Briarcliff Health Center Of Greenville
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.
Inspection Findings
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:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.