Briarcliff Health & Rehabilitation Center
5024 Western Avenue, South Bend, IN 46619 · St. Joseph County · (574) 318-4600
131 certified beds, about 93 residents a day · Non profit - Other · Medicare and Medicaid since 2015
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155831 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 8, 2025, inspectors cited 3 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 20 health citations since July 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,839 in the last three years; the largest was $10,839, and the latest is dated August 12, 2024.
Nurses and nurse aides worked 4.26 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
48.6% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Sterling Healthcare, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
607/23
109/23
111/23
808/24
308/25
103/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
14D
2E
1F
Potential for minimal harm
0A
0B
0C
March 19, 2026Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff used a sling in good working order to transfer 1 of 3 residents reviewed with a mechanical sit to stand lift (Resident K).
August 8, 2025Standard inspection · 3 citations
- G Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on record review and interview, the facility failed to implement effective, ongoing interventions to prevent behaviors for a resident with a history of behaviors. This deficient practice resulted in a hospitalization due to injuries incurred due to behaviors for 1 of 1 residents reviewed for behavior management. (Resident 1)
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store food in a sanitary manner related to labeling and dating leftovers and throwing away expired food in the refrigerator for 1 of 1 kitchen and 1 of 1 kitchenettes observed. This had the potential to affect 93 of 95 residents who consumed food from the kitchen and the Memory Care Kitchenette.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to report an unusual occurrence that resulted in resident injuries to the Indiana State Survey Agency for 1 of 1 residents reviewed for injuries. (Resident 1)
August 12, 2024Standard inspection · 8 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review, the facility failed to administer medication as needed prior to a dressing change. This deficient practice resulted in severe pain during a treatment for 1 of 1 residents observed for wound care. (Resident 35)
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 2 of 2 laundry staff transported residents clothing appropriately when delivering them.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review the facility failed to include the resident, or representative, in meetings to review the plan of care for 1 of 3 residents reviewed for care planning. (Resident 17)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, observation and record review, the facility failed to implement fall prevention interventions related to signage and an adaptive call light system for a resident with repetitive falls for 1 of 20 residents reviewed for falls. (Resident 10)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a system for reconciliation of controlled substances for 1 of 3 medication carts reviewed. (800 hall medication cart)
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interview, the facility failed to ensure pharmacy recommendations were reviewed and addressed timely by a physician for 2 of 5 residents reviewed for medications. (Residents 55 and 10)
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store and prepare food in a sanitary manner in 1 of 1 kitchens. This had the potential to affect 88 out of 89 residents who ate food prepared in the kitchen.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a sanitary environment related to clean air vents and dirty ceiling tiles on the 500 Hall.
November 29, 2023Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to ensure a cognitively impaired resident was not videoed with derogatory captions on a social media network. This deficient practice had the potential/likelihood of a negative psychosocial outcome, resulting from the facility's noncompliance to protect the resident from humiliation related to the derogatory video and captions. (Resident E)
September 1, 2023Complaint inspection · 1 citation
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review and interview, the facility failed to facilitate self-determination through resident choice, for 1 of 3 residents reviewed, when the facility allowed a resident to be showered by a person who was not an employee and who was not given permission by the resident or resident's responsible party, to shower the resident. (Resident C)
July 14, 2023Standard inspection · 6 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to maintain clean exhaust ductwork and hoods in the kitchen and above food preparation area. This deficient pracice had the potential to affect 74 of 76 residents that had food prepared in the kitchen.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, observation and interview, the facility failed to revise/update a resident care plan when a wander guard was discontinued for 1 of 21 residents whose care plans were reviewed. (Resident 46)
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure showers and/or nail care was provided for 2 of 5 residents reviewed for Activities of Daily Living (ADL) needs. (Residents 44 and 48)
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure 2 of 2 residents reviewed for hearing needs received timely treatment and received recommended hearing devices. (Residents 60 and 29)
- D 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to elevate the head of bed when an enteral feeding pump was infusing, and label feeding bags where appropriately for 1 out of 1 resident reviewed for tube feeding. (Resident 48)
- D 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.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure medications were labeled and stored appropriately in 1 of 2 medication rooms and 1 of 3 medication carts observed. (300/400 hall medication room, and Dementia unit medication cart)
Fire safety inspections
32 fire safety citations on file: 1 on September 17, 2025, 14 on August 8, 2025, 6 on August 12, 2024, 11 on July 14, 2023.
