Briarwood Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Briarwood Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF755Jan 27, 2022

  This Citation Pertains to Intake Number MI 237 Based on observation, interview and record review, the facility was placed in Immediate Jeopardy due to the facility's systemic failure to account for narcotics and controlled substances on a daily basis and resolve discrepancies, including the theft of 41 narcotic tablets/capsules and a vial of [MEDICATION(S)], leading to the likelihood of a serious adverse outcome, including harm and untreated pain and continued diversion. Immediate Jeopardy: On 12/20/21, the Director of Nursing was notified by the pharmacy at 7:13 AM and at 2:39 PM that none of the narcotics sent to the facility on [DATE] for placement into the back-up medication dispensary system (Omnicell) were placed into the back-up system including 41 doses of narcotic medications:… […]

• Actual harm, isolatedF686Apr 17, 2024

  Based on observation, interview, and record review, the facility failed to provide appropriate skin care to prevent the development and failed to implement adequate interventions to avoid the worsening of unstageable pressure ulcer for one resident (Resident #69) of five sampled residents reviewed for pressure ulcer out of a total sample of 18 residents, resulting in the development and worsening of a facility-acquired pressure ulcer resulting in severe pain and suffering, and the potential for infection, delayed wound healing and a deterioration in health status. Findings include: Resident #69 (R69): On 4/17/24 at 10:21 AM, Resident #69 (R69) was observed for wound care. Wound Nurse A and Nurse B were observed to provide wound care for R69. […]

• Actual harm, isolatedF686Jan 27, 2022

  This Citation pertains to Intake Number MI 977. Based on interview and record review, facility failed to prevent the development of a Stage III pressure ulcer for one resident (Resident #200) out of 3 residents reviewed for pressure ulcer care and treatment, resulting in development of Stage III pressure ulcer to the sacrum requiring multiple treatments, hospitalization , surgical debridement, and infection treatment. Findings include: Review of the 'Skin Practice Guide' dated 01/2013, shows that The purpose of the Skin Practice Guide is to describe the process steps for identification of patients at risk for development of pressure ulcers, identify prevention techniques and interventions to assist with the management of pressure ulcers and skin alterations. […]

• No harm, potential for more than minimal, widespreadF812Dec 5, 2025

  This Citation Pertains to Intake # 2676612.Based on observation, interview and record review, the facility failed to ensure that 1) the sink used for hand hygiene in the kitchen maintained a hot water temperature of at least 85 degrees Fahrenheit and 2) the chemical strips used to test the dish machine were not expired, resulting in the potential for the spread of foodborne illness to all Residents receiving meal service from a census of 99 residents.Kitchen hand washing sinkOn 12/5/2025 at 9:00 AM, during a tour of the Kitchen with Dietary Supervisor B, a sink for employee hand hygiene was noted near the entrance to the kitchen from the service hall. Upon use of the hot water, it was identified to be very cold. […]

• No harm, potential for more than minimal, widespreadF812Apr 17, 2024

  Based on observation, interview and record review, the facility 1.) Failed to ensure that food products were properly labeled with an Opened and/or Use by date and dispose of expired food items; 2.) Failed to monitor/document temperatures of a refrigerated unit; 3.) Failed to properly wash and dry cookware/bakeware/food containers before stacking/storage; and 4.) Failed to maintain sanitary cooking equipment, resulting in the potential contamination of food, bacterial harborage and the increased potential for food borne illness. […]