Briarcliff Nursing And Rehabilitation Center

Penalties

• Mar 27, 2025 — Fine ($14,508)
• Jan 24, 2025 — Fine ($10,361)
• Dec 1, 2023 — Fine ($7,596)
• Dec 1, 2023 — Fine ($30,664)

Inspection findings

1. Jun 17, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jun 18, 2026 · CMS health inspection

2. May 13, 2026 Health · 9 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected May 23, 2026 · CMS health inspection

3. Mar 9, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Mar 12, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

     Corrected Mar 12, 2026 · CMS health inspection

4. Dec 9, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Dec 10, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Dec 10, 2025 · CMS health inspection

5. Nov 20, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Dec 10, 2025 · CMS health inspection

6. Mar 27, 2025 Health · 10 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Apr 11, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Aug 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 2, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Apr 2, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Apr 2, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Apr 2, 2025 · CMS fire safety

7. Jan 30, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Feb 17, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Feb 3, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jan 31, 2025 · CMS health inspection

8. Jan 24, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Feb 7, 2025 · CMS health inspection

9. Oct 15, 2024 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 16, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0687 Quality of Life and Care Deficiencies

     Provide appropriate foot care.

     Corrected Oct 16, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Oct 31, 2024 · CMS health inspection

10. Mar 7, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Mar 15, 2024 · CMS health inspection

11. Dec 22, 2023 Health · 15 findings
    • Not serious Scope/severity E Complaint

      F0578 Resident Rights Deficiencies

      Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0585 Resident Rights Deficiencies

      Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      Corrected Dec 29, 2023 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Dec 29, 2023 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0813 Nutrition and Dietary Deficiencies

      Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0921 Environmental Deficiencies

      Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      Corrected Dec 29, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jan 19, 2024 · CMS fire safety

12. Dec 1, 2023 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Dec 9, 2023 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Dec 9, 2023 · CMS health inspection

13. Nov 10, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Nov 15, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• APOLINAR, ADAM — corporate officer, NOT APPLICABLE, since 07/13/2025
• ARRAZOLA, PEDRO — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• ARRAZOLA, PEDRO — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• ARRAZOLA, PEDRO — adp of the snf, NOT APPLICABLE, since 01/01/2025
• BAIRD, DANIEL — indirect ownership interest, NOT APPLICABLE, since 04/13/2021
• CARVAJAL, ANTONIO — indirect ownership interest, NOT APPLICABLE, since 05/16/2024
• CLAPP, BARBARA — indirect ownership interest, NOT APPLICABLE, since 06/01/2021
• CONTRERAS, TERRI — corporate officer, NOT APPLICABLE, since 04/29/2019
• CORTESE, DAREN — indirect ownership interest, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 10/01/2018
• DEKOWSKI, DONOVAN — direct ownership interest, NOT APPLICABLE, since 10/01/2018
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• ELLIOTT, BENJAMIN — corporate officer, NOT APPLICABLE, since 01/13/2016
• ESTRADA, ROSANGELA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• ESTRADA, ROSANGELA — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• ESTRADA, ROSANGELA — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• FAGLIE, KELLY — corporate officer, NOT APPLICABLE, since 03/31/2017
• FAOUR, BOBI — operational/managerial control, NOT APPLICABLE, since 05/16/2025
• FAOUR, BOBI — adp of the snf, NOT APPLICABLE, since 05/16/2025
• FAOUR, BOBI — direct ownership interest, NOT APPLICABLE, since 05/16/2025
• GAITONDE, GAJANAN — corporate officer, NOT APPLICABLE, since 02/28/2006
• GIBSON, PATRICIA — indirect ownership interest, NOT APPLICABLE, since 08/01/2021
• GONZALES, HECTOR — corporate officer, NOT APPLICABLE, since 03/27/2001
• GONZALES, VERONICA — indirect ownership interest, NOT APPLICABLE, since 05/16/2024
• GUTIERREZ, MONICA — corporate officer, NOT APPLICABLE, since 01/13/2016
• KAUFMAN, NICOLE — indirect ownership interest, NOT APPLICABLE, since 08/10/2021
• KESSLER, WILLIAM — corporate officer, NOT APPLICABLE, since 02/27/1973
• MANDELBAUM, ELLIOT — indirect ownership interest, NOT APPLICABLE, since 01/01/2025
• MONT, DENISE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• MONT, DENISE — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• MONT, DENISE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• ZAMORA, RAUL — corporate officer, NOT APPLICABLE, since 12/30/1980
• 3201 N WARE ROAD LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• CSV RHEA MANAGEMENT HOLDCO, LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• DWD TX HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REG BRIDGE OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REG BRIDGE OPCO LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS OF MCALLEN LLC — direct ownership interest, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS OF MCALLEN LLC — adp of the snf, NOT APPLICABLE, since 05/19/2025
• REGENCY IHS OF MCALLEN LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 05/19/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• UVALDE COUNTY HOSPITAL AUTHORITY — adp of the snf, NOT APPLICABLE, since 04/16/2025
• UVALDE COUNTY HOSPITAL AUTHORITY — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• UVALDE COUNTY HOSPITAL AUTHORITY — direct ownership interest, NOT APPLICABLE, since 10/01/2018