Briarwood Nursing and Rehabilitation Center, Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 7, 2024

  Based on observation, record review and interviews, the facility failed to ensure 2 of 2 refrigerators and freezers used for the storage of food items was clean and sanitary; food items stored in the refrigerator and freezers were labeled and dated to prevent potential cross-contamination and minimize the potential for food borne illness; the main facility kitchen failed to provide open dates on food items; expired food items were properly disposed of; open food items were not in sealed containers or had open dates. These failed practices had the potential to harm 99 residents. On [DATE] at 12:29 PM, in the 500-hall dining room, Surveyor observed 9 cups of water, 3 cups of flavored drink, and 3 cups of tea, on the dining hall cart without covers. […]

• No harm, potential for more than minimal, widespreadF812Dec 9, 2022

  Based on observation and interview, the facility failed to ensure the ice machine in the kitchenette on the 300 Hall and the 400 Hall was maintained in a clean and sanitary condition and expired food was not available for resident use in the kitchenette; and failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 102 residents who received meals from the kitchen (total census: 103) as documented on a list provided by Dietary Employee (DE) #1. The findings are: 1. On [DATE] at 12:44 PM, the initial tour was conducted with DE #1. 2. […]

• No harm, potential for more than minimal, widespreadF812Sep 3, 2021

  Based on observation, record review, and interview, the facility failed to ensure food was labeled and dated as to when it was received and opened; bread was discarded when beyond its shelf life; dietary staff washed their hands between dirty and clean tasks, and the ice machine and convection oven were maintained in clean condition to decrease the potential for food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 88 residents who received meals from the kitchen (total census: 91), as documented on a list provided by the Dietary Manager on 08/31/21. The findings are: 1. On 08/30/21 at 11:14 AM, there were 2 opened packages of King's Hawaiian rolls on the bread cart with an opened date of 08/16/21. 2. […]

• No harm, potential for more than minimal, patternF814May 15, 2025

  Based on observations and interviews, the facility failed to ensure garbage and refuse were disposed of properly for 2 of 2 dumpsters observed. The findings are: On 05/13/25 at 9:25 AM, and again on 5/13/25 at 12:16 PM, a large black piece of plastic and a large piece of cardboard were hanging out of the top of the dietary trash dumpster #1. A large broken white awning was lying on the ground behind dumpster #1. The awning had a large brown oval stain that measured approximately 2 feet long by 1 foot wide. The brown oval area was holding water in the covering of the awning. The fenced area around dumpster #1 did not have a gate to enclose dumpster #1. […]

• No harm, potential for more than minimal, patternF636Mar 7, 2024

  49688 Based on interview and record review, the facility failed to complete discharge Minimum Data Set (MDS) assessments in a timely manner for 7 (Resident #9, #23, #32, #36, #54, #77 and #97) sampled residents, and failed to complete admission MDS assessments in a timely manner for 2 (Resident #46 and #274) sampled residents. The failed practice had the potential to affect 135 residents who discharged home in the past 120 days and 124 residents admitted in the last 120 days. The findings are: On 03/05/2024 at 05:16 PM, record review showed MDS assessments 120 days overdue for 7 (Residents # 9, #23, #32, #36, #54, #77 and #97 with no discharge information. […]