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Nursing HomeMedicaid Investigative

Brickyard Healthcare - Golden Rule Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2330 Straight Line Pike, Richmond, IN 47374170 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 56 Google reviews

5
4
3
2
1
Brickyard Healthcare - Golden Rule Care Center Nursing Home in Richmond, IN — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (16 vs median 6)
  • High staff turnover (56%)
  • High RN turnover (67%)

Below average in IN · Below recommended RN staffing · $55,102 in fines

Source: Medicare data

What this means for your family

This facility shows a consistent pattern of polarized experiences; while many families appreciate the nursing and therapy teams, there are serious, recurring reports of neglect in the memory care unit and poor communication during end-of-life care. If you are considering this facility, we strongly recommend visiting in person to inspect the cleanliness of the rooms and asking management specifically how they handle grievances and end-of-life protocols.

Google Reviews

Google Reviews

56 reviews on Google
Brickyard Healthcare - Golden Rule Care Center receives highly polarized feedback, with some families praising the compassionate nursing and therapy teams, while others report severe failures in end-of-life care and communication. Significant concerns exist regarding the quality of the memory care unit, facility cleanliness, and the management's responsiveness to grievances. Families considering this facility should be aware of the stark contrast between positive experiences with individual staff members and reports of systemic neglect.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean3.0Activities2.0MedsN/AMemory2.0Comms4.0ValueN/A

Strengths

  • Compassionate nursing and therapy staff
  • Effective admission and intake coordination
  • Active management involvement on the floor

Concerns

  • Poor end-of-life care and communication (mentioned by 2 reviewers)
  • Facility cleanliness and maintenance issues (mentioned by 2 reviewers)
  • Inadequate memory care oversight and programming (mentioned by 2 reviewers)
  • Unprofessional or dismissive management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02015(1)3.02021(2)3.02022(2)4.02023(24)2.32024(3)3.42025(5)4.22026(13)

Distribution · 50 analyzed

5
32
4
4
3
1
2
1
1
12
11 reviews posted between Nov 14, 2023Nov 17, 2023 · 9 were 5-star

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the facility's size of 170 residents, how does the leadership team ensure consistent, personalized communication with families regarding changes in a resident's health or care plan?
  • 2I noticed some feedback regarding the facility's environment; what is your current protocol for routine deep cleaning and addressing maintenance requests in resident rooms?
  • 3Could you walk me through how your team coordinates end-of-life care to ensure residents are comfortable and families feel supported during that time?
  • 4With memory care being a specialized area, what specific training and structured daily programming do you provide to keep residents engaged and safe?
  • 5I see that management is often visible on the floor; how do you balance that hands-on presence with addressing administrative concerns or family feedback?
  • 6What steps are being taken to improve the variety and quality of the dining experience to ensure residents are receiving both nutritious and enjoyable meals?

Personalized based on this facility's data


Key Review Excerpts

My father has dementia, and they lock him in a wing. Forget to take him to his medical appointments and have nothing for him to do

Memory care family member · 2025☆☆☆☆

Golden Rule helped us in a huge time in need. Dad was being discharged from a place in Indy (24hr notice), and dad has dementia symptoms. After calling place to place, Golden Rule answered the call and sent a Leasion to Indy for dad

Long-term resident's family · 2024★★★★★

The staff treats my father very well. The staff is VERY good about keeping me in the loop about what is happening with him.

Long-term resident's family · 2023☆☆☆☆
Source: 56 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.73hrs
97%
Registered nurses for medical care
Total Nursing
3.48hrs
85%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

4

measures

Worse Than Avg

6

measures

Mixed Results

7

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility47.1%
Worse than Avg
Here
47.1%
US
19.5%
IN
23.5%
Wayne
19.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility24.1%
Mixed vs Avgs
Here
24.1%
US
12.1%
IN
24.8%
Wayne
6.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility83.8%
Worse than Avg
Here
83.8%
US
93.4%
IN
93.6%
Wayne
89.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
19.4%
IN
23.8%
Wayne
18.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
14.4%
IN
11.4%
Wayne
10.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility94.6%
Mixed vs Avgs
Here
94.6%
US
95.5%
IN
95.4%
Wayne
90.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility58.8%
Worse than Avg
Here
58.8%
US
79.8%
IN
79.0%
Wayne
65.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility69.9%
Mixed vs Avgs
Here
69.9%
US
81.8%
IN
81.5%
Wayne
68.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Mixed vs Avgs
Here
1.7%
US
1.6%
IN
1.3%
Wayne
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
1penalties
Well above state avg (7.6)
15 complaint-triggered
$55,102 in fines

This facility has serious ongoing concerns with families filing 10 complaints triggering federal inspections across 51 total deficiencies. Major recurring problems include resident rights violations, quality of care issues, and safety/infection control failures. Issues with protecting residents from abuse and neglect, medication management, and electrical safety persist across multiple surveys, indicating systemic problems that continue despite reported corrections.

Feb 4, 2026Complaint
6
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0742Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 9, 2025Routine
10
0521Potential for harm · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

Jul 17, 2025Complaint
3
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 27, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Mar 18, 2025Complaint
5
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Jun 20, 2024Routine
12
0610Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0744Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0226Potential for harm · PatternCorrected

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Jun 20, 2024

$55,102

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brickyard Healthcare - Golden Rule Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Brickyard Healthcare

Chain Size

23 facilities nationwide

Chain avg rating: 2.5/5 · Rank 13 of 23

Ownership & Management

Key personnel

Adams, LynnContracted Managing EmployeeGentry, MarkOfficer / DirectorWhicker, TimothyOfficer / DirectorEngels, ErinOfficer / DirectorFenoughty, DeannaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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