Briarcliff Health & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF740Aug 8, 2025

  Based on record review and interview, the facility failed to implement effective, ongoing interventions to prevent behaviors for a resident with a history of behaviors. This deficient practice resulted in a hospitalization due to injuries incurred due to behaviors for 1 of 1 residents reviewed for behavior management. (Resident 1)Finding includes: Resident 1's record review was completed on 8/4/2025 at 2:10 P.M. Diagnoses included, but were not limited to: bipolar type schizoaffective disorder, mild intellectual disability, anxiety disorder and dementia.A Nursing Progress Note dated, 9/19/2025 at 12:15 P.M., and signed by the Director of Nursing (DON), indicated Resident 1 continued to insert foreign objects into his rectum. […]

• Actual harm, isolatedF697Aug 12, 2024

  Based on observation, interview and record review, the facility failed to administer medication as needed prior to a dressing change. This deficient practice resulted in severe pain during a treatment for 1 of 1 residents observed for wound care. (Resident 35) Finding includes: During an observation of wound care for Resident 35, on 8/08/2024 at 3:13 P.M. with the ADON and the Unit Manager, the ADON indicated the resident's treatment was to cleanse the resident's wound with wound wash, apply calcium alginate and medi- honey ointment, sprinkle Flagyl (an antibiotic) n the wound bed, and cover the wound with a dry dressing. First, CNA 2 wiped away some zinc barrier cream from around Resident 35's wound with a wet rag. Next, the ADON removed the soiled dressing from the resident's wound. […]

• Actual harm, isolatedF600Nov 29, 2023

  Based on interview and record review, the facility failed to ensure a cognitively impaired resident was not videoed with derogatory captions on a social media network. This deficient practice had the potential/likelihood of a negative psychosocial outcome, resulting from the facility's noncompliance to protect the resident from humiliation related to the derogatory video and captions. (Resident E) Finding includes: A facility self-report incident #444, dated 11/4/23 at 5:41 P.M., indicated Resident E had been posted on a social media network, titled (name), in a 15 second video, sleeping in bed and CNA 3 speaking in garbled slang speech with an inappropriate text below the video. […]

• Actual harm, isolatedF686Apr 4, 2022

  Based on observation, interview and record review the facility failed to implement interventions to prevent the development of a resident identified at risk for one out of one residents reviewed for skin integrity. (Resident 38) Finding includes: A clinical record review was completed, on 3/31/22 at 1:40 P.M., and indicated Resident 38's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The record indicated the resident was admitted on [DATE]. An Admission MDS (Minimum Data Set) assessment, dated 1/15/2022, indicated Resident 38's BIMS (Brief Interview for Mental Status) severely impaired cognition and he needed extensive assist with activities of daily living. A Braden Assessment, dated 12/28/2021, indicated he is at risk for pressure areas with a score of 16. […]

• Actual harm, isolatedF689May 28, 2021

  Based on record review and interview, the facility failed to ensure a Resident, who utilized a wheelchair as her main mode of transportation, was properly secured in the facilities transportation bus, while being transported to and from an appointment, resulting in the resident sliding out of the wheelchair onto the floor of the bus and fracturing her ankle when the bus driver had to break hard to avoid an accident. This deficient practice affected 1 of 1 residents reviewed for accidents. (Resident C) Finding includes: During an interview with Resident C, on 5/24/2021 at 1:30 P.M., she indicated she fell out of her wheelchair during transportation from a doctor's appointment and fractured her ankle. […]