Briarcliff Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Briarcliff Skilled Nursing Facility, in the surveyor’s own words.

• Immediate jeopardy, patternF689Nov 5, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents remained free from accidents, hazards, and each resident received adequate supervision and assistance while providing care for 3 of 8 residents (Resident #1, Resident #2, and Resident #3) reviewed for accidents and supervision. 1. The facility failed to supervise Resident #2 from assaulting Resident #3 when CNA D left the memory care unit to get additional staff to assist with Resident #2 on 08/27/25. Resident #3 suffered bruising to her face and forearm. 2. The facility failed to provide sufficient supervision on the secured unit to provide timely assistance to Resident #1 after he fell. Resident #1 fell at midnight on 06/21/25 and remained on the floor until 4:58AM. […]

• Immediate jeopardy, isolatedF689Jan 30, 2025

  Based on observation, interview, and record review, the facility failed to ensure an environment that was free of accident hazards for 1 of 22 residents reviewed for accident hazards. (Resident #3) 1. The facility failed to ensure coffee was served at a safe temperature for Resident #3 resulting in Resident #3 obtaining 2nd degree burns to her right and left upper thigh and groin areas. 2. The facility failed to implement measures to prevent other coffee spills with burns. 3. The facility failed to monitor the temperatures of hot liquids served to residents. 4. The facility failed to identify residents at risk for coffee burns. 5. The facility failed to ensure coffee temperatures were at an appropriate safe temperature prior to serving to residents. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety requirements. 1. The facility failed to ensure there was minimal carbon buildup on approximately 6 baking sheet pans. 2. The facility failed to ensure the stove was clean from debris and black carbon buildup on the stove top. These failures could place residents at risk of foodborne illness and food contamination. Findings include: During initial tour observations in the kitchen on 1/27/2025 beginning at 10:05 AM and accompanied by the Dietary Manager , there was approximately 6 baking sheet pans with thick black carbon buildup on the rims of the pans. […]

• No harm, potential for more than minimal, patternF656Apr 1, 2026

  Based on interviews and records reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment and described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 4 (Resident #2, Resident #3, Resident #10 and Resident #30) of 18 residents reviewed for care plans. 1. The facility failed to ensure Resident #2 had a comprehensive care plan for hospice services. 2. The facility failed to ensure Resident #3 had a comprehensive care plan for PTSD. 3. […]

• No harm, potential for more than minimal, patternF755Jan 30, 2025

  Based on observation, interview and record review, the facility failed to establish a system of receipt and disposition of all controlled drugs in sufficient detail to enable accurate reconciliation and determine that drug records were in order and that an account of all controlled drugs were maintained and periodically reconciled for 1 of 1 storage area reviewed for expired and discontinued medications. The facility failed to keep a record of receipt of controlled medications awaiting disposition to allow accurate and periodic reconciliation. This failure could place residents at risk for loss of prescribed medications, resident's safety, and drug diversion. […]