| Briarcliff Health & Rehabilitation Center | |
| 5024 Western Avenue, South Bend, Indiana 46619 | |
| (574) 318-4600 | |
| Name | Briarcliff Health & Rehabilitation Center |
|---|---|
| Location | 5024 Western Avenue, South Bend, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 131 |
| Occupancy Rate | 70.61% |
| Medicare ID (CCN) | 155831 |
| Legal Business Name | Pulaski Memorial Hospital |
| Ownership Type | Non Profit - Other |
| Chain | Sterling Healthcare (5 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1487044822 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pulaski Memorial Hospital |
| Doing Business As | Briarcliff Health & Rehabilitation Center |
| Address | 5024 Western Ave., South Bend, IN 46619 |
| Phone Number | 574-318-4600 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.26 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.39 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.21 | 0.86 |
| Nurse aide hours per resident per day | 2.66 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.63 | 3.42 |
| RN hours per resident per day on the weekend | 0.19 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 48.6% | 45.8% |
| Registered nurse turnover | 61.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $10,839 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 19, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 24, 2026 |
| Aug 8, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Sep 12, 2025 |
| Aug 8, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Sep 12, 2025 |
| Aug 8, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2025 |
| Aug 12, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Sep 4, 2024 |
| Aug 12, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Aug 12, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Aug 12, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Aug 12, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Aug 12, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Aug 12, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Aug 12, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Nov 29, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Dec 28, 2023 |
| Sep 1, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 29, 2023 |
| Jul 14, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 19, 2023 |
| Jul 14, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 19, 2023 |
| Jul 14, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 19, 2023 |
| Jul 14, 2023 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 19, 2023 |
| Jul 14, 2023 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 19, 2023 |
| Jul 14, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 19, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.88 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.69 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 11.42 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.82 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.77 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.81 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.71 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.84 | 15.38 |
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