Briarwood Health Care Center

In the surveyor’s words

From the most serious findings on record at Briarwood Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880May 9, 2023

  Based on observations, record review and interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Observations and interviews revealed the nursing staff lacked the knowledge, training, and equipment to manage the residents' routine and emergency blood glucose monitoring needs. […]

• Actual harm, isolatedF760Jul 16, 2025

  Based on record review and interviews, the facility failed to ensure one (#5) of 12 residents reviewed for medication management were free from significant medication errors out of 12 sample residents. Resident #5 was admitted to the facility on [DATE] with diagnoses of hemiplegia and hemiparesis (weakness and paralysis on one side of the body) following cerebrovascular disease (a condition that affects the blood vessels in the brain) and epilepsy (seizure disorder).On 6/7/25 the facility received a delivery from the pharmacy. Licensed practical nurse (LPN) #1 signed for the delivery and did not open the box to check the contents. LPN #1 placed the box in the medication room. […]

• Actual harm, isolatedF688Mar 15, 2022

  Based on observations, record review and interviews, the facility failed to ensure one (#58) of four residents reviewed for range of motion (ROM) and mobility out of 26 sample residents received appropriate treatment and services to prevent further decrease in ROM and mobility. Resident #58 admitted to the facility for long term care on 11/8/21 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident required staff assistance with activities of daily living (ADLs) and was admitted to the facility with a contracture in his right hand (as indicated by staff interviews and minimum data assessment 11/12/21). The facility failed to assess, provide services to maintain or improve his ADLs to include his swallowing function. […]

• Actual harm, isolatedF689Mar 15, 2022

  Based on interviews and record review the facility failed to ensure the environment was free of accidents and hazards and failed to provide adequate supervision and assistance to prevent an accident for one (#25) of four out of 26 sample residents. Resident #25 had a known history of elopement and wandering behaviors. Resident #25 often verbalized she was looking for something in attempts to leave the unit. The facility failed to implement measures to ensure her safety with her wandering, attempting to leave the unit and history of elopement. Resident #25 was assisted on 2/23/22 by a male resident to the elevator at around 9:45 p.m. where he reported to staff he sent the resident down on the elevator. The facility staff began looking for her on the unit and other units. […]

• Actual harm, isolatedF692Mar 15, 2022

  Based on observations, interviews, and record review, the facility failed ensure one (#58) of five out of 26 sample residents received the care and services necessary to meet their nutrition needs and to maintain their highest level of physical well-being. Resident #58 admitted to the facility for long term care on 11/8/21 with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident had a BMI of 16.6 (underweight being 18.5 or less) when he was admitted to the facility, which indicated he was underweight. The resident had a loose fitting bottom denture causing chewing difficulty. According to the registered dietitian, she was aware the resident had weight loss prior to being admitted to the facility. […]