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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Brickyard Healthcare – Richmond Care Center is an 87-bed skilled nursing facility in Richmond, Indiana, providing long-term care, short-term rehabilitation, respite care, and specialty services including dialysis, stroke care, and diabetic and pulmonary management. The facility is operated by Brickyard Richmond LLC under county authority. The center Medicaid covers 86% of current residents, and the average length of stay is 109 days — a profile firmly oriented toward long-term care.
The facility holds a 1-star overall CMS rating, driven by a 1-star Health Inspection score, which ranks it 282nd out of 288 Indiana skilled nursing facilities. Since 2021, regulators have recorded 67 deficiencies and 12 complaints across 27 visits — 86% above the Indiana average for deficiencies. Substantiated findings during that period included failure to report abuse allegations, inadequate staffing levels, a pressure ulcer care failure that resulted in a worsened and infected wound, and an unsafe transfer that caused an 18.5 cm laceration requiring 18 sutures, along with a failure to document a resident’s death. A $14,000 federal civil money penalty was issued in May 2024. The most recent visit in April 2025 found the facility in compliance following a complaint revisit, suggesting some stabilization.
Total nursing hours average 3 hours and 26 minutes per resident per day, marginally below Indiana’s average of 3 hours and 32 minutes. RN staffing is 22% below the state average, though LPN staffing is 35% above it. The facility has 24-hour staffing and holds a 3-star Quality Measures rating — in line with the state average. Its occupancy rate is 78%, which exceeds the Indiana average of 68%.
Clinical amenities include on-site dialysis, cognitive training, IV therapy, pulmonary care, and restorative services — a depth of specialty capability uncommon in smaller community SNFs.
While Brickyard Healthcare – Richmond Care Center may meet the needs of long-term Medicaid residents in Wayne County who require ongoing skilled nursing care and support for complex medical needs, families should carefully review the facility’s inspection history, staffing concerns, and prior resident safety findings before making a placement decision.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 128th out of 287 homes in Indiana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 37m per day | ▼ 8% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 9m per day | ▲ 51% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 35m per day | ▲ 14% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 51m per day | ▲ 19% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 80% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ■ Avg State avg: 27m per day · National avg: 28m per day |
Higher than the Indiana average: 68.1%Brickyard Healthcare – Richmond Care Center is legally operated by Hendricks County Hospital, and administrated by Joanne Denney.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana nursing home score (the benchmark); higher is better.
15 points below the Indiana average for nursing homes (83/100)
Inspection score: 68 out of 100. Letter grade D+. 15 points below the Indiana average for nursing homes (83/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 146 | 36 | This facility has 306% more total deficiencies than a typical Indiana nursing home (146 vs. IN avg 36).↑ 306% worse Rank #379 / 386 Total deficiencies — State benchmarked This home is ranked 379th out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 29.2 | 7.2 | This facility has 306% more deficiencies per year than a typical Indiana nursing home (29.2 vs. IN avg 7.2).↑ 306% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.4 | 1.9 | This facility has 184% more deficiencies per inspection than a typical Indiana nursing home (5.4 vs. IN avg 1.9).↑ 184% worse Rank #327 / 386 Deficiencies per inspection — State benchmarked This home is ranked 327th out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. |
Inspections
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 27 | 19 | This facility has 42% more total visits than a typical Indiana nursing home (27 vs. IN avg 19).↑ 42% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 14 | 7 | This facility has 100% more inspections with deficiencies than a typical Indiana nursing home (14 vs. IN avg 7).↑ 100% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 52% | 37% | This facility has 15 percentage points higher inspection deficiency rate than a typical Indiana nursing home (52% vs. IN avg 37%).↑ 15% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 23 | 13 | This facility has 77% more inspections than a typical Indiana nursing home (23 vs. IN avg 13).↑ 77% worse |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 12 | 5 | This facility has 140% more total complaints than a typical Indiana nursing home (12 vs. IN avg 5).↑ 140% worse Rank #341 / 352 Total complaints — State benchmarked This home is ranked 341st out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. |
|
Complaints per year
Average complaints per year since 2021.
| 2.4 | 1 | This facility has 140% more complaints per year than a typical Indiana nursing home (2.4 vs. IN avg 1).↑ 140% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Indiana average 6
Last Health inspection on Mar 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
41 of 76 citations resulted from standard inspections; 30 of 76 resulted from complaint investigations; and 5 of 76 came from combined inspections (standard and complaint).
