Briar Hill Health Campus

In the surveyor’s words

From the most serious findings on record at Briar Hill Health Campus, in the surveyor’s own words.

• Actual harm, isolatedF686Oct 13, 2022

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on medical record review, staff interview, and review of guidelines from the National Pressure Injury Advisory Panel (NPIAP), in-service record review, plan of correction review, and facility audit reviews, the facility failed to conduct adequate skin assessments and failed to implement interventions to prevent the development of pressure ulcers and/or aid in the healing of existing pressure ulcers as recommended by the physician. This resulted in Actual Harm when Resident #01 was discovered with multiple in-house acquired tissue injuries to the left buttock, right foot/ankle and right heel. This affected one (#01) of three residents reviewed for skin integrity. […]

• No harm, potential for more than minimal, widespreadF812Dec 21, 2021

  Based on observation, staff interview, and review of a facility policy, the facility failed to properly store foods and maintain the kitchen in a sanitary manner. This affected all 49 residents in the facility who the facility identified as receiving food from the kitchen. Findings include: Observation of the facility kitchen on 12/19/21 at 9:45 A.M. revealed pre-sliced deli meats stored in a plastic bin on the bottom shelf of the walk in refrigerator. Inside the plastic bin revealed opened bags of bologna, corned beef, pepperoni, ham, and turkey which were placed inside plastic zip sealed bags inside the plastic bin. The bag of ham had a slimy liquid covering the bag. […]

• No harm, potential for more than minimal, patternF689Jul 16, 2026

  Based on observation, staff interview, and review of the facility policy, the facility failed to ensure chemicals were secured on the secured memory care unit. This had the potential to affect 11 residents (#2, #19, #46, #47, #48, #49, #50, #51, #52, #53, and #56) who the facility identified to be cognitively impaired, independently mobile and resided on the secured memory care unit. The facility census was 49.Findings include:Observations in the secured memory care on 07/13/26 at 3:14 P.M. revealed a small kitchenette that contained a working sink and unlocked cupboard underneath the sink. The cupboard under the sink contained four bottles of chemicals: one spray bottle of 3M disinfectant cleaner RCT concentrate. […]

• No harm, potential for more than minimal, isolatedF640Jun 20, 2024

  Based on medical record review and staff interview, the facility failed to ensure resident assessments were completed timely. This affected one (#41) of two residents review for discharged resident assessments. The census was 43. Findings include: Review of the closed medical record review revealed Resident #41 was admitted on [DATE] and discharged home on 01/26/24. Diagnoses included fracture of unspecified part of neck of left femur, hypertensive chronic kidney disease, chronic kidney disease stage 4, essential (primary) hypertension, non-Hodgkin lymphoma, and unspecified osteoarthritis. Review of the Minimum Data Set (MDS) assessment, dated 01/09/24, revealed the resident had an admission assessment completed. […]

• No harm, potential for more than minimal, isolatedF641Jun 20, 2024

  Based on medical record review and staff interview, the facility failed to ensure an accurate resident assessment was completed for an anticoagulant medication. This affected one (#21) of thirteen residents reviewed for accurate resident assessments. The facility census was 43. Findings include: Review of the medical record revealed Resident #21 was admitted on [DATE]. Diagnoses included atherosclerotic heart disease of native coronary artery without angina pectoris, unspecified dementia, type two diabetes mellitus without complications, major depressive disorder, anxiety disorder, and essential hypertension. Review of the Minimum Data Set (MDS) assessment, dated 05/06/24, revealed the resident was rarely understood. […]