Briarwood Health Center by Harborview, LLC

In the surveyor’s words

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

• Actual harm, isolatedF600Jan 19, 2024

  Based on observation, record review, interviews, and review of the policy titled Abuse and Neglect - Clinical Protocol, the facility failed to ensure one resident (R) (R17) was provided incontinent care from Certified Nursing Assistant (CNA) KK, who neglected to provide incontinent care during her work shift. Specifically, R17 experienced psychosocial harm, as a result of having to lay in a soiled adult brief for approximately 12 hours. The sample size was 14. Findings include: Review of the policy titled Abuse and Neglect-Clinical Protocol revised March 2018 revealed Neglect is defined as the failure of the facility, it's employees or service providers, to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. […]

• No harm, potential for more than minimal, isolatedF554Jul 24, 2026

  Based on record review and staff interviews, the facility failed to assess one of five sampled residents (R) (R58) for self-administration of medication., as evidenced by medications found unsecured at their bedside without documentation of self-administration assessments. This deficient practice had the potential to result in access by unauthorized persons including residents. Findings include:A review of the electronic medical record (EMR) for R58 revealed the resident was admitted with diagnoses including, but not limited to, hemiplegia and hemiparesis on left side, depression, and stage 3 kidney failure.A review of the quarterly Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF644Jul 24, 2026

  Based on interviews, record review, and review of the facility's policies titled Resident Assessment - Coordination with PASARR Program, the facility failed to apply for a PASARR II for one of 42 sampled residents (R) (R6). This deficient practice had the potential to cause loss of resources for the residents with mental illness. The sample size was 42.Findings include:Review of the facility's policy titled Resident Assessment - Coordination with PASARR Program, revised 07/14/2025, section X revealed 9. Any resident who exhibits a newly evident or possible serious mental disorder, intellectual disability, or a related condition will be referred promptly to the state mental health or intellectual disability authority for a level II resident review. […]

• No harm, potential for more than minimal, isolatedF684Jul 24, 2026

  Based on observations, staff and resident interviews, and record review, the facility failed to follow up on a urinary analysis and culture that was positive for a urinary tract infection and provide proper care for one of 42 sampled residents (R) (R 63). This deficient practice had the potential to cause increased risk of potential urinary sepsis and potential loss of kidney function. The sample size was 42.Findings include:Review of the electronic medical record (EMR) revealed R63 was admitted with diagnoses including but not limited to Alzheimer's disease with late onset, contracture of right and left knee, contracture of left hand.Review of R63's quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of no interview conducted; resident is… […]

• No harm, potential for more than minimal, isolatedF690Jul 24, 2026

  Based on observations, staff and resident interviews, record review, and review of the facility's policy titled Catheter Care, the facility failed to provide appropriate catheter care for 1 of 6 sampled residents (R) 2. This deficient practice had the potential to increase the potential risk of urinary tract infection. The sample size 6. Findings include:Review of the facility's policy titled Catheter Care, revised 3/1/2025, section 9, revealed: Gently separate the labia to expose the urinary meatus.Review of the electronic medical record (EMR) revealed resident R63 was admitted to the facility on [DATE] and pertinent diagnoses including but not limited to traumatic subdural hemorrhage with loss of consciousness, sepsis, bacteremia, and pressure ulcers.Review of R2 quarterly Minimum Data… […]