Brickyard Healthcare - Willow Springs Care Center
2002 West 86th Street · Indianapolis, IN · 46260 · 3178728811
134 certified beds For profit - Corporation Chain: Brickyard Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · D July 23, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected August 14, 2025 · Resident Rights
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Potential for harm · D July 23, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 14, 2025 · Resident Rights
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Potential for harm · D July 23, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
Ensure each resident receives an accurate assessment.
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 6, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 6, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
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.
Corrected June 6, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
Provide and implement an infection prevention and control program.
Corrected June 6, 2025 · Infection Control
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Potential for harm · D May 7, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D June 28, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected July 26, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
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.
Corrected July 26, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 26, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
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.
Corrected July 26, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
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.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · D June 28, 2024
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.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · D June 28, 2024
Provide or obtain dental services for each resident.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 26, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155834 · certified since May 21, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.