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Briarcliff Health Center of Greenville

4400 Walnut St., Greenville, TX 75401 · Hunt County · (903) 455-8729

120 certified beds, about 84 residents a day · Government - Hospital district · Medicare and Medicaid since 1997

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675666 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 11, 2026, inspectors cited 6 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 38 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 2 fines totaling $40,076 in the last three years; the largest was $25,175, and the latest is dated March 27, 2026.

Nurses and nurse aides worked 3.39 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.

22.2% of nursing staff left within the year CMS measured (Texas average 55.3%).

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.

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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
28D
6E
1F
Potential for minimal harm
0A
0B
0C
April 6, 2026Complaint inspection · 3 citations
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on interview and record review the facility failed to develop and implement written policies and procedures that prohibited and prevented abuse, neglect, and exploitation of residents and misappropriation of resident property for 2 of 3 residents (Resident #1 and Resident #2) reviewed for abuse. The facility failed to implement their abuse policy when CNA B and the ADON failed to report an allegation of abuse reported to them by Resident #2 regarding CNA A mistreating her and Resident #1 on 04/01/2026. This failure could place residents at risk of unreported abuse, neglect, exploitation, and a decreased quality of life.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source were reported immediately, but no later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse, for 2 of 3 residents (Resident #1 and Resident #2) reviewed for abuse and neglect reporting. The facility failed to ensure CNA B and the ADON reported an allegation of abuse to the Administrator immediately when Resident #2 reported to them CNA A mistreated her and Resident #1 on 04/01/2026. This failure could place residents at risk of abuse, physical harm, mental anguish, and emotional distress.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 7, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 3 residents (Resident #1) reviewed for accidents and hazards. The facility failed to ensure CNA A performed a proper transfer, when she grabbed Resident #1 from the pants to transfer her from her wheelchair to her bed and did not use a gait belt on 04/01/2026. This failure could place residents at risk for falls, injuries, and a decreased quality of life.
March 27, 2026Complaint inspection · 1 citation
  1. J
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure residents were free from significant medication errors for 1 of 6 residents (Resident #1) reviewed for significant medication errors, in that: The facility administered the incorrect insulin on 03/12/2026 based on a failed medication reconciliation upon Resident #1's readmission resulting in a low blood glucose reading of 35. The facility should have administered Insulin Glargine (a long acting medication use to treat diabetes mellitus and help regulate blood glucose levels) 12 units daily and incorrectly administered Tresiba (an ultra-long-acting insulin). [...]
February 11, 2026Standard inspection · 6 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to develop a person-centered comprehensive care plan to address medical needs for 1 of 5 residents (Resident #4) reviewed for comprehensive care plans. The facility failed to ensure Resident #4's comprehensive care plan was revised to reflect current transfer status of requiring a mechanical lift. This failure could place residents at increased risk of falls, injuries, and a decreased quality of life.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents' environment remains as free of accident hazards as possible for 2 of 20 residents reviewed for quality of care. (Resident # 4 and Resident # 64)The facility failed to remove worn and damaged mechanical lift slings from service for Resident's # 4 and # 64. This failure could result in a loss of quality of life due to injuries.
  3. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent infections and to restore continence to the extent possible for 1 of 5 (Resident #72) residents observed for incontinent care. CNA D and CNA F did not provide proper incontinent care for Resident #72 and wiped from the anal area toward the urethral area (back to front) on 2/10/2026. This failure could place residents at risk for bacterial infections from improper incontinent care.
  4. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that ensure accurate acquiring, receiving, dispensing and administering of medications for 2 of 6 residents (Residents # 27 and # 62) reviewed for pharmacy services. The facility failed to remove Resident # 27's expired lorazepam concentrate (anxiety medication) from the medication room refrigerator. The facility failed to remove Resident #62's expired ondansetron (nausea medication) from the medication cart. These failures could place residents who receive medications at risk of not receiving the intended therapeutic benefit of the medications, decreased quality of life, and hospitalization.
  5. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2026
