Deficiency Index

Briarcliff Health Center

Tyler, Texas · CCN 675142

30 surveys since 2011, 11 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
114
Surveys
30
Harm or worse
11
Immediate jeopardy
8
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file23/30

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
230
Ownership
For profit - Corporation
Chain
Independent
County
Smith
Medicare-certified since
1993

CMS ratings

Overall
2
Health inspection
3
Staffing
3
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

May 21, 2025

537 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.673.26
Registered-nurse hours per resident day0.47—
Annual nurse turnover41.0%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$51,034 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ321.4%K—L—
Actual harmG214.3%H—I—
No harm, potential for more than minimalD428.6%E428.6%F—
No harm, potential for minimalA—B—C17.1%
CMS’s current file: 14 of the 114 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6002×

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

  • F8122×

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

  • F5501×

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

  • F6091×

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

  • F6201×

    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

In the surveyor’s words

From the most serious findings on record at Briarcliff Health Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Apr 5, 2024

    Based on interview and record review, the facility failed to ensure a resident had the right to be free of abuse for 1 of 8 residents reviewed for abuse. ( Resident #1) Resident #1 was intimidated, suffered pain and mental anguish, and forced to allow care against her will by CNA A on 3/11/24. CNA A refused to take no for an answer when Resident #1 told her she did not want to be transferred. CNA A pushed back at Resident #1's flailing hands and reached under her arms and transferred her against her will from her wheelchair to her bed. Resident #1 complained of back pain when she was transferred by CNA A. CNA A was hollering at Resident #1 and told her she was afraid for nothing. CNA A was close to Resident #1's face talking loudly in an intimidating manner. […]

  • Immediate jeopardy, isolatedF600Feb 6, 2024

    Based on interview and record review, the facility failed to ensure the resident had the right to be free from neglect for 1 of 7 (Resident #1) residents reviewed for neglect. The facility failed to ensure staff performed CPR for resident #1 until emergency services arrived. The facility failed to ensure the AED was utilized when Resident #1 was found unresponsive. These failures resulted in an identification of an Immediate Jeopardy (IJ) On [DATE] at 1:40 p.m. While the IJ was removed on [DATE], the facility remained out of compliance at actual harm that is not immediate jeopardy with a scope identified as isolated due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. […]

  • Immediate jeopardy, isolatedF678Feb 6, 2024

    Based on interview and record review, the facility failed to ensure basic life support, including cardiopulmonary resuscitation (CPR), was provided to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 2 of 7 (Resident #1 and Resident #2) residents reviewed for CPR. The facility failed to ensure staff performed CPR for resident #1 until emergency services arrived. CPR was initiated and then stopped prior to emergency services arrival. The facility failed to ensure staff utilized the AED when Resident #1 was found unresponsive. The facility failed to ensure Resident #2 advance directive was accurate. […]

  • Immediate jeopardy, isolatedF600Jun 16, 2021

    Based on observation, interview and record review, the facility failed to ensure the right to be free from physical restraints imposed for purpose of convenience and not required to treat the resident's medical symptoms was provided for 1 of 7 residents reviewed for restraints. (Resident #1) CNA A wrapped a bed sheet around Resident #1 and tied the bed sheet to Resident #1's wheelchair. Resident #1 stood and attempted to ambulate with the bed sheet still tethered to the wheelchair. Resident #1 fell and was sent to the hospital and admitted to the trauma ICU and treated for [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident received a left chest tube. Resident #1 died three days later. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:50 p.m. […]

  • Immediate jeopardy, isolatedF604Jun 16, 2021

    Based on observation, interview and record review, the facility failed to ensure the right to be free from physical restraints imposed for purpose of convenience and not required to treat the resident's medical symptoms was provided for 1 of 7 residents reviewed for restraints. (Resident #1) CNA A wrapped a bed sheet around Resident #1 and tied the bed sheet to Resident #1's wheelchair. Resident #1 stood and attempted to ambulate with the bed sheet still tethered to the wheelchair. Resident #1 fell and was sent to the hospital and admitted to the trauma ICU and treated for [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident received a left chest tube. Resident #1 died three days later. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:50 p.m. […]

Read 26 findings in full →The most serious and the most recent: 26 of 114 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 22, 2026Standard4 findings
  • May 21, 2025Standard1 finding
  • Aug 13, 2024Complaint1 finding
  • May 30, 2024Complaint1 finding
  • Apr 10, 2024Standard2 findings
  • Apr 5, 2024Complaint4 findings · 3 harm
  • Feb 6, 2024Complaint3 findings · 2 harm
  • Mar 8, 2023Standard and complaint2 findings
Show the 22 earlier surveys
  • Jan 26, 2022Standard3 findings
  • Jun 16, 2021Infection control3 findings · 2 harm
  • Jan 22, 2021Standard5 findings
  • Sep 5, 2020Complaint2 findings
  • Aug 29, 2019Complaint3 findings · 1 harm
  • Apr 25, 2019Standard5 findings
  • Dec 18, 2018Complaint1 finding
  • Aug 28, 2018Complaint2 findings
  • Aug 1, 2018Complaint2 findings
  • Jun 27, 2018Complaint1 finding
  • Apr 20, 2018Standard and complaint18 findings
  • Jul 28, 2017Standard and complaint9 findings
  • Jul 28, 2016Standard9 findings
  • Jul 22, 2015Standard8 findings
  • Apr 28, 2015Complaint2 findings · 2 harm
  • Apr 15, 2015Complaint2 findings
  • Aug 27, 2014Standard4 findings
  • Jul 1, 2014Complaint1 finding
  • Jul 24, 2013—5 findings · 1 harm
  • Apr 19, 2013—1 finding
  • Aug 23, 2012—4 findings
  • Aug 18, 2011—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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