BRIARCLIFF SKILLED NURSING FACILITY
4054 NORTHWEST LOOP, CARTHAGE, TX 75633 · CCN 676051
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 91
- Avg residents/day
- 67.7
- Phone
- 9036938504
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-30 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2023-12-13 | 10 | 9.4 | 9.8 | +0.6 worse |
| 3 | 2022-10-26 | 9 | 8.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.41 | 38.3% |
| RN staffing (reported) | 0.40 | 28.6% |
| Total nurse staffing (adjusted) | 4.28 | — |
Fines & penalties
- Total fines
- $160,185
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- STONEGATE SENIOR LIVING
- Facilities in chain
- 24
- Chain avg overall
- 2.40 / 5
Inspection citations (29)2 immediate jeopardy
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-05 · Health
Immediate jeopardy
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-30 · Health · corrected 2025-02-05
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- EF0761Ensure 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.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-30 · Health · corrected 2025-02-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0758Implement 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.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2023-12-13 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-11-13 · Health · corrected 2023-12-09
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-13 · Health · corrected 2023-12-09
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-10-26 · Health · corrected 2022-11-26
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-10-26 · Health · corrected 2022-11-26
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-26 · Health · corrected 2022-11-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-26 · Health · corrected 2022-11-28
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-10-26 · Health · corrected 2022-11-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-26 · Health · corrected 2022-11-26
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-10-26 · Health · corrected 2022-11-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-03-31 |
| LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-31 |
| PF CARTHAGE SNF OPS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-23 |
| GARDNER, SHANNON | Individual | CORPORATE DIRECTOR | — | 2022-08-22 |
| GRIFFIN, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2022-05-27 |
| STRATTON, CHARLES | Individual | CORPORATE DIRECTOR | — | 2017-03-31 |
| FREGIA, MILTON | Individual | CORPORATE OFFICER | — | 2022-05-07 |
| HENRY, PAUL | Individual | CORPORATE OFFICER | — | 2008-07-14 |
| FLANIGAN, RUSSELL | Individual | W-2 MANAGING EMPLOYEE | — | 2022-08-26 |
Other facilities in CARTHAGE
| Name | Overall | Beds |
|---|---|---|
| AVIR AT CARTHAGE | ★★☆☆☆ | 104 |
| PANOLA COUNTY NURSING & REHABILITATION | ★★☆☆☆ | 108 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.