| Briarcliff Skilled Nursing Facility | |
| 4054 Northwest Loop, Carthage, Texas 75633 | |
| (903) 693-8504 | |
| Name | Briarcliff Skilled Nursing Facility |
|---|---|
| Location | 4054 Northwest Loop, Carthage, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 91 |
| Occupancy Rate | 71.98% |
| Medicare ID (CCN) | 676051 |
| Legal Business Name | Liberty County Hospital District No 1 |
| Ownership Type | For Profit - Corporation |
| Chain | Stonegate Senior Living (24 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1639163595 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Liberty County Hospital District No. 1 |
| Doing Business As | Briarcliff Skilled Nursing Facility |
| Address | 4054 Nw Loop, Carthage, TX 75633 |
| Phone Number | 903-693-8504 |
| NPI Number | 1790173367 |
| Match | Possible same name, address or phone number |
| Organization Name | Hopkins County Hospital District |
| Doing Business As | Briarcliff Skilled Nursing Facility |
| Address | 4054 Nw Loop, Carthage, TX 75633 |
| Phone Number | 903-693-8504 |
| 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 | 3.26 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.34 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.92 | 0.86 |
| Nurse aide hours per resident per day | 1.99 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.98 | 3.42 |
| RN hours per resident per day on the weekend | 0.33 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 39% | 45.8% |
| Registered nurse turnover | 33.3% | 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 | 2 |
| Total Amount of Fines in Dollars | $151,713 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 1, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 17, 2026 |
| Apr 1, 2026 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Apr 1, 2026 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Apr 1, 2026 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Apr 1, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Apr 1, 2026 | 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 Apr 17, 2026 |
| Nov 5, 2025 | 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 | Immediate jeopardy, pattern | Past non-compliance (already corrected) |
| Jan 30, 2025 | 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 | Immediate jeopardy, isolated | Corrected by Feb 5, 2025 |
| Jan 30, 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 Feb 1, 2025 |
| Jan 30, 2025 | 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, pattern | Corrected by Feb 1, 2025 |
| Jan 30, 2025 | 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, pattern | Corrected by Feb 1, 2025 |
| Jan 30, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 1, 2025 |
| Jan 30, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Feb 1, 2025 |
| Jan 30, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2025 |
| Jan 30, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2025 |
| Jan 30, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2025 |
| Dec 13, 2023 | 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, pattern | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | 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 Dec 20, 2023 |
| Dec 13, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Dec 13, 2023 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Nov 13, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 9, 2023 |
| Nov 13, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Dec 9, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.57 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.5 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.82 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.93 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0.82 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7 | 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 | 98.11 | 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 | 14.11 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9 | 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 | 96.92 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.34 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.12 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.14 | 15.38 |
Panola County Nursing & Rehabilitation Location: 501 Cottage Rd, Carthage, Texas 75633 Phone: (903) 693-7141 |