Briarfield Manor

In the surveyor’s words

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

• Actual harm, isolatedF697Mar 5, 2025

  Based on observation, record review, facility policy review, and interview, the facility failed to develop and implement a comprehensive, individualized and effective pain management program for Resident #273 and Resident #66. This affected two residents (#273 and #66) of two residents reviewed for pain. The facility census was 67. Actual harm occurred beginning on 02/20/25 when the facility failed to ensure narcotic (pain) medication (that Resident #273 had been receiving prior to admission) was ordered and provided at the time of and timely following admission to manage the resident's pain. On 02/21/25 and 02/22/25 the resident reported constant pain, all over that limited his functional abilities during therapy evaluations. […]

• No harm, potential for more than minimal, widespreadF727Aug 27, 2026

  Based on review of staffing schedules, employee punch detail reports, and interview, the facility failed to ensure a registered nurse (RN) was present for eight consecutive hours each day as required. This had the potential to affect all 69 residents residing in the facility.Findings include:Review of the staffing schedule and employee punch detail reports for the week of 07/26/26 through 08/01/26 showed the facility did not have an RN on duty for eight consecutive hours on 07/29/26 and 07/30/26.During an interview on 08/26/26 at 10:20 A.M., the Administrator and Human Resources representative confirmed that an RN was not on duty for eight consecutive hours on 07/29/26 and 07/30/26.This deficiency represents non-compliance investigated under Complaint Number 3131880.

• No harm, potential for more than minimal, widespreadF803Mar 5, 2025

  Based on observations, interviews, record review, and review of the facility menu spreadsheets and facility policy, the facility failed to follow the menu for dinner on 02/25/25 for all residents on a regular texture and mechanical soft diet. This affected all residents receiving meals from the kitchen excluding 11 residents (#10, #11, #13, #21, #28, #40, #43, #57, #59, #61, and #225) the facility identified as receiving a pureed diet, one resident (#52) who received nothing by mouth (NPO) and Resident #22 who the facility identified as having a special preference noted to receive bread and margarine at the dinner meal. […]

• No harm, potential for more than minimal, widespreadF725Jun 23, 2022

  Based on record review, facility policy and procedure review and interview the facility failed to maintain sufficient levels of staff to meet the total care needs of all residents. This affected three residents (#10, #17 and #46) and had the potential to affect all 65 residents residing in the facility. Findings include: 1. Review of the medical record for Resident #46 revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 05/13/22 revealed Resident #46 was cognitively intact and required two person assistance for bathing. Review of Resident #46's shower records from April 2022 through 06/15/22 revealed showers were scheduled every Monday, Wednesday and Friday. […]

• No harm, potential for more than minimal, widespreadF880Jun 23, 2022

  Based on observation, record review, facility policy and procedure review, Centers for Disease Control (CDC) guidance and interview the facility failed to maintain proper infection control practices during blood glucose monitoring and for residents in quarantine and/or isolation for COVID-19 to decrease the risk of spreading infection, including COVID-19. This affected one resident (#58) of two residents observed for blood glucose monitoring, six residents (#4, #40, #43, #12, #211 and #212) reviewed related to COVID-19 and had the potential to affect all 65 residents residing in the facility. Findings include: 1. During the annual survey, the facility identified Resident #12 as the only resident in isolation for COVID-19 (the resident had a positive test). […]