C71

BRIARCLIFF SKILLED NURSING FACILITY

Grade C 71/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

91

Ownership

For profit - Corporation

Total Fines

$160,185

Last Survey

N/A

4054 NORTHWEST LOOP, CARTHAGE, TX 75633
9036938504

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.50h
LPN
1.14h
CNA
2.64h
Total
4.28h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LIBERTY COUNTY HOSPITAL DISTRICT NO. 1

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2017

100%

LIBERTY COUNTY HOSPITAL DISTRICT NO. 1

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2017

PF CARTHAGE SNF OPS, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2021

GARDNER, SHANNON

IndividualCORPORATE DIRECTORSince Aug 2022

GRIFFIN, WILLIAM

IndividualCORPORATE DIRECTORSince May 2022

STRATTON, CHARLES

IndividualCORPORATE DIRECTORSince Mar 2017

FREGIA, MILTON

IndividualCORPORATE OFFICERSince May 2022

HENRY, PAUL

IndividualCORPORATE OFFICERSince Jul 2008

FLANIGAN, RUSSELL

IndividualW-2 MANAGING EMPLOYEESince Aug 2022

Penalties & Fines (2)

$160,185total fines
DateTypeDescriptionAmount
Nov 5, 2025Fine$24,205
Jan 30, 2025Fine$135,980

Health Inspection Deficiencies (29)

November 5, 2025Health1 deficiency1 severe
0689KImmediate jeopardy, Pattern

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

Quality of Life and Care Deficiencies

January 30, 2025Health9 deficiencies1 severe
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 1, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 1, 2025
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 5, 2025
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 1, 2025
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Feb 1, 2025
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Feb 1, 2025
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Feb 1, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Feb 1, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 1, 2025
December 13, 2023Health10 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 20, 2023
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Dec 20, 2023
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Dec 20, 2023
0689EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Dec 20, 2023
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Dec 20, 2023
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Dec 20, 2023
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Dec 20, 2023
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Dec 20, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 20, 2023
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Dec 20, 2023
November 13, 2023Health2 deficiencies
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 9, 2023
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Dec 9, 2023
October 26, 2022Health7 deficiencies
0550EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Nov 26, 2022
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Nov 26, 2022
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Nov 26, 2022
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 28, 2022
0803EMinimal harm, Pattern

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Nov 28, 2022
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Nov 26, 2022
0925EMinimal harm, Pattern

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

Environmental Deficiencies

Corrected Nov 26, 2022

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Frequently Asked Questions

What is the CareGrader rating for BRIARCLIFF SKILLED NURSING FACILITY?

BRIARCLIFF SKILLED NURSING FACILITY in CARTHAGE, Texas has a CareGrader grade of C (Average), with a composite score of 70.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BRIARCLIFF SKILLED NURSING FACILITY?

BRIARCLIFF SKILLED NURSING FACILITY has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BRIARCLIFF SKILLED NURSING FACILITY have?

BRIARCLIFF SKILLED NURSING FACILITY has 29 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BRIARCLIFF SKILLED NURSING FACILITY been fined?

Yes. BRIARCLIFF SKILLED NURSING FACILITY has $160,185 in total fines from CMS enforcement actions across 2 penalties.

How many beds does BRIARCLIFF SKILLED NURSING FACILITY have?

BRIARCLIFF SKILLED NURSING FACILITY has 91 certified beds with approximately 67 current residents (74% occupancy). The facility is located at 4054 NORTHWEST LOOP, CARTHAGE, Texas 75633. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.