    Inspectors wroteBased on observation and interview the facility failed to ensure drugs and biological's used in the facility were labeled in accordance with currently accepted professional principles and the expiration date when applicable for 1 of 4 medication carts (A hall nurse medication cart) reviewed for labeling and storage, in that:The facility failed to label over the counter (OTC) eye drops with the name of the specific resident it was ordered for on [DATE]. This failure could place residents who receive medications to have adverse reactions or cross contamination.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2026
    Inspectors wroteBased on observations, interviews, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 7 residents (Resident #72) reviewed for infection control. The facility failed to ensure CNA D and CNA F followed contact precautions when incontinent care was provided to Resident #72 on 2/10/2026. These failures could place residents at risk of exposure to infectious diseases due to improper infection control practices.
November 21, 2025Complaint inspection · 2 citations
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2025
    Inspectors wroteBased on interviews and record reviews, the facility failed to maintain medical records on each resident in accordance with accepted professional standards and practices that are complete and accurately documented for 1 (Resident #1) of 3 resident reviewed for resident records. The facility failed to reflect that Resident # 1 presented with alterations in skin integrity on daily Skilled Evaluation forms. This failure placed residents at risk of having inaccurate assessments to include those with alterations in skin integrity, that could lead to residents not receiving care as needed due to inaccurate medical records.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2025
    Inspectors wroteBased on interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 3 (Resident #1) resident reviewed for infection control. The facility failed to immediately implement Enhanced Barrier Precautions (EBP) for Resident #1 when she admitted on [DATE]. These deficient practices placed residents at risk for cross contamination and spread of infection.
July 28, 2025Complaint inspection · 1 citation
  1. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for 1 of 3 residents (Resident #1) reviewed for pest control. The facility failed to ensure Resident #1's room remained free from ants. Resident #1 had ants in her bed on 07/27/25. This failure could place residents at risk of injury or infection related to ant bites, unsanitary environment, and decreased quality of life.
November 20, 2024Standard inspection · 10 citations
  1. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on interviews and record reviews the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment for 4 of 24 residents (Residents #90, Resident #95, Resident #203, Resident #98) reviewed for care plans. 1. The facility failed to include Resident #90's diagnosis and interventions for the medication Eliquis Oral Tablet 2.5 MG (Apixaban) (an anticoagulant used for preventing coagulation of blood) in his comprehensive care plan. 2. The facility failed to ensure Resident #95's diagnosis of Clostridioides difficile also known as C-diff (a very contagious bacterium that can cause diarrhea and colitis) and precautions was on her care plan. 3. [...]
  2. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that the comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment, for 3 residents (Resident #90, Resident #203, and Resident #8) out of 24 sampled residents whose care plans were reviewed for timing and revision. The facility failed to ensure Resident #90's care plan was updated and accurate by not resolving the care plan for a PICC line and antibiotic administration that resident no longer had an order for. The facility failed to ensure Resident #203's care plan was updated by resolving her melatonin and rash in which she no longer had those orders. The facility failed to ensure Resident #8's care plan was updated by resolving her antibiotics and IV fluids in which she no longer had those orders. [...]
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections reviewed for 7 of 24 residents (Resident's#95, #203, #64, #20, #21, #74, #98) reviewed for infection control. 1. The facility failed to ensure CNA F, LVN C, and therapist E were following contact isolation for Resident #95 who had Clostridium difficile, also known as C-diff (a very contagious bacterium that can cause diarrhea and colitis). 2. The facility failed to ensure the treatment nurse performed hand hygiene while performing wound care, and CNA B was following Enhanced Barrier Precautions (EBP) for Resident #203 who had wounds. 3. [...]
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to treat each resident with respect and dignity and provide care in a manner that promoted maintenance or enhancement of his or her quality of life for 2 of 24 residents (Resident #20 and Resident #74) reviewed for resident rights. The facility did not ensure Laundry Aide N knocked, introduced herself, and explained what she was doing prior to entering Resident #20's and Resident #74's room. This failure could place residents at risk for diminished quality of life, loss of dignity and loss of self-worth.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to ensure residents had the right to receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 24 residents (Resident #65) reviewed for accommodation of needs. The facility treatment nurse failed to ensure Resident #65's call light was in reach for her to use when assistance was needed on 11/17/24-11/19/24. This failure could have placed resident at risk of having needs gone unmet. Findings Included: [...]
