Briarwood Rehabilitation & Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF658Feb 18, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1) who had a history of pulmonary embolism (PE, blood clot in the lung), deep vein thrombosis (DVT, blood clot) in his/her leg, and was being treated with Eliquis (anticoagulant) which per physician's order had a stop date of 01/04/25, the Facility failed to ensure nursing provided care and services that met professional standards of practice related to medication review and physician follow-up, when Resident #1's Health Care Agent (HCA) requested that nursing contact the physician to request that Resident #1 remain on Eliquis, and although his/her physicians' progress note indicated to continue the Eliquis, no new order for the Eliquis was obtained by nursing and Resident #1's Eliquis was discontinued. […]

• No harm, potential for more than minimal, widespreadF887Jun 17, 2026

  Based on record review and interview, the facility failed to document whether the facility educated its staff about severe acute respiratory syndrome (SARS) or the COVID-19 vaccine, or whether its staff received the COVID-19 vaccine. Findings include:Review of the facility policies for COVID-19 Vaccine and Employee Infection and Vaccination Status, last reviewed in 2026, indicated:Prior to or upon an employee's duty assignment, the facility will assess the status of an employee's vaccination against infectious conditions, screening and recent history of communicable diseases. Employees will be current with mandated vaccinations prior to performing resident care. Documentation of vaccinations include the signature of a licensed healthcare provider and employee when being administered. […]

• No harm, potential for more than minimal, widespreadF865May 12, 2023

  Based on record review, policy review, and interview, the facility failed to ensure they implemented and maintained an effective, comprehensive and data driven Quality Assurance and Performance Improvement (QAPI) program. Specifically, the facility failed to invite or involve the pharmacy in the QAPI program for over two years. Findings include: The facility policy titled Quality Assurance and Performance Improvement (QAPI) Program-Design and Scope, undated, indicated the following * The QAPI program is designed to address all systems and practices in this facility that affect residents, including clinical care, quality of life, resident choice and safety. […]

• No harm, potential for more than minimal, widespreadF880May 12, 2023

  Based on observation and interview, the facility failed to maintain the inside of 2 of 2 laundry dryers in a manner to prevent the potential spread of infection. Findings include: During an observation of the laundry room on 5/11/23 at 8:30 A.M., the surveyor observed the inside of two dryers in the laundry room. Both dryers had caked-on substances on the interior of the drums covering approximately 50% of the drum walls. The facility failed to produce a policy regarding the cleaning of the inside of the dryers. Review of the manufacturer's directions indicated the following: 1. Check the cylinder daily for foreign objects and clean. 2. […]

• No harm, potential for more than minimal, patternF658Jul 26, 2024

  Based on record review, interview, and policy review, the facility failed to follow professional standards of practice for two Residents (#261 and #211), out of a total sample of 23 residents. Specifically, the facility failed: 1. For Resident #261, to monitor the Resident's right upper extremity Peripherally Inserted Central Catheter (PICC-a thin flexible tube inserted into a vein in the upper arm and guided into a large vein above the right side of the heart called the superior vena cava (SVC) insertion site for signs/symptoms of infection in accordance with the physician's order; and 2. […]