Brickyard Healthcare - Woodlands Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

56.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 122 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 69.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 42 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 105.4 residents a day — about 88% occupied, or roughly 15 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.81 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.72 hrs/resident/day on weekends vs 3.52 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.90 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · E2025-05-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure food was served in a sanitary manner in accordance with professional standards for food service safety for 2 of 2 observations of the kitchen. Floors and equipment were soiled, and food was unlabeled. (Kitchen) Findings include: On 5/12/25 at 8:56 A.M., during observation of the kitchen the following was observed: 1. The top of the dish machine was soiled. 2. The floors in the kitchen area were soiled, debris build up around the edges of the walls, debris under racks and tables with equipment, and under the three compartment sink. 3. Debris build up on a pull down plug hanging above the food prep table, and on a fan hanging on the wall. 4. The walk in freezer had two partially used bags of tater tots in clear bags, one partially used bag of potato wedges in a clear bag, all were unlabeled. On 5/14/25 at 9:18 A.M., the same was observed. On 5/14/25 at 9:25 A.M., the Dietary Manager indicated if food is opened it should be tabled with an open date and a use by date, housekeeping does the deep cleaning of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-16 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to accommodate a resident's choice to participate in an activity for 1 of 1 random observations (Resident 9). A resident was not allowed to participate in the resident council meeting held on May 13, 2025. Finding includes: On 5/13/25 at 9:58 A.M., Resident 9 was observed sitting in her wheelchair in the main dining room. Licensed Practical Nurse (LPN) 3 came to take Resident 9 from the room. Resident 9 indicated she wanted to stay for the resident council meeting. LPN 3 told her that she was not allowed to stay because she wasn't on the list. LPN 3 took Resident 9 from the dining room. The resident council meeting started at 10:09 A.M. and Resident 9 was not in attendance. On 5/15/25 at 10:39 A.M., Resident 9's clinical record was reviewed. Diagnoses included, but were not limited to, anxiety disorder. The most current Quarterly Minimum Data Set (MDS) Assessment, dated 3/15/25, indicated that Resident 9 had mild cognitive impairment and had no behaviors. The most recent care plan conference was held on 3/19/25.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-16 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure infection control practices and standards were followed for 1 of 1 resident reviewed for urinary catheter use (Resident 49). A resident's catheter bag was observed on the floor. Finding includes: On 5/12/25 at 10:26 A.M., Resident 49 was observed lying in bed. Her catheter bag was observed on the floor. On 5/15/25 at 10:04 A.M., Resident 49 was observed lying in bed. Her catheter bag was hanging on the bed. The bed was in the lowest position and the catheter bag was touching the floor. On 5/14/25 at 10:09 A.M., Resident 49's clinical record was reviewed. Diagnoses included, but were not limited to, neuromuscular dysfunction of bladder and retention of urine. The most recent Significant Change Minimum Data Set (MDS) Assessment, dated 2/22/25, indicated Resident 49 was not cognitively intact, was dependent on staff for toileting, had an indwelling catheter, and did not have a urinary tract infection (UTI). Physician orders included, but were not limited to: Sixteen French Foley catheter for urinary…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-09 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure EBP (Enhanced Barrier Precautions) were followed during care of an indwelling urinary catheter for 1 of 3 residents reviewed for Foley Catheters. A gown was not used during care. (Resident C) Finding includes: On 10/9/24 at 9:20 a.m., QMA 2 (Qualified Medication Aide) and CNA 3 (Certified Nursing Assistant) were observed to provided Foley Catheter care to Resident C. Both entered the room, performed hand hygiene, donned gloves, cleaned, rinsed, and dried the tubing of the Foley Catheter. Neither staff donned a gown before providing care. Enhanced barrier precaution signage was posted on Resident C's door that indicated a gown was to be worn. On 10/9/24 at 10:51 a.m., Resident C's clinical record was reviewed. Diagnoses included, but was not limited to, unspecified urinary incontinence, frequency of micturition, neuromuscular dysfunction of bladder, retention of urine, unspecified. An annual MDS (Minimum Data Set) assessment dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-28 · tag F0583 — failed to protect personal privacy — pattern