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, personal and oral hygiene for 1 of 24 residents (Resident #59) reviewed for ADL (activities of daily living) care. The facility failed to provide nail care by removing black material from under fingernails for dependent female Resident #59 on 11/17/2024,11/18/2024, and 11/19/2024. This failure could place residents at risk of not receiving care and services to meet their needs.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that the resident environment remained as free of accident hazards as possible for 1 of 24 Residents (Resident #98) reviewed for accidents and hazards. The facility failed to ensure Resident #98's fall mat was beside his bed on 11/17/24, 11/18/24 and 11/19/24. This deficient practice could place residents at risk of harm or injury and contribute to avoidable accidents.
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 3 residents (Resident's #205) reviewed for respiratory care. The facility failed to date and follow the physician's order to change oxygen tubing weekly on Saturday nights for Resident #205. This failure could place residents who receive respiratory care at risk of developing respiratory complications and a decreased quality of care.
  9. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for 1 medication cart (Hall 100 medication cart) of 5 medication carts. The facility failed to ensure LVN R the 100 Hall medication cart was locked when it was left unattended in the hallway with the door closed while he provided a treatment for a resident. This failure could place residents at risk for overdose or injury from sharp needles.
  10. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen reviewed for food and nutrition services. 1. The facility failed to ensure hair restraints were worn appropriately by dietary staff. 2. The facility failed to ensure the interior of the microwave was free of brown debris. These failures could place residents at risk for foodborne illness.
April 23, 2024Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 3 staff (Treatment Nurse) viewed for infection control. The facility failed to ensure the Treatment Nurse performed changed gloves and performed hand hygiene after moving a dirty napkin from the bedside table, picking oxygen tubing up out of the floor, and before starting wound care. These failures could place residents and staff at risk for cross-contamination, spread of infection and could potentially affect all others in the building. Findings Include: During an observation on 4/23/24 at 8:51 a.m. [...]
September 21, 2023Standard inspection, Complaint inspection · 14 citations
  1. K
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a resident who is incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for 3 of 3 residents (Resident #43, #391, #20) reviewed for treatment of urinary tract infections and 3 of 4 residents (Resident #12, #66, and #2) reviewed for incontinent care. 1. Resident #43 was admitted to the hospital on [DATE] with septic shock related to a urinary tract infection. 2. Resident #391 was admitted to the hospital on [DATE] with a diagnosis of sepsis related to a urinary tract infection. 3. Resident #20 was admitted to the hospital on [DATE] with a diagnosis of urinary tract infection. 4. CNA M failed to clean the foley catheter tubing during foley catheter care for Resident #12 who currently had a urinary tract infection. 5. [...]
  2. K
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development hospitalizations for 3 of 3 residents (Resident #'s 43, 391, and 20) reviewed for infection control practices related to hospitalized residents with urinary tract infections resulting from E coli, 3 of 6 facility staff members (CNA 's M,P, V) reviewed for infection control practices related to incontinent care and foley catheter care, the provision of antibiotic stewardship for 1 of 1 residents (Resident #191) receiving hospice services and tracking and trending of organisms causing 28 urinary tract infections in July 2023 and 19 urinary tract infections in August 2023. 1. [...]
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure: *food items were dated and sealed appropriately. *expired food items were discarded. *a dented can was stored separately. *the can opener was clean. *the pantry was clean. *Hydrion test strips (test strips used to measure the concentration of chemicals in sanitizing solution) were not expired. *the dishwasher reached 120 F. These failures could place residents at risk for foodborne illness.
  4. E
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure residents had the right to send and receive mail, and to receive letters, packages, and other materials delivered to the facility for the resident through the means other than a postal service for 8 of 8 confidential residents reviewed for weekend mail delivery. The facility failed to ensure residents received their mail on the weekend. This failure could place residents at risk for not receiving mail in a timely manner that could result in a decline in resident's psychosocial well-being and quality of life.
  5. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 12, 2023
