Mccrite Plaza at Briarcliff Skilled Facility

In the surveyor’s words

From the most serious findings on record at Mccrite Plaza at Briarcliff Skilled Facility, in the surveyor’s own words.

• Actual harm, isolatedF760Mar 3, 2026

  Based on interview and record review, the facility failed to prevent an avoidable medication error which resulted in the hospitalization of one resident (Resident #1) when facility staff administered insulin to a resident who was not a diabetic. The resident was admitted to the hospital with a diagnosis of hypoglycemia (low blood sugar; a direct effect of insulin administration) and received D10 (intravenous fluids with added dextrose). The resident was diagnosed with acute metabolic encephalopathy (a reversible brain dysfunction caused by a metabolic imbalance or toxicity) due to accidental insulin administration. This affected one resident out of two sampled. The facility census was 47. […]

• Actual harm, isolatedF760Aug 27, 2025

  Based on interview and record review the facility failed to ensure that one resident (Resident #1) received treatment and quality of care in accordance with professional standards of practice when Licensed Practical Nurse (LPN) A transcribed Resident #2's medications into Resident #1's Medication Administration Record (MAR) in error, which resulted in Resident #1 receiving 42 doses of the wrong medications and Resident #1 being admitted to the hospital with increased heart rate and low blood pressure. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2026

  Based on observation and interview, the facility failed to prepare and serve food in accordance with professional standards for food service safety when facility staff failed to maintain sanitary conditions during food preparation and failed to label and properly store food items. This affected all residents in the facility. The facility census was 44. Review of facility policy, Handling Leftover Food, dated 1/21/26, showed:- Leftover foods will be properly handled, cooled, and stored to ensure food safety minimal waste.- Leftover foods stored in the refrigerator shall be wrapped, dated, labeled with an open date/or use by date that is no more than 72 hours from the time of the first use. - Refrigerated leftovers stored beyond 72 hours shall be discarded. […]

• No harm, potential for more than minimal, widespreadF812Dec 13, 2024

  Based on observation, interview and record review, the facility failed to store, prepare and serve food in accordance with professional standards of food service safety when staff failed to date the receipt of incoming products in the dry storeroom, label and date used products in the freezer and refrigerator, label and date leftovers in the refrigerator, discard expired leftovers, and monitor refrigerator, freezer and dishwasher temperatures on a daily basis. This had the potential to impact all residents by placing them at risk for food born illnesses. The facility census was 40. […]

• No harm, potential for more than minimal, widespreadF812Mar 23, 2023

  Based on observation, interviews and record review, the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety and follow proper sanitation and food handling practices to prevent the possibility of foodborne illness when staff placed their thermometer, used to obtain internal food temperatures prior to serving to the residents, directly into their red bucket filled with sanitizer water after they used the water to wash their food preparation table, placed gloved hands into oven mitts repeatedly without removing their gloves and washing their hands, and kept staff's personal drinks in food preparation areas. The facility's census was 44. […]