Newburgh, IN

Brickyard Healthcare - Woodlands Care Center

4-star overall rating with 3-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

4088 Frame Rd, Newburgh, IN

(812) 853-9567

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

102

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Brickyard Healthcare

Operator or chain grouping

Approved since

1985-02-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

23 facilities

Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.58

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.81

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.09

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

27%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,952

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9849

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.24

Baseline 22.88% · Performance 20.69% · Measure score 3.24 · Achievement 1.60 · Improvement 3.24

Healthcare-associated infections

1.33

Baseline 7.50% · Performance 7.44% · Measure score 1.33 · Achievement 1.33 · Improvement 0

Total nurse turnover

6

Baseline 50.00% · Performance 39.17% · Measure score 6 · Achievement 6 · Improvement 3.80

Adjusted total nurse staffing

0.75

Baseline 2.73 hours · Performance 3.11 hours · Measure score 0.75 · Achievement 0 · Improvement 0.75

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.57%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 141 · Observed rate 9.22% · Lower 95% interval 6.79%
Discharge to community	56.45%	50.57% 5.9 pts better	No Different than the National Rate · Eligible stays 122 · Observed rate 49.18% · Lower 95% interval 46.16%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	98.53%	95.27% 3.3 pts better	Numerator 67 · Denominator 68
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 68
Discharge self-care score	65.22%	53.69% 11.5 pts better	Numerator 30 · Denominator 46
Discharge mobility score	60.87%	50.94% 9.9 pts better	Numerator 28 · Denominator 46
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 68 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.44%	7.12% 0.3 pts worse	No Different than the National Rate · Eligible stays 86 · Observed rate 8.14% · Lower 95% interval 4.79%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 83
Staff flu vaccination coverage	16.47%	42% 25.5 pts worse	Numerator 14 · Denominator 85
Discharge function score	69.57%	56.45% 13.1 pts better	Numerator 32 · Denominator 46
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 35 · Denominator 35
Resident COVID-19 vaccinations up to date	12%	25.2% 13.2 pts worse	Numerator 3 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	1.6 0.7 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.1%	93.6% 24.5 pts worse	93.4% 24.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 64.4% · Q2 64.9% · Q3 63.0% · Q4 84.9% · 4Q avg 69.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.9%	95.4% 0.5 pts worse	95.5% 0.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	3.8% 0.6 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 5.3% · Q3 3.3% · Q4 4.7% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.2%	24.6% 7.4 pts better	11.4% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 23.6% · Q3 16.0% · Q4 17.6% · 4Q avg 17.2%
Percentage of long-stay residents who lose too much weight	3.7%	5.6% 1.9 pts better	5.4% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.8% · Q3 3.6% · Q4 2.6% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.0%	23.5% 5.5 pts worse	19.6% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 31.0% · Q3 26.2% · Q4 27.3% · 4Q avg 29.0%
Percentage of long-stay residents who received an antipsychotic medication	20.7%	14.8% 5.9 pts worse	16.7% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 21.1% · Q3 21.4% · Q4 22.2% · 4Q avg 20.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.2%	13.3% 6.1 pts better	16.3% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 11.6% · Q3 5.9% · Q4 2.1% · 4Q avg 7.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.1%	11.7% 0.6 pts better	14.9% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 14.6% · Q3 12.2% · Q4 8.2% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.7%	24.2% 4.5 pts worse	19.8% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 31.2% · Q3 24.5% · Q4 33.6% · 4Q avg 28.7%
Percentage of long-stay residents with pressure ulcers	2.7%	4.1% 1.4 pts better	5.1% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.4% · Q3 3.3% · Q4 0.8% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	70.4%	81.6% 11.2 pts worse	81.7% 11.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 77.6% · Q2 73.7% · Q3 63.6% · Q4 67.9% · 4Q avg 70.4%
Percentage of short-stay residents who had an outpatient emergency department visit	16.4%	10.5% 5.9 pts worse	12.0% 4.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 17.2% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.3% 0.2 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	57.4%	79.0% 21.6 pts worse	79.7% 22.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 57.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.7%	22.4% 1.7 pts better	23.9% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 20.7% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-16 · Fire 2025-05-16

3 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-06-28 · Fire 2024-06-28

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-09-14 · Fire 2022-09-14

5 health deficiencies

Top issue: Environmental (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-07-14

F · Potential for more than minimal harm 2025-05-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-07-14

F · Potential for more than minimal harm 2025-05-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-14

F · Potential for more than minimal harm 2024-06-28

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-06-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-06-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-06-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-13

F · Potential for more than minimal harm 2022-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-04

F · Potential for more than minimal harm 2022-09-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-11-04

F · Potential for more than minimal harm 2022-09-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-11-04

F · Potential for more than minimal harm 2022-09-14

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2022-11-04

E · Potential for more than minimal harm 2022-09-14

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2022-11-04

E · Potential for more than minimal harm 2022-09-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-11-04

E · Potential for more than minimal harm 2022-09-14

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-11-04

D · Potential for more than minimal harm 2022-09-14

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-11-04

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-16

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-16

D · Potential for more than minimal harm 2024-10-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-06-28

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-06-28

F761 · Pharmacy Service Deficiencies

Health

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 2024-07-31

E · Potential for more than minimal harm 2024-06-28

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-07-31