BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER
BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER, in INDIANAPOLIS, Indiana, holds 134 certified beds and has been certified for Medicare and Medicaid since 2015-05-21, averaging 63.0 residents a day.
Has BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER been cited for violations?
CMS lists 41 health-inspection deficiencies for BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER since 2023-03-27, 35 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-06-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-05 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-07-23 | F0627, F0628, F0657 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-05-07 | F0558, F0628, F0641, F0644, F0656, F0689, F0755, F0757, F0761, F0880 | Reasonably accommodate the needs and preferences of each resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-06-28 | F0557, F0578, F0623, F0625, F0684, F0691, F0695, F0700, F0756, F0761, F0791, F0812, F0842, F0849 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide or obtain dental services for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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 |
| 2024-03-14 | F0584, F0684, F0695 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-02-13 | F0602, F0689 | Protect each resident from the wrongful use of the resident's belongings or money. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-01-26 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-08-31 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2023-03-27 | F0689, F0921 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2023-03-27 | F0657, F0695, F0761, F0812 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
How is BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER staffed relative to the IN average?
| Measure | This facility | IN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.60343 | 3.67961 |
| Total nursing staff turnover (%) | 70.9 | 45.9 |
| Average number of residents per day | 63.0 | 72.5 |
Who owns BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER, and what chain is it in?
BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name HENDRICKS COUNTY HOSPITAL and belongs to the BRICKYARD HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| CONTRACTED MANAGING EMPLOYEE | PATEL, SONIA | since 09/12/2022 |
| CORPORATE DIRECTOR | ENGELS, ERIN, GENTRY, MARK, STARKEY, TYLER, WAITE, JOHN, WHICKER, TIMOTHY | since 01/12/2022 |
| CORPORATE OFFICER | FENOUGHTY, DEANNA | since 07/10/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | NORTH WILLOW OPERATING LLC | since 04/10/2015 |
Were you or a family member harmed at BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER?