Deficiency Index

Briarcliffe Manor

Johnston, Rhode Island · CCN 415012

7 surveys since 2016, and no finding has been recorded at harm level.

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

Citations on record
17
Surveys
7
Harm or worse
0
Immediate jeopardy
0
The record, 2016–2026
’16’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file4/7

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

The facility

Certified beds
122
Ownership
For profit - Corporation
Chain
Independent
County
Providence
Medicare-certified since
1967

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=12, floor 20).

Last survey on record

Jun 11, 2026

151 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 day4.663.58
Registered-nurse hours per resident day0.83—
Annual nurse turnover22.6%40.8%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD450.0%E112.5%F112.5%
No harm, potential for minimalA—B112.5%C112.5%
CMS’s current file: 8 of the 17 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5771×

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  • F6281×

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  • F6921×

    Provide enough food/fluids to maintain a resident's health.

  • F7611×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

In the surveyor’s words

From the most serious findings on record at Briarcliffe Manor, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jan 6, 2023

    Based on surveyor observation and staff interview, it has been determined that the facility failed to ensure that food is served and distributed in accordance with professional standards for food service safety, relative to the main kitchen. Findings are as follows: 1. The Rhode Island Food Code 2018 Edition 4-501.114, states in part, .a chemical sanitizer for a manual or mechanical operation at contact times .shall be used as follows: (A) A chlorine solution shall have a minimum concentration range 50-99 MG/L . During the initial tour of the main kitchen on 1/3/2023 at approximately 8:45 AM the sanitizing test strip registered 10 MG/L (milligrams per liter) on dinnerware that was being washed and sanitized. […]

  • No harm, potential for more than minimal, widespreadF812Oct 8, 2021

    Based on surveyor observations and staff interview, it has been determined that the facility failed to properly store, prepare, distribute, and serve food under sanitary conditions relative to the main kitchen and 1 of 3 units (2nd floor kitchenette). Findings are as follows: 1. Surveyor observation during the initial tour of the kitchen on 10/5/2021 at approximately 10:00 AM revealed two containers of strawberries with a moderate amount of white fuzzy matter. During a surveyor interview with the Food Service Director (FSD), at the time of the above observation, she acknowledged that the strawberries should have been discarded. 2. […]

  • No harm, potential for more than minimal, patternF761Jun 11, 2026

    Based on surveyor observation, staff interview, and clinical record review, the facility failed to ensure medications were stored and labeled in accordance with currently accepted professional standards of practice for 2 of 3 Certified Medication Technician (CMT) carts reviewed and for 1 of 1 medication room.Findings are as follows:1a. During a surveyor observation on 6/8/2026 at approximately 8:30 AM in the presence of CMT, Staff C, the following was observed:-One opened bottle of Pro-Stat liquid protein supplement, open and undated. Review of the manufacturer's instructions indicated the bottle must be labeled and dated upon opening and discarded 3 months after opening.-One Breo Ellipta inhaler: The inhaler was open and undated. […]

  • No harm, potential for more than minimal, isolatedF880Jun 11, 2026

    Based on surveyor observation and staff interview, the facility failed to ensure that appropriate infection control practices were maintained to prevent the potential spread of communicable diseases and cross-contamination. This deficient practice was identified during the observations made during the medication administration task of blood glucose monitoring and insulin administration for 2 of 3 residents reviewed, Resident ID #s 133 and 136. Furthermore, the facility failed to implement Enhanced Barrier Precautions (EBP) for 1 of 2 residents reviewed with a non-pressure wound, Resident ID #78.Findings are as follows:1. […]

  • No harm, potential for more than minimal, isolatedF880Feb 16, 2024

    Based on surveyor observation, record review and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections for 1 of 1 resident reviewed who is positive for Methicillin Resistant Staphylococcus Aureus (MRSA), Resident ID #316. Findings are as follows: Record review of a document titled, Guidelines for the Management of Methicillin Resistant Staphylococcus aureus [MRSA, an antibiotic resistive infection, Multidrug-Resistant Organism, MDRO] in Rhode Island Long Term Care Facilities states in part, .Contact precautions [gown and gloves when entering the resident's room] are indicated for all residents infected with MRSA and those… […]

Read all 17 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Jun 11, 2026Standard3 findings
  • Feb 16, 2024Standard1 finding
  • Jan 6, 2023Standard4 findings
  • Oct 8, 2021Standard4 findings
  • Dec 27, 2019Standard and complaint2 findings
  • Feb 23, 2018Standard2 findings
  • Feb 19, 2016Standard1 finding

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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