Briarcliff Health Center

Penalties

• Apr 5, 2024 — Fine ($16,801)
• Feb 6, 2024 — Fine ($34,233)

Inspection findings

1. May 21, 2025 Health · 1 finding
   • Not serious Scope/severity D

     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 Jun 13, 2025 · CMS health inspection

2. Aug 13, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Sep 24, 2024 · CMS health inspection

3. May 30, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Jun 28, 2024 · CMS health inspection

4. Apr 10, 2024 Fire Safety · 6 findings
   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected May 20, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected May 20, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Apr 11, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Apr 11, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0221 Egress Deficiencies

     Provide rooms that can be unlocked from inside without a key.

     Corrected May 20, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected May 20, 2024 · CMS fire safety

5. Apr 5, 2024 Health · 4 findings
   • Serious Scope/severity G Complaint

     F0550 Resident Rights Deficiencies

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

     Corrected Apr 6, 2024 · 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 Mar 21, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0620 Resident Rights Deficiencies

     Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

     Corrected Apr 6, 2024 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0624 Resident Rights Deficiencies

     Prepare residents for a safe transfer or discharge from the nursing home.

     Corrected Apr 6, 2024 · CMS health inspection

6. Feb 6, 2024 Health · 3 findings
   • 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 Feb 7, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0678 Quality of Life and Care Deficiencies

     Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

     Corrected Feb 7, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0836 Administration Deficiencies

     Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

     Corrected Feb 7, 2024 · CMS health inspection

7. Mar 8, 2023 Health · 5 findings
   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Apr 15, 2023 · CMS health inspection

   • Not serious Scope/severity E

     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 Apr 15, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected May 15, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected May 15, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected May 15, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BATES, JOSHUA — operational/managerial control, NOT APPLICABLE, since 06/01/2019
• GRAY, ARNOLD — corporate officer, NOT APPLICABLE, since 06/01/2019
• HEWITT, HERBERT — corporate officer, NOT APPLICABLE, since 06/01/2019
• MILSTEAD, JACK — corporate officer, NOT APPLICABLE, since 06/01/2019
• O'NEAL, GLENDA — corporate officer, NOT APPLICABLE, since 06/01/2019
• PRICE, LARRY — corporate officer, NOT APPLICABLE, since 06/01/2019
• SEELINGER, CHET — corporate officer, NOT APPLICABLE, since 06/01/2019
• SHELTON, CHANA — operational/managerial control, NOT APPLICABLE, since 06/01/2019
• SIMS, DEBRA — operational/managerial control, NOT APPLICABLE, since 06/01/2019
• SINCLAIR, LAUREN — corporate officer, NOT APPLICABLE, since 06/01/2019
• STANTON, MARTHA — corporate officer, NOT APPLICABLE, since 06/01/2019
• WILLIAMS, MICHAEL — corporate officer, NOT APPLICABLE, since 06/01/2019
• SBS LEASECO BRIARCLIFF LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2019
• SOUTH LIMESTONE HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 06/01/2019