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and record review, the facility failed to ensure dignity for 2 of 2 observations of meal service. Staff did not knock or announce themselves before delivering meal trays to resident rooms. (Resident 9, Resident 14, Resident 66, Resident 75, Resident 78, Resident 84, Resident 96) Findings include: On 6/23/24 during observation of the noon meal the following was observed: 1. At 11:34 a.m., CNA 2 entered Resident 96's room to deliver a beverage without knocking or announcing self. 2. At 11:52 a.m., CNA 2 entered Resident 66's room to deliver a beverage without knocking or announcing self. 3. At 11:53 a.m., CNA 3 entered Resident 84's room, walked back out and got a beverage, walked back in the room to deliver the beverage without knocking or announcing self. 4. At 11:55 a.m., CNA 3 entered Resident 75's room to deliver a meal tray, walked back out and got a beverage, walked back in to deliver the beverage without knocking or announcing self. 5. At 11:57 a.m., CNA 2 entered Resident 9's room to deliver a meal tray without knocking or announcing self. 6. At 11:59…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-28 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to provide proper storage of medications in 1 of 1 treatment carts located in the ACU (Alzheimer Care Unit) for 9 of 9 residents reviewed. Unlabeled and undated medications were found in the treatment cart. (Resident 12, Resident 15, Resident 22, Resident 25, Resident 45, Resident 47, Resident 49, Resident 57, Resident 88, Findings include: On 6/26/24 at 12:35 P.M., the locked nightstand/treatment cart was observed to have the following: 1 tub of Curad petroleum jelly lacked a prescription label and an open date 1 tub of petroleum jelly for Resident 45 has prescription label but lacked an open date 1 tube of Diclofenac cream (analgesic cream) lacked a label and an open date 1 glass case with unreadable name and no glasses 1 tube of Volteran cream Resident 47 with a prescription label but lacked an open date 1 tub of Sombra (analgesic cream) Resident 49 with a prescription label but lacked an open date 1 tube of Aspercreme (analgesic cream) Resident 25 with a prescription label but lacked an open date 1 tube of Aspercreme…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-06-28 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to provide a safe and sanitary environment for residents, staff, and the public for 11 random observations for environment for 3 of 3 days. Food debris on resident wheelchair and dusty and debris found on a mechanical lift and sit to stand in unit hallways. ( Resident 24, Resident 27, 100 Hallway, 300 Hallway, 600 Hallway) Findings include: 1. On 6/26/24 at 2:16 P.M., a sit to stand device on the 600 Hall was observed to have dust on the seat and white residue on the handles. On 6/27/24 at 9:10 A.M., a sit to stand device on the 600 Hall was observed to have dust on seat and white residue on the handles. On 6/27/24 at 10:10 A.M., a mechanical lift on the 100 Hall was observed to have dust, fiber debris, and white spots on the base. On 6/28/24 at 8:45 A.M., a sit to stand device on the 600 Hall was observed to have dust on the seat and white residue on the handles. On 6/28/24 at 8:46 A.M., a sit to stand device on 100 Hall was observed to have dust on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-28 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  1. On 6/24/24 at 2:14 p.m., Resident 24's clinical record was reviewed. Diagnoses included, but were not limited to, unspecified dementia, unspecified severity, without behavioral disturbance, abnormal gait and mobility, displaced supracondylar fracture without intracondylar extension of lower end of left femur, subsequent encounter for closed fracture with routine healing. A Quarterly MDS (Minimum Data Set) assessment, dated 5/7/24, indicated Resident 24's cognition was moderately impaired, bed mobility extensive, one staff assist, transfer extensive two staff assist. A care plan for falls indicated: At risk for falls related to: History of falls. Use of medication, gout, dementia, osteoarthritis macular degeneration right eye, polymyalgia rheumatic, ulcer, abnormal gait and mobility. HTN (hypertension), muscle weakness. Interventions included, but were not limited to: wedge pillows on sides of recliner to prevent resident from rolling out, date initiated, 6/22/24. A progress note dated 6/22/24 at 7:00 a.m., indicated : .Situation: Resident sleeping in recliner in common area in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-28 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure care plans were revised in 1 of 2 residents reviewed for care plans. (Resident 45) Findings include: On 6/25/24 at 9:03 A.M., Resident 45's clinical record was reviewed. Diagnoses included, but were not limited to, unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety The most current Quarterly MDS (Minimum Data Set) assessment dated [DATE] indicated Resident 45 was severely cognitively impaired. The resident need supervision for transfer and mobility with substantial help for mobility Current physician orders included but were not limited to: Weekly weights every day shift every Sunday for 4 weeks ordered 6/14/24 Vaseline Pure Ultra [NAME] External Gel (White Petroleum) Apply to right cheek topically every day shift for wound care cleanse facial biopsy site to right cheek with normal saline. Pat dry, apply thin layer of Vaseline to wound bed. Cover with dry dressing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-28 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide care through maintenance of a PICC (peripherally inserted central catheter) line for 1 of 1 residents reviewed for IV therapy. (Resident 302) Findings include: On 6/25/24 at 1:14 P.M., Resident 302's clinical record was reviewed. Resident 302 was admitted on [DATE]. Diagnoses included, but were not limited to, infection of joint prosthesis, anxiety, and hypertension. The admission MDS (Minimum Data Set) Assessment, dated 6/17/24 was not completed. Current physician orders included, but were not limited to: PICC (peripherally inserted central catheter) line dressing change every Tuesday. Start date 6/18/24. Current care plans included, but were not limited to: I have a PICC line (in my) right arm and have the potential risk of infection at the site. Do not take blood pressure on arm of access site. Encourage patient not to sleep on arm with access site. Date Initiated: 6/12/24. Dressing change as ordered with measurements of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to BRICKYARD HEALTHCARE — 23 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $665K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN