Briarfield Place

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 2, 2024

  Based on observation, record review, interview and review of facility policy, the facility failed to ensure food was served in a sanitary manner. This had the potential to affect all 52 residents in the facility, as the facility identified all 52 residents received meals from the kitchen. The facility census was 52. Findings include: 1. Observation of the kitchen on 04/30/24 from 11:12 A.M. to 11:26 A.M. revealed Food Service Director (FSD) #406 had a noticeable growth of facial hair and wasn't wearing a beard guard in the kitchen as he ran the bowl and lid to the commercial blender and a spatula through the dish machine. Interview on 04/30/24 at 11:26 A.M. with FSD #406 confirmed he wasn't wearing a beard guard and had never worn a beard guard in the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Jun 26, 2023

  Based on observation, staff interview, and review of the facility policy the facility failed to ensure all food was labeled, dated, and discarded properly. The facility identified all residents received food from the kitchen, which had the potential to affect all 49 residents. Findings include: During the initial kitchen tour conducted on 06/20/23 between 8:22 A.M. and 8:35 A.M. the following was observed and verified with Food Service Director (FSD) #612. Observation of the walk-in freezer revealed: One gallon storage bag of chicken breasts was not dated. One gallon storage of sliced unknown meat, according to the FSD #612, was not labeled or dated. One opened and resealed half full bag of tator tots was not dated when opened. […]

• No harm, potential for more than minimal, patternF655Jun 26, 2023

  Based on observation, interview, record review, and review of Baseline Care Plan facility policy revealed the facility did not ensure baseline care plans were implemented and/ or that the resident and/ or resident representative received a copy of the baseline care plan within 48 hours of admission that included goals, objectives, and interventions of the residents' current needs. This affected four residents (#56, #161, #165, and #170) out of 26 residents reviewed for care plans. The facility census was 49. 1. Review of medical record for Resident #165 revealed an admitted [DATE] and she was discharged on [DATE]. Her diagnoses included moderate protein-calorie malnutrition, abnormal involuntary movements, restlessness, agitation, and difficulty walking. […]

• No harm, potential for more than minimal, isolatedF552Feb 26, 2026

  Based on record review and interview, the facility failed to inform residents of the risks, benefits, and alternative treatment options prior to initiating new psychotropic medications. This affected one resident (#7) out of five reviewed for unnecessary medications. The facility census was 47. Findings include:Review of the medical record for Resident #7 revealed an admission date of 05/25/25 with diagnoses including cerebral infarction, depression, and anxiety. Review of the care plan dated 06/09/25 revealed Resident #7 used psychoactive medications. Interventions included provide medications as ordered by the physician, monitor mental status, monitor mood and behavior changes, observe resident's interactions with others, and pharmacy to review medication regimen per facility policy. […]

• No harm, potential for more than minimal, isolatedF684May 2, 2024

  Based on observation, medical record review, staff interview and policy review the facility failed to ensure peripherally inserted central catheters (PICC) were flushed appropriately and as ordered by the physician. This affected one (Resident #113) of five residents reviewed for medications. The facility identified three residents (102, 103 and 113) with current PICC line or intravenous (IV) lines for medication administration. The facility census was 52. Findings include: Observation on 04/30/24 at 12:05 P.M. revealed Licensed Practical Nurse (LPN) #372 administering ceftriaxone (antibiotic) 2000 milligram (mg) through a PICC line for Resident #113. […]