400% worse than Indiana averageIndiana average: 0.2
400% worse than Indiana averageIndiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2070075% more staff per resident than Indiana average
6% better than Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 6 full-time employees and 3 contractors.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
21 total: 12 full-time employees and 9 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
43 total: 29 full-time employees and 14 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,499 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 14 | 43 | 11,684 | 92 | 100% | 9 |
| Licensed Practical Nurse | 12 | 9 | 21 | 5,376 | 92 | 100% | 9.5 |
| Registered Nurse | 6 | 3 | 9 | 1,890 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,363 | 91 | 99% | 8 |
| Clinical Nurse Specialist | 1 | 6 | 7 | 786 | 65 | 71% | 7.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 618 | 69 | 75% | 7.7 |
| Speech Language Pathologist | 0 | 5 | 5 | 496 | 64 | 70% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 485 | 59 | 64% | 7.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 480 | 62 | 67% | 6.4 |
| RN Director of Nursing | 1 | 0 | 1 | 460 | 62 | 67% | 7.4 |
| Nurse Practitioner | 0 | 2 | 2 | 429 | 54 | 59% | 7.9 |
| Administrator | 0 | 1 | 1 | 428 | 57 | 62% | 7.5 |
| Dietitian | 1 | 0 | 1 | 419 | 56 | 61% | 7.5 |
| Qualified Social Worker | 0 | 3 | 3 | 377 | 66 | 72% | 5.6 |
| Occupational Therapy Aide | 2 | 1 | 3 | 147 | 61 | 66% | 1.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 98 | 40 | 43% | 2.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 66 | 39 | 42% | 1.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 46 | 9 | 10% | 5.1 |
| Medical Director | 0 | 1 | 1 | 32 | 25 | 27% | 1.3 |
| Dental Services Staff | 1 | 1 | 2 | 8 | 2 | 2% | 3.8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
7% higher than Indiana averageIndiana average: $27K
44% more fines than Indiana averageIndiana average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Indiana averageIndiana average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 6, 2024 · $14K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 6, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
In line with Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
11% better than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.9%
7% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
9.8%
32% better than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
6% better than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
In line with Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
8.2%
88% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
4.3%
24% better than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
9.3%
61% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
12.7%
In line with Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.0%
In line with Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
In line with Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
2.27
42% worse than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.18
20% better than Indiana averageIndiana average: 1.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
18% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
14% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
19% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.2%
19% better than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.0%
5% worse than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.9%
20% worse than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.7%
10% worse than Indiana averageIndiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
58% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
57Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brickyard Healthcare – Richmond Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #158 / 290Payroll — State benchmarkedThis home is ranked 158th out of 290 homes in Indiana for payroll. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.4 miles from city center
Estimated distance in miles from Richmond's city center to Brickyard Healthcare – Richmond Care Center's address, calculated via Google Maps.
Add your location
Brickyard Healthcare – Richmond Care Center is located in RICHMOND, Indiana.
Here are the financial assistance programs available to residents in Indiana.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
| Greenwood Village South |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Greenwood | 207
Facility
207
IN AVG
117
Rank
#29 / 437 | - | - | 4.16 | -50% | +21% | $0 | 6 | 3.0 | - | 38 | A+ |
50
Facility
50
IN AVG
37
Rank
#205 / 587 | Pamela Seegers | $35.6M | $17.6M | 49.4% | 155026 | ||||
| North River Health Campus |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Evansville (East Baseline Road) | 95
Facility
95
IN AVG
117
Rank
#273 / 437 | 50.5% | -27% | 3.66 | +63% | +7% | $0 | 10 | 3.3 | - | 53 | A+ |
11
Facility
11
IN AVG
37
Rank
#456 / 587 | Thomas Cook | $12.0M | $6.4M | 53.4% | 155854 | ||||
| West River Health Campus |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Evansville (Westside) | 131
Facility
131
IN AVG
117
Rank
#142 / 437 | 74.0% | +7% | 4.56 | -1% | +33% | $18.7k | 17 | 2.1 | 2 | 97 | A+ |
2
Facility
2
IN AVG
37
Rank
#546 / 587 | Carla Baker | $11.1M | $5.9M | 53% | 155785 | ||||
| Westside Garden Plaza |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Indianapolis (Chapel Hill / Ben Davis) | 150
Facility
150
IN AVG
117
Rank
#91 / 437 | 47.3% | -32% | 3.49 | -29% | +1% | $0 | 76 | 6.9 | 1 | 71 | A+ |
10
Facility
10
IN AVG
37
Rank
#467 / 587 | Westside Snf Operations LLC | $14.1M | $7.0M | 49.9% | 155606 | ||||
| Brickyard Healthcare – Richmond Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Richmond | 87
Facility
87
IN AVG
117
Rank
#297 / 437 | 78.2% | +13% | 3.44 | -22% | 0% | $8.8k | 76 | 6.3 | 4 | 68 | - |
76
Facility
76
IN AVG
37
Rank
#34 / 587 | Brickyard Richmond LLC | $5.9M | $5.1M | 86.3% | 155157 |
Laura Fortkamp is the Director of Nursing at Brickyard Healthcare – Richmond Care Center.
The legal owner and operator of Brickyard Healthcare – Richmond Care Center is Hendricks County Hospital.
Brickyard Healthcare – Richmond Care Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IN state health department records, Brickyard Healthcare – Richmond Care Center's license number is 24-000077-2.
According to IN state health department records, Brickyard Healthcare – Richmond Care Center's license expires on August 31, 2025.
Brickyard Healthcare – Richmond Care Center's occupancy is 78%.
Joanne Denney is the administrator of Brickyard Healthcare – Richmond Care Center.
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