Briarfield at Ashley Circle

In the surveyor’s words

From the most serious findings on record at Briarfield at Ashley Circle, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Sep 25, 2025

  Based on observation, record review and interview, the facility failed to ensure transmission-based precautions (TBP) were clearly identified for Resident #82 and failed to maintain appropriate infection surveillance. This affected one resident (#82) of three reviewed for infection control. The facility identified Resident #82 as the only resident on TBP. This had the potential to affect all 65 residents in the facility. Findings include: Review of the medical record for Resident #82 revealed an admission date of 09/15/25. Diagnoses included osteomyelitis (an infection of the bone that can cause inflammation, pain, and damage), diabetes, cellulitis, and spinal stenosis. […]

• No harm, potential for more than minimal, widespreadF837Dec 9, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of personnel files, review of Board of Executives of Long-Term Services and Support (BELTSS) documentation, and staff interview the facility failed to ensure the Administrator had a valid license. This had the potential to affect all 61 residents residing in the facility. Findings included: Review of the Administrator's personnel file revealed no evidence the Administrator had a valid license from 01/01/23 to 11/22/23. Review of facility documentation revealed on 11/22/23 at 12:26 P.M., BELTSS Employee #100 called and reported the Administrator had not had a valid Long Term Healthcare Administrator license since 01/01/23. […]

• No harm, potential for more than minimal, widespreadF880Jan 27, 2022

  Based on observation, medical record review, policy review and interview the facility failed to ensure appropriate infection control interventions were implemented to prevent the potential spread of COVID 19. This had the potential to affect all 69 residents currently residing in the facility. Findings include: 1. On 01/24/22 between 11:17 A.M. and 11:27 A.M., Activity Assistant (AA) #100 was observed in the main dining room providing fluids to residents. AA #100 was observed using the palm of her hand and cupping the outside of her surgical mask to pull it away from her face while she was holding a cup of fluids to deliver to an unidentified resident. Without performing hand hygiene, AA #100 then provided clothing protectors to Residents #25 and #45. […]

• No harm, potential for more than minimal, isolatedF698Sep 25, 2025

  Based on record review, interview and facility policy review, the facility failed to ensure there was consistent communication between the facility and the dialysis center regarding Resident #4's hemodialysis treatments. This affected one resident (#4) of three residents reviewed for dialysis. This had the potential to affect residents (#4, #21 and #41) identified by the facility who received dialysis. The facility census was 65. Findings include:Review of the medical record for Resident #4 revealed in admission date of 02/16/12. Diagnoses included end stage renal disease, schizophrenia, hypertension, depression, and chronic pain. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF757Sep 25, 2025

  Based on record review, interview and facility policy review, the facility failed to ensure non-pharmacological interventions for pain were attempted prior to the administration of opioid pain medication. This affected one resident (#4) of five residents reviewed for unnecessary medications. The facility census was 65. Findings include:Review of the medical record for Resident #4 revealed in admission date of 02/16/12. Diagnoses included end stage renal disease, schizophrenia, hypertension, depression, and chronic pain. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was cognitively intact. She required setup help for eating, oral and personal hygiene, dressing, toileting, and showering. […]