Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Briarwood Health Care Center during CMS and state inspections, most recent first.
The facility failed to maintain the dignity of two residents with indwelling urinary catheters by not providing dignity bags to cover their catheter bags. Observations revealed that the catheter bags were visible, contrary to the facility's policy. Staff interviews confirmed the importance of using privacy bags, and it was noted that these were accessible to staff.
The facility failed to change oxygen tubing for four residents as per physician orders and facility policy, risking infection. Observations showed undated tubing for residents with chronic respiratory conditions, and the Unit Manager confirmed the tubing had not been changed as required.
A facility failed to document pre and post dialysis weights for a resident with end-stage renal disease, as required by their policy. Despite having physician orders for dialysis on specific days, the necessary weights were not recorded on multiple occasions over several months, as confirmed by the MDSC and DON.
A resident with severe cognitive impairment was found to have their call light out of reach on two occasions, contrary to facility policy. Staff confirmed the call light should have been accessible and equipped with a clip to prevent it from falling. The resident's care plan emphasized the need for the call light to be within reach to ensure assistance could be requested.
Failure to Maintain Resident Dignity with Catheter Bags
Penalty
Summary
The facility failed to ensure the dignity of two residents, both of whom had indwelling urinary catheters, by not providing dignity bags to cover their catheter bags. This oversight was observed during a survey where Resident 51's catheter bag was visible from the doorway, despite being covered with a clear plastic bag, and Resident 72's catheter bag was also uncovered. The facility's policy, which emphasizes treating residents with dignity and respect, specifically mentions the need to cover urinary catheter bags to prevent practices that could demean residents. Interviews with facility staff, including a CNA, an LPN, and the Director of Nursing, confirmed that catheter bags should be covered with privacy bags to maintain resident dignity. The CNA acknowledged that the dignity bags were not used initially but were later placed on the catheter bags of the affected residents. The LPN and the Director of Nursing both reiterated the importance of using privacy bags, and it was noted that staff had access to these bags at all times. The Administrator also confirmed the necessity of covering catheter bags to ensure resident dignity.
Failure to Change Oxygen Tubing as Ordered
Penalty
Summary
The facility failed to provide appropriate respiratory care for four residents by not ensuring their oxygen tubing was changed as per physician orders and facility policy. The policy required oxygen supplies to be changed weekly and when visibly soiled, with equipment labeled with the patient's name and date of change. However, observations revealed that the oxygen tubing for these residents was not dated, indicating a lack of adherence to the policy and physician orders. Resident 2, with chronic respiratory failure and hypoxia, had an order for continuous oxygen at three liters per minute, with tubing changes scheduled every Sunday night shift. Resident 6, diagnosed with obstructive sleep apnea, required oxygen titration and Bi-pap use at night, with similar tubing change orders. Resident 30, on continuous oxygen at two liters, and Resident 41, with COPD, also had orders for weekly tubing changes. Observations showed that none of these residents' oxygen tubing was dated, and the Unit Manager confirmed the tubing had not been changed as required.
Failure to Document Dialysis Weights
Penalty
Summary
The facility failed to ensure that weights were documented for a resident who required dialysis services, as per the facility's Hemodialysis Offsite Policy. The policy, effective since April 2019 and last reviewed in September 2024, mandates that residents should be weighed before and after dialysis sessions. However, for one resident with end-stage renal disease, these weights were not consistently recorded on the Pre/Post Dialysis Communication Forms. This oversight was noted for multiple dates between June and September 2024, where either pre or post weights, or both, were missing. The resident in question was admitted with a diagnosis of end-stage renal disease and had physician orders for dialysis on specific days of the week. Despite these orders, the facility staff failed to document the required weights on numerous occasions, as confirmed by the Minimum Data Set Coordinator and the Director of Nursing during an interview. This lack of documentation had the potential to result in unmet care needs for the resident.
Resident Call Light Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that a resident's call light was within reach, which could potentially lead to unmet needs for the resident. The facility's policy requires that call lights be easily accessible to residents both in and out of bed. However, during observations, it was noted that the call light for a resident with severe cognitive impairment was not within reach on two separate occasions. On one occasion, the call light was hanging on the drawers beside the bed, and on another, it was found on the floor behind the bed. Interviews with facility staff, including an LPN and the Administrator, confirmed that the call light should have been within the resident's reach and that it should have a clip to prevent it from falling. The resident in question had a history of cognitive communication deficit, muscle weakness, and schizophrenia, and was assessed to have severely impaired cognition. The resident's care plan included interventions to encourage the use of the call light for assistance, highlighting the importance of having the call light accessible.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Denver
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Health Center At Franklin Park | 0.5 mi | ★★★★★ | 14 | 0 |
| City Park Healthcare And Rehabilitation Center | 0.6 mi | ★★★★★ | 9 | 0 |
| Denver North Care Center | 0.9 mi | ★★★★★ | 17 | 0 |
| Uptown Care Center | 1.1 mi | ★★★★★ | 11 | 0 |
| City Scape Rehabilitation & Care Center Llc | 2.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.