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Health Inspection

Briarcliff Skilled Nursing Facility

January 30, 2025 · Carthage, TX · 4054 Northwest Loop
Citations 1
CMS Rating 3/5
Beds 91
Provider ID 676051
Healthcare Facility
Briarcliff Skilled Nursing Facility
Carthage, TX  ·  View full profile →
Inspection Summary

BRIARCLIFF SKILLED NURSING FACILITY in CARTHAGE, TX — inspection on January 30, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF689

The surveyor verification of the Plan of Removal from 1/29/25 was as follows:

*

Record review of a Training In-Service Form indicated an in-service was held on 1/28/25.

The in-service was presented by the Dietary Manager.

The in-service stated all coffee is transferred to air pot after brewing and dietary staff is to check temp of air pots prior to setting them out for service to ensure temp is below 170 degrees.

The in-service included signatures of DA X, DA W, and the Dietary Manager.

The policy titled Taking Food Temperatures, dated revised August 1, 2024, was attached to the in-service.

*

Record review of a Training In-Service Form indicated an in-service was held on 1/28/25.

The in-service was presented by the DON.

The in-service stated residents were to have a hot liquid risk assessment completed on admission, re-admission, quarterly, and if the resident had a change in condition (COC) that would impact their abilities to handle hot liquids safely, ex.

Broken arm or new stroke, new tremors, etc .

Any resident with increased risk for injury was to be reviewed by the IDT (Interdisciplinary Team) for appropriate interventions.

Care plan to be updated and staff to implement interventions deemed appropriate.

The in-service included signatures of ADON, RN K, LVN M, DON, ADM, LVN L, and LVN R.

The policy titled Hot Liquid Risk Evaluation dated reviewed 1/28/25 was attached to the in-service.

676051

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676051 B.

Wing 01/30/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Briarcliff Skilled Nursing Facility 4054 Northwest Loop Carthage, TX 75633

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CARTHAGE, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRIARCLIFF SKILLED NURSING FACILITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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