Briarcliff Skilled Nursing Facility
BRIARCLIFF SKILLED NURSING FACILITY in CARTHAGE, TX — inspection on November 5, 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.
Inspection Findings
During an interview on 11/03/25 at 10:15 AM, LVN B said she worked the night shift on 06/20-06/21.
She said she saw Resident #1 around the time she was giving medications around 7:00PM and she did go back a little later around 9:30 PM to assist CNA A with incontinent care.
She said there were two residents that were back there at the time that required two staff to clean them up at times.
She said she did not check on Resident #1 between 9:30 PM and 5:00 AM.
She said the aide is supposed to check on the residents every 2 hours.
She said she did not think CNA A was busy.
She said CNA A would usually come to get her if she was swamped and needed help.
She said if CNA A had come and told her that she was swamped they may have found the resident before 5 AM.
She said she went back to check on CNA A around midnight and she was sitting down in the dining area working on a laptop.
She said CNA A came to get her around 05:00 AM to let her know Resident #1 had fallen.
She said she went down there and checked on him and he did not complain of pain.
She said they picked him up and she asked CNA A to get a set of vital signs.
She said she told CNA A to check Resident #1's vital signs a couple times.
She said CNA A provided her with the vital signs written down and she charted them.
She said she reviewed the video of the incident, and the video did not show CNA A obtaining any vital signs.
During an interview on 11/03/25 at 10:28 AM, CNA A said she worked the night shift from 06/20/25 through 06/21/25.
She said she was not aware the facility was staffed short that evening until the nurse came over and told her the assignment she had.
She said there has never been two aides assigned to the unit.
She said she was assigned that evening the entire hallway including the rooms just outside the memory care unit.
She said there are three resident rooms that are in the same hall as the memory care unit, but they are outside the memory care secured doors.
She said Resident #1 was sitting up in his wheelchair with her until she put him to bed.
She said she started her rounds after putting Resident #1 to bed.
She said she remembered she started at the end of the hall outside the unit around 12:00 AM.
She said as she came down the hall a resident was standing naked at her doorway.
She said her focus was on helping the resident and getting her covered.
She said she got down to the next room and smelled poop.
She said another resident was standing in the hallway rubbing poop all over the place.
She stopped to help that resident and clean him up and clean the area.
She said somewhere wh
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