Every fire safety citation32 citations
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Install proper backup exit lighting.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have exits that are accessible at all times.
- E Have properly located and lighted "Exit" signs.
- E Provide properly protected cooking facilities.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E Have properly installed electrical wiring and gas equipment.
- E Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed electrical wiring and gas equipment.
- E Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D Ensure proper usage of power strips and extension cords.
- F Implement emergency and standby power systems.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Have properly located and lighted "Exit" signs.
- C Provide a written emergency evacuation plan.
- C Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 12, 2024 | Fine | $10,839 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.26 | 3.69 | 3.86 |
| Registered nurses | 0.39 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.63 | 3.25 | 3.42 |
| Nurse aides | 2.66 | ||
| Licensed practical nurses | 1.21 | ||
| Nursing staff turnover (share who left in a year) | 48.6% | 45.9% | 45.8% |
| Registered nurse turnover | 61.5% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.71 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.52 on weekdays and 3.63 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.34 in April to June 2025 to 4.26 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.26 | 0.39 | 4.52 | 3.63 | 0.5% | 2 of 90 | 93 |
| Oct to Dec 2025 | 4.45 | 0.36 | 4.65 | 3.93 | 0.0% | 0 of 92 | 93 |
| Jul to Sep 2025 | 4.29 | 0.38 | 4.50 | 3.76 | 0.0% | 1 of 92 | 94 |
| Apr to Jun 2025 | 4.34 | 0.46 | 4.55 | 3.81 | 0.7% | 0 of 91 | 96 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.9 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.8 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.8 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.4 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.8 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.4 | 1.8 |
Owners and operators
Legal business name: PULASKI MEMORIAL HOSPITAL. CMS links this home to Sterling Healthcare, a group of 5 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mokfi, Shaya | Contracted managing employee | Individual | 01/01/2024 | |
| Chrisman, Kimberly | W-2 managing employee | Individual | 01/01/2024 | |
| Gill, Christopher | W-2 managing employee | Individual | 01/01/2024 | |
| Bennett, Adam | Corporate director | Individual | 01/01/2024 | |
| Hutton, Charles | Corporate director | Individual | 01/01/2024 | |
| Kauffman, Clinton | Corporate director | Individual | 01/01/2024 | |
| Leman, Valerie | Corporate director | Individual | 01/01/2024 | |
| McKay, Michael | Corporate director | Individual | 01/01/2024 | |
| Smith, Jennifer | Corporate director | Individual | 01/01/2024 | |
| White, Taylor | Corporate director | Individual | 01/01/2024 | |
| Malott, Gregg | Corporate officer | Individual | 01/01/2024 | |
| Briarcliff Health Care - South Bend LLC | Operational/managerial control | Organization | 01/01/2024 | |
| Pulaski Memorial Hospital | Operational/managerial control | Organization | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on March 19, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 8, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 12, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on August 8, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Other nursing homes nearby
- West Bend Nursing and Rehabilitation South Bend, 2.2 mi · 5 of 5 stars · 18 citations
- Milton Home, the South Bend, 5.5 mi · 5 of 5 stars · 15 citations
- Wellbrooke of South Bend South Bend, 6 mi · 4 of 5 stars · 17 citations
- Healthwin Health & Rehabilitation South Bend, 6.1 mi · 2 of 5 stars · 34 citations
- Holy Cross Village at Notre Dame Inc Notre Dame, 6.1 mi · 3 of 5 stars · 14 citations
- Cardinal Nursing and Rehabilitation Center South Bend, 6.2 mi · 5 of 5 stars · 13 citations
- Trailpoint Village South Bend, 7.3 mi · 4 of 5 stars · 13 citations
- Southfield Village South Bend, 7.6 mi · 3 of 5 stars · 21 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Briarcliff Health & Rehabilitation Center's Medicare star rating?
- CMS rates Briarcliff Health & Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Briarcliff Health & Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on August 8, 2025. The Indiana average is 7.2.
- Has Briarcliff Health & Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $10,839 in the last three years.
- Does Briarcliff Health & Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Briarcliff Health & Rehabilitation Center?
- CMS lists 13 owners and managers, and links the home to Sterling Healthcare. Legal business name: PULASKI MEMORIAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.