Briarwood Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF883Oct 10, 2024

  Based on interview, clinical record review, Centers for Disease Control and Prevention (CDC) policy review, the facility failed to screen for pneumococcal vaccines, educate residents or responsible party about benefits and potential side effects, or offer pneumococcal vaccines for 4 of 5 residents (R#1, R#22, R#23, and R#35), reviewed for immunizations. The facility reported a census of 50 residents. Findings include: 1. Resident #1 example: The Minimum Data Set (MDS), dated [DATE], revealed the most recent facility admission or entry date of 5/23/22 and informed that Resident #1 had been up to date with Pneumococcal vaccination. […]

• No harm, potential for more than minimal, patternF812Aug 10, 2023

  Based on observations, interviews, and facility policy review the facility failed to cover food and drinks during meal tray distribution for six out of six room trays observed during one out of one meals. Findings include: On 8/8/23 from 11:55 AM to 12:45 PM observed the following: a. Staff C, Cook, while serving lunch pick up two menu tickets that fell to the floor during meal service. Without completing hand hygiene, Staff C resumed serving food from steam table to residents in the main dining room. b. The Dietary Supervisor prepared room trays; without covering the drinks and side dishes, she placed them in the cart. […]

• No harm, potential for more than minimal, isolatedF689Jun 10, 2026

  Based on observation, clinical record review, facility policy review, and staff interviews the facility failed to implement fall interventions per Care Plan for 2 of 4 residents (Resident #3 and Resident #4) reviewed for falls. The facility reported a census of 54 residents. Findings include:1. Review of Resident #3's Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 3 out of 15, which indicated a severe cognitive impairment. The list of diagnoses included traumatic brain injury and depression. Per the assessment, Resident #3 used a walker, and required partial/moderate assistance for chair/bed to chair transfers.Review of Resident #3's Care Plan revealed the following Focus areas:a. […]

• No harm, potential for more than minimal, isolatedF641Oct 10, 2024

  Based on observation, staff interviews, and policy review the facility failed to update the comprehensive assessment to ensure accuracy for 1 of 5 residents reviewed (Resident #16). The facility reported a census of 50 residents. Findings include: The Minimum Data Set (MDS) report, dated 9/26/24, listed diagnoses for Resident #16 included: cerebral vascular accident (stroke), non-Alzheimer's dementia with behavioral disturbances, and unspecified fall. The MDS Brief Interview for Mental Status (BIMS) score of 3 out of 15 indicated a severe cognitive impairment. The MDS assessed Resident #16 required total assistance for all transfers. The MDS did not document or identify the use of a bed, or chair alarm. […]

• No harm, potential for more than minimal, isolatedF760Oct 10, 2024

  Based on observation, staff interviews, and policy review the facility failed to prepare a medication as directed for for 1 out of 1 residents reviewed (Resident #31). The facility reported a census of 50 residents. Findings include: The Minimum Data Set (MDS) report, dated 8/07/24, for Resident #31 listed diangoses included: unspecified dementia due to known physiologic condition, shortness of breath, and allergic rhinitis (runny nose). The Brief Interview for Mental Status (BIMS) score of 7 out of 15 indicated a severe cognitive impairment. A review of Physician's Order revealed an order, dated 11/06/24, May crush medications if not contraindicated/use liquid equivalent as PRN (as needed) if difficulty swallowing. […]