    Inspectors wroteBased on interviews and record review, the facility failed to implement written policies and procedures to prohibit and prevent abuse, neglect, and exploitation for 5 of 22 employees (DON, ADON, Dietician, Social Worker and Housekeeping Supervisor) reviewed for freedom from abuse, neglect, and exploitation . The facility failed to ensure the Human Resource (HR) Coordinator completed an Employee Misconduct Registry (EMR) check annually for the for the DON, ADON, Dietician, Social Worker. This failure could place residents at risk for abuse, neglect, exploitation, and misappropriation of property.
  6. E
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 13, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess the residents for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to installation of bed rails for 3 of 3 residents (Resident #78, Resident #36, Resident #2) reviewed for bed rails. The facility failed to ensure Resident #78, Resident #36, and Resident #2 had assessments or informed consents for the use of bed rails. This failure could place the residents at risk for entrapment, injury, or harm.
  7. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident was informed before, or at the time of admission, and periodically during the residents stay, of services available in the facility and of changes for those services, which included changes for services not covered under Medicare/Medicaid or by the facility's per diem rate for 1 of 3 residents (Resident #190) reviewed for Medicare/Medicaid coverage. The facility failed to ensure Resident #190 was given a SNF ABN when discharged from skilled services at the facility prior to covered days being exhausted. This failure could place residents at risk for not being aware of changes to provided services.
  8. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, sanitary, comfortable, and homelike environment for 1 of 1 of 21 (Resident #29) resident reviewed for environment. The facility failed to replace Resident #29's over the bed light bulb when burned out. The facility failed to ensure Resident #29's light cover was covering the fluorescent light bulbs in the over the bed lighting. These failures could potenially cause a skin injury.
  9. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure assessments accurately reflected the resident status for 3 of 21 residents (Resident #49, Resident #84, and Resident #61) reviewed for MDS assessment accuracy. 1. The facility inaccurately coded Resident #49 having a foley catheter on his admission MDS assessment. 2. The facility did not ensure Resident #84's admission MDS identified a medication as an anti-platelet instead of an anticoagulant. 3. The facility did not acccurately code Resident #61 receiving hospice services on her admission MDS assessment. These failures could place residents at risk for not receiving care and services to meet their needs.
  10. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observations, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment for 2 of 21 residents (Resident #49 and Resident #36) reviewed for comprehensive person-centered care plans. 1. The facility failed to develop a care plan for Resident # 49's urostomy (surgical procedure that creates a stoma (artificial opening) for the urinary system). 2. The facility failed to care plan Resident #36's side rails. These failures could place residents at risk for unmet care needs and decreased quality of care.
  11. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure necessary services to maintain grooming and personal hygiene were provided for 1 of 21 residents (Resident #32) reviewed for ADLs. 1. The facility failed to provide assistance with facial hair removal for Resident #32. 2. The facility failed to ensure Resident #32 received her shower as scheduled. These failures could place residents at risk of not receiving services and care, and a decreased quality of life.
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents requiring respiratory care were provided such care, consistent with professional standards of practices for 1 of 87 residents (Resident #73) reviewed for respiratory care. The facility failed to ensure Resident #73's oxygen was administered at 2.5 liters per minute via nasal cannula as prescribed by the physician. This failure could place residents who receive respiratory care at risk for developing respiratory complications.
  13. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate dispensing and administering of all drugs and biologicals to meet the needs of each resident for 1 (Resident #84) of 21 residents reviewed for pharmacy services. The facility did not ensure Resident #84 amlodipine (blood pressure medication) and lisinopril (blood pressure medication) was held when her blood pressure was outside of parameters. This failure could place the resident at risk of low blood pressure, dizziness, or fall.
  14. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on interview and record review, the facility failed to collaborate with hospice representatives and coordinate the hospice care planning process for each resident receiving hospice services, to ensure quality of care for the resident, ensuring communication with the hospice medical director, the resident's attending physician, and others participating in the provision of care for 1 of 1 resident (Resident #61) reviewed for hospice services. The facility did not ensure Resident #61's hospice records were a part of their records in the facility. This failure could place residents who receive hospice services at-risk of receiving inadequate end-of-life care due to a lack of documentation, coordination of care, and communication of resident needs.

