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Complaint Investigation

Briarcliff Health Center Of Greenville

November 21, 2025 · Greenville, TX · 4400 Walnut St
Citations 2
CMS Rating 3/5
Beds 120
Provider ID 675666
Healthcare Facility
Briarcliff Health Center Of Greenville
Greenville, TX  ·  View full profile →
Inspection Summary

BRIARCLIFF HEALTH CENTER OF GREENVILLE in GREENVILLE, TX — inspection on November 21, 2025.

Found 2 citations. 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

FF0842
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

the facility had recently changed assessment forms as the Skilled Evaluation form was complicated and too long.

The DON stated the failure to ensure accuracy of documentation could place the residents at risk for missed assessment that could result in harm to residents. An interview on 10/08/2025 at 3:30 p.m. with the Administrator revealed that she expected nursing staff to follow all protocols and procedures for accurate documentation for all residents.

The Administrator stated that poor documentation reflects on the credibility of nursing care and facility overall.

Record review of policy and procedures titled Charting and Documentation, Revised October 2021 revealed medical records should be complete and accurately document residents' medical condition.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Briarcliff Health Center of Greenville

4400 Walnut St Greenville, TX 75401

SUMMARY STATEMENT OF DEFICIENCIES

treatment nurse to identify EBP needs when the resident is admitted and to ensure appropriate signs are posted on the resident's door, PPE container is available at room entrance and orders obtained for EBP as needed.

The DON stated she does not know why Resident #1 did not receive orders for EBP until six days after admission and acknowledged that she should have been under EBP since admission due to her wound care needs.

The DON stated failures to ensure EBP were in place would place the resident at greater risk for increased infection and spread of infection due to poor infection control procedures.An interview on 10/08/2025 at 3:30 p.m. with the Administrator revealed that she expected nursing staff to follow all protocols and procedures for infection control for all residents.

The Administrator stated that poor infection control could result in harm or injury to identified resident and other residents and increase the chance of spreading infection throughout the facility.

Record review of policy and procedures for Infection Control titled, Infection Control Guidelines for All Nursing Procedures, Revised August 2021 revealed 2.

Transmission-Based Precautions will be used whenever measures more stringent than Standard Precautions are needed to prevent the spread of infection.

Facility ID:

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 GREENVILLE, 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 HEALTH CENTER OF GREENVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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