Starfile / Indiana

BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER

2002 WEST 86TH STREET, INDIANAPOLIS, IN 46260 · CCN 155834

Inspection history vs Indiana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$17,131

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

BRICKYARD HEALTHCARE

Facilities in chain

23

Chain avg overall

2.50 / 5

Inspection citations (42)1 immediate jeopardy

1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-07-23 · Health · corrected 2025-08-14

   Potential for more than minimal harm

2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-23 · Health · corrected 2025-08-14

   Potential for more than minimal harm

3. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-23 · Health · corrected 2025-08-14

   Potential for more than minimal harm

4. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

5. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

6. DF0641Ensure each resident receives an accurate assessment.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

7. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

11. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

12. DF0761Ensure 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.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

13. DF0880Provide and implement an infection prevention and control program.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

14. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

15. DF0578Honor 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.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

16. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

17. DF0625Notify 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.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

18. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

19. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

20. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

21. DF0700Try 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.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

23. DF0761Ensure 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.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

24. DF0791Provide or obtain dental services for each resident.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

25. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

26. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

27. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-06-28 · Health · corrected 2024-07-26

    Potential for more than minimal harm

28. DF0584Honor 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.2024-03-14 · Health · corrected 2024-04-05

    Potential for more than minimal harm

29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-14 · Health · corrected 2024-04-05

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-14 · Health · corrected 2024-04-05

    Potential for more than minimal harm

31. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-02-13 · Health · corrected 2024-01-30

    Potential for more than minimal harm

32. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-13 · Health · corrected 2024-04-05

    Potential for more than minimal harm

33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-26 · Health · corrected 2024-04-05

    Potential for more than minimal harm

34. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-08-31 · Health · corrected 2023-09-21

    Potential for more than minimal harm

35. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-12 · Health · corrected 2023-06-26

    Immediate jeopardy

36. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2023-06-12 · Health · corrected 2023-06-26

    Potential for more than minimal harm

37. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-27 · Health · corrected 2023-04-24

    Potential for more than minimal harm

38. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-27 · Health · corrected 2023-04-24

    Potential for more than minimal harm

39. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-27 · Health · corrected 2023-04-24

    Potential for more than minimal harm

40. DF0761Ensure 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.2023-03-27 · Health · corrected 2023-04-24

    Potential for more than minimal harm

41. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-27 · Health · corrected 2023-04-24

    Potential for more than minimal harm

42. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-27 · Health · corrected 2023-04-24

    Potential for more than minimal harm

Ownership

Other facilities in INDIANAPOLIS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.