Briarwood Health Center: Grievance Ignored After Care Complaint - GA
The resident, identified in inspection records as R5, has an indwelling catheter and a list of diagnoses that includes acute kidney failure, urinary tract infection, dysphagia, muscle weakness, and difficulty walking. A cognitive assessment conducted earlier this year gave him a score of 15 out of 15, the highest possible, indicating no impairment. He knew exactly what had happened to him and exactly who had done it.
During an interview with inspectors on September 22, he described the CNA, identified in records as CNA AA, as "more than gruff." He said he had asked that she not provide care for him anymore. He said other residents did not want her caring for them either.
Then he said something more specific. He believed CNA AA had an issue cleaning male residents' private parts. Because of that, he said, she would not clean him, and would leave feces on him.
"It wasn't so much how CNA AA made him feel," the inspection report noted, "but he didn't want her to provide care for him."
He had reported it. He told Licensed Practical Nurse CC about the incident.
That is where the trail ends. A review of the facility's grievance log, covering January 2025 through September 2025, showed no grievances listed for R5. Not a single entry.
The administrator, interviewed the same afternoon, acknowledged that when a resident makes a verbal concern about care and services, that information should be placed on a grievance form and followed up with by the Grievance Officer. Should be. It was not.
The violation was cited under F0585, the federal standard requiring nursing homes to have a grievance process that residents can use without fear of retaliation, and that requires facilities to actually document and investigate what residents report. Inspectors classified the harm level as minimal or potential, affecting few residents.
What the classification does not capture is what it means to be a man with a catheter, limited mobility, and no ability to clean himself, dependent on a staff member who, by his account, would not do it, and who left him that way. It does not capture what it means to report that to a nurse and have nothing happen. No form filled out. No grievance officer notified. No record that he ever said a word.
The facility had a process. The administrator described it clearly when asked. The process simply was not used.
R5 is still there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Briarwood Health Center By Harborview from 2025-09-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 27, 2026 · Our methodology
BRIARWOOD HEALTH CENTER BY HARBORVIEW in TUCKER, GA was cited for violations during a health inspection on September 22, 2025.
A cognitive assessment conducted earlier this year gave him a score of 15 out of 15, the highest possible, indicating no impairment.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.