE | since 10/25/2014 |
| GENTRY, MARK | Corporate Director | Individual | NOT APPLICABLE | since 01/12/2022 |
| STARKEY, TYLER | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| WAITE, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| WHICKER, TIMOTHY | Corporate Director | Individual | NOT APPLICABLE | since 01/12/2022 |
| FENOUGHTY, DEANNA | Corporate Officer | Individual | NOT APPLICABLE | since 07/10/2023 |
| NORTH WILLOW OPERATING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/10/2015 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 155834. Corrections: data@carerecords.org.