Fire safety inspections

3 fire safety citations on file: 3 on February 11, 2026.

Every fire safety citation3 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 11, 2026 · Corrected (the home has a date of correction)
  2. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 11, 2026 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 11, 2026 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 27, 2026Fine $14,901
September 21, 2023Fine $25,175

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.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.393.393.86
Registered nurses0.310.430.69
All nursing staff on weekends2.992.983.42
Nurse aides2.03
Licensed practical nurses1.05
Nursing staff turnover (share who left in a year)22.2%55.3%45.8%
Registered nurse turnover57.1%54.6%42.9%
Administrators who left0

CMS expects 4.09 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 3.55 on weekdays and 2.99 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.33 in April to June 2025 to 3.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.390.313.552.99 3.6%0 of 9084
Oct to Dec 20253.350.253.483.01 3.3%0 of 9286
Jul to Sep 20253.370.233.532.97 3.5%0 of 9294
Apr to Jun 20253.330.153.492.93 4.3%0 of 9199
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.015.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.70.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.914.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.63.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.39.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.812.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.62.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Briarcliff Health Center of Greenville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.2% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 238 eligible stays.

Potentially preventable readmissions

10.3% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 235 eligible stays.

Infections that led to a hospital stay

8.4% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 167 eligible stays.

Self-care and mobility at discharge

66.7% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 87 residents counted.

Falls with major injury

1.3% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 152 residents counted.

New or worsened pressure ulcers

1.4% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 152 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 42 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: STEPHENS MEMORIAL HOSPITAL DISTRICT.

NameRoleTypeShareSince
Stephens Memorial Hospital District5% or greater direct ownership interestOrganization100%12/01/2023
Bauder Family Investments, LLC5% or greater mortgage interestOrganization12/01/2023
Boulware St. James LLC5% or greater mortgage interestOrganization12/01/2023
Bauder, Kelly5% or greater mortgage interestIndividual12/01/2023
Bauder, Madison5% or greater mortgage interestIndividual12/01/2023
Boulware, Douglas5% or greater mortgage interestIndividual12/01/2023
Boulware, Sandra5% or greater mortgage interestIndividual12/01/2023
Boulware, Steven5% or greater mortgage interestIndividual12/01/2023
Boulware, Thomas5% or greater mortgage interestIndividual12/01/2023
Walker, Katie5% or greater mortgage interestIndividual12/01/2023
Bauder, Parker5% or greater security interestIndividual12/01/2023
Easley, JamesCorporate officerIndividual12/02/2024
Pmg Opco - Greenville LLCOperational/managerial controlOrganization12/01/2023
Bauder, WilliamOperational/managerial controlIndividual12/01/2023
Moore, RobinOperational/managerial controlIndividual12/01/2023
Bauder Family Investments, LLCAdp of the SNFOrganization12/01/2023
Boulware St. James LLCAdp of the SNFOrganization12/01/2023
Bridgepointe Finanical Services, LLCAdp of the SNFOrganization12/01/2023
Innovative Nurse Consulting, LLCAdp of the SNFOrganization12/01/2023
Pmg Opco - Greenville LLCAdp of the SNFOrganization12/01/2023
Priority Management Group, LLCAdp of the SNFOrganization12/01/2023
Progressive Rehab Solutions, LLCAdp of the SNFOrganization12/01/2023
Steven Boulware Family Investments LLCAdp of the SNFOrganization12/01/2023
Bauder, KellyAdp of the SNFIndividual12/01/2023
Bauder, MadisonAdp of the SNFIndividual12/01/2023
Bauder, ParkerAdp of the SNFIndividual12/01/2023
Bauder, WilliamAdp of the SNFIndividual12/01/2023
Boulware, DouglasAdp of the SNFIndividual12/01/2023
Boulware, SandraAdp of the SNFIndividual12/01/2023
Boulware, StevenAdp of the SNFIndividual12/01/2023
Boulware, ThomasAdp of the SNFIndividual12/01/2023
Moore, RobinAdp of the SNFIndividual12/01/2023
Selvaggi, RichardAdp of the SNFIndividual12/01/2023
Walker, KatieAdp of the SNFIndividual12/01/2023

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on April 6, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on February 11, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on March 27, 2026: "Ensure that residents are free from significant medication errors."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on February 11, 2026: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Briarcliff Health Center of Greenville's Medicare star rating?
CMS rates Briarcliff Health Center of Greenville 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Briarcliff Health Center of Greenville get at its last inspection?
6 health deficiencies at the standard inspection on February 11, 2026. The Texas average is 9.4.
Has Briarcliff Health Center of Greenville been fined?
Yes. CMS lists 2 fines totaling $40,076 in the last three years.
Does Briarcliff Health Center of Greenville 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 Center of Greenville?
CMS lists 34 owners and managers. Legal business name: STEPHENS MEMORIAL HOSPITAL DISTRICT.

Sources

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