Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Rehabilitation & Healthcare Center during CMS and state inspections, most recent first.
A resident with a history of PE and DVT was not continued on Eliquis after the stop date, despite the HCA's request and physician's indication to continue. The resident did not receive the medication, leading to hospitalization for new bilateral pulmonary emboli. This highlights a lapse in medication management and communication within the facility.
The facility failed to follow professional standards for two residents. A resident's PICC line was not properly monitored due to an obscuring dressing, contrary to physician orders. Another resident received medications in a crushed form despite instructions to administer them whole. Staff interviews revealed a lack of awareness and misunderstanding regarding these practices.
A facility failed to ensure proper communication and coordination of dialysis care for a resident with ESRD. Despite policies requiring ongoing communication between the LTC and dialysis center, documentation was inconsistent, with incomplete or missing communication forms and post-dialysis weights. Staff interviews revealed that the dialysis center often failed to return necessary documentation, and the current communication system was inadequate, leading to a deficiency in providing safe dialysis care.
A nurse in an LTC facility made four medication errors out of 27 opportunities, resulting in a 14.81% error rate. The errors involved crushing medications that should not be altered, such as Ferrous Sulfate, Alfuzosin HCL ER, and Metoprolol Succinate ER, and administering Acidophilus with Pectin instead of the prescribed Acidophilus. Misunderstandings about medication administration were evident among staff, contributing to the errors.
The facility did not follow its COVID-19 testing policy during an outbreak on the [NAME] Unit. Testing was required every 48 hours, but gaps were noted on several dates. The IP confirmed no additional guidance was received, and the ADON acknowledged the testing procedure was not followed as per policy.
A facility failed to ensure a resident's advanced directives were reviewed and followed. The resident, with severe cognitive impairment, was admitted with a guardianship that did not authorize decisions on advanced directives. Despite a MOLST form indicating DNR status, it was voided due to lack of authorization, and the resident was listed as full code. The facility did not pursue changing the code status as per the family's wishes, leading to a deficiency.
Failure to Continue Anticoagulation Therapy Leads to Hospitalization
Penalty
Summary
The facility failed to ensure that nursing provided care and services that met professional standards of practice related to medication review and physician follow-up for a resident with a history of pulmonary embolism (PE) and deep vein thrombosis (DVT). The resident was being treated with Eliquis, an anticoagulant, which had a physician's order with a stop date. Despite the resident's Health Care Agent (HCA) requesting that the resident remain on Eliquis, and the physician's progress note indicating to continue the medication, no new order was obtained by nursing, leading to the discontinuation of Eliquis. The resident, who had been admitted to the facility with diagnoses including a pulmonary embolism and a lower left extremity DVT, was initially prescribed Eliquis with a specific dosage and duration. However, after the stop date, the resident did not receive Eliquis, despite the HCA's request and the physician's indication to continue the medication. This oversight resulted in the resident not receiving the necessary anticoagulation therapy from the stop date until the resident was transferred to the hospital. On the day of the transfer, the resident was found to have acute shortness of breath and was diagnosed with new bilateral pulmonary emboli at the hospital. The facility's failure to obtain a new order for Eliquis and ensure its administration led to the resident's hospitalization for recurrent blood clots, highlighting a significant lapse in medication management and communication within the facility.
Failure to Follow Professional Standards in Medication Administration and PICC Line Monitoring
Penalty
Summary
The facility failed to adhere to professional standards of practice for two residents, leading to deficiencies in care. For Resident #261, the facility did not properly monitor the resident's right upper extremity Peripherally Inserted Central Catheter (PICC) insertion site for signs of infection as per the physician's order. The PICC line dressing was observed to have a large white gauze under the clear dressing, completely obscuring the insertion site, which was against the facility's policy that required a transparent dressing for monitoring. Despite this, nurses had been signing off on the Medication Administration Record (MAR) that they were monitoring the site, although the site was not visible due to the gauze. For Resident #211, the facility failed to administer medications according to the physician's order and medication guidelines. The resident was given medications that should not be crushed, such as Ferrous Sulfate, Alfuzosin HCL ER, and Metoprolol Succinate ER, in a crushed form mixed with applesauce. This was contrary to the pharmacy label and medication administration guidelines, which clearly indicated that these medications should be swallowed whole. Nurse #1 admitted to crushing these medications due to the resident's difficulty swallowing, despite the clear instructions not to do so. Interviews with the Unit Manager and Assistant Director of Nursing revealed a lack of awareness and misunderstanding regarding the proper administration of these medications and the monitoring of the PICC line. The Unit Manager and ADON acknowledged that the medications should not have been crushed and that the PICC line dressing should have been transparent to allow for proper monitoring. These deficiencies highlight a failure in following professional standards and physician orders, impacting the quality of care provided to the residents.
Inadequate Communication in Dialysis Care Coordination
Penalty
Summary
The facility failed to ensure proper communication and coordination of dialysis care for a resident with End-Stage Renal Disease (ESRD) who was dependent on renal dialysis. The facility's policy required ongoing communication between the nursing facility and the dialysis center, including the exchange of relevant information such as physician orders, laboratory results, and post-treatment reports. However, the facility did not maintain consistent communication, as evidenced by incomplete or missing documentation in the Dialysis Communication Book and a lack of documented communication in the Nursing Progress Notes. Resident #102, who was cognitively intact and required interpreter services, received dialysis three times a week. Despite this, the facility's records showed that post-dialysis weights were only documented 59% of the time, and there were numerous instances where the communication forms were either incomplete or missing entirely. Interviews with staff revealed that the dialysis center often failed to return the communication forms, and weights were sometimes provided on sticky notes rather than documented properly. Staff members acknowledged the inconsistency in communication and the inadequacy of the current system. The Assistant Director of Nurses and other staff members admitted that the communication process was flawed, with the dialysis center not consistently returning the necessary documentation. The corporate communication form was described as confusing and too lengthy, contributing to the breakdown in communication. Despite the facility's policy and coordination agreement with the dialysis center, there was a significant lack of documented evidence of care coordination, leading to the deficiency in providing safe and appropriate dialysis care for the