Federal inspection record · CMS data as of October 1, 2026

Brickyard Healthcare - Woodlands Care Center

4088 Frame Rd, Newburgh, IN · (812) 853-9567

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
107
Ownership
For-Profit
Chain
Brickyard Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 20, 1985

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Brickyard Healthcare - Woodlands Care Center carries 26 inspection points. That is fewer than 62% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 26 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–24 pts
  • 3★ 24–42 pts
  • 2★ 42–72 pts
  • 1★ over 72 pts

Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

18 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning4E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 28, 2024 · Standard · F656 · Corrected July 31, 2024

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    June 28, 2024 · Standard · F657 · Corrected July 31, 2024

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    June 28, 2024 · Standard · F842 · Corrected July 31, 2024

  4. E

    Ensure each resident receives an accurate assessment.

    September 14, 2022 · Standard · F641 · Corrected October 7, 2022

Quality of Life and Care4D
  1. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    June 28, 2024 · Standard · F694 · Corrected July 31, 2024

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 28, 2024 · Standard · F695 · Corrected July 31, 2024

  3. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    June 28, 2024 · Standard · F698 · Corrected July 31, 2024

  4. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 14, 2022 · Standard · F695 · Corrected October 7, 2022

Resident Rights3E
  1. D

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

    May 16, 2025 · Standard · F561 · Corrected June 16, 2025

  2. E

    Keep residents' personal and medical records private and confidential.

    June 28, 2024 · Standard · F583 · Corrected July 31, 2024

  3. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    September 14, 2022 · Standard · F554 · Corrected October 7, 2022

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    May 16, 2025 · Standard · F880 · Corrected June 16, 2025

  2. D

    Provide and implement an infection prevention and control program.

    October 9, 2024 · Complaint · F880 · Corrected October 30, 2024

  3. D

    Provide and implement an infection prevention and control program.

    June 28, 2024 · Standard · F880 · Corrected July 31, 2024

Environmental2E
  1. E

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

    June 28, 2024 · Complaint · F921 · Corrected July 31, 2024

  2. E

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

    September 14, 2022 · Standard · F921 · Corrected October 7, 2022

Nutrition and Dietary1E
  1. E

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

    May 16, 2025 · Standard · F812 · Corrected June 16, 2025

Pharmacy Service1E
  1. E

    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.

    June 28, 2024 · Standard · F761 · Corrected July 31, 2024

Inspection history

  1. 2025-05-16

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-06-28

    11 health deficiencies · 4 fire-safety deficiencies

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

  3. 2022-09-14

    4 health deficiencies · 8 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 17 min of nursing staff time a day, 50 min of it from a registered nurse.

This home

3 h 17 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 22% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts worse2.01.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better0.71.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts worse86.7%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better98.1%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse4.9%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms3.3 pts better22.2%25.5%13.5%
Percentage of long-stay residents who lose too much weight2.6 pts better2.7%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts worse28.8%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse18.0%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.9 pts better8.2%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts better9.3%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts worse27.9%22.4%18.3%
Percentage of long-stay residents with pressure ulcers2.5 pts better1.0%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts worse66.3%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better7.3%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better0.9%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine28 pts worse51.2%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse24.6%21.8%23.4%

·

Who owns and runs it

8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Donaldson, MaribethContracted Managing Employee · Individual0%1 facilities
Engels, ErinCorporate Director · Individual0%44 facilities
Fenoughty, DeannaCorporate Officer · Individual0%45 facilities
Gentry, MarkCorporate Director · Individual0%45 facilities
Ggnsc Newburgh LLCOperational/Managerial Control · Organization0%1 facilities
Starkey, TylerCorporate Director · Individual0%45 facilities
Waite, JohnCorporate Director · Individual0%45 facilities
Whicker, TimothyCorporate Director · Individual0%45 facilities

·

Fire safety

15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

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

    June 28, 2024 · K345 · Corrected August 13, 2024

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 28, 2024 · K353 · Corrected August 13, 2024

  3. E

    Provide properly protected cooking facilities.

    June 28, 2024 · K324 · Corrected August 13, 2024

  4. E

    Install corridor and hallway doors that block smoke.

    June 28, 2024 · K363 · Corrected August 13, 2024

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 14, 2022 · K353 · Corrected November 4, 2022

  6. E

    Install an approved automatic sprinkler system.

    September 14, 2022 · K351 · Corrected November 4, 2022

  7. E

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

    September 14, 2022 · K374 · Corrected November 4, 2022

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    May 16, 2025 · K712 · Corrected July 14, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    September 14, 2022 · K712 · Corrected November 4, 2022

  3. F

    Provide properly sized and located linen or trash receptacles.

    September 14, 2022 · K754 · Corrected November 4, 2022

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    May 16, 2025 · E41 · Corrected July 14, 2025

Gas, Vacuum, and Electrical Systems1F
  1. F

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

    May 16, 2025 · K918 · Corrected July 14, 2025

Services1F
  1. F

    Have properly installed electrical wiring and gas equipment.

    September 14, 2022 · K511 · Corrected November 4, 2022

Construction1E
  1. E

    Meet other general requirements.

    September 14, 2022 · K100 · Corrected November 4, 2022

Egress1D
  1. D

    Have properly located and lighted "Exit" signs.

    September 14, 2022 · K293 · Corrected November 4, 2022

·

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