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Brickyard Healthcare - Willow Springs Care Center

2002 West 86th Street, Indianapolis, IN 46260
3178728811
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Overall CMS Rating

1.0/5

vs State Average: 3.1 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 2.4/5

4.0/5

Quality Measures

vs State Average: 4.2/5

1 penalties in last 3 years
Penalties
vs State Average: 0.4 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Jul 23, 2025 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D
Jul 23, 2025 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D
Jul 23, 2025 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D
May 7, 2025 Ensure each resident receives an accurate assessment. D
May 7, 2025 Reasonably accommodate the needs and preferences of each resident. D
Score
3.0
State Average
2.4
National Average
2.9
0.7 RN Hours / Resident / Day
4.0 Total Nurse Hours / Resident / Day
44.4% RN Turnover Rate
Score
4.0
State Average
4.2
National Average
3.6
5.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
63.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST HENDRICKS COUNTY HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL NORTH WILLOW OPERATING LLC
CORPORATE DIRECTOR ENGELS, ERIN
CORPORATE DIRECTOR GENTRY, MARK
CORPORATE DIRECTOR STARKEY, TYLER
CORPORATE DIRECTOR WAITE, JOHN
CORPORATE DIRECTOR WHICKER, TIMOTHY
CORPORATE OFFICER FENOUGHTY, DEANNA
CONTRACTED MANAGING EMPLOYEE PATEL, SONIA
Recent Penalties
Date Type Fine
Jun 12, 2023 Fine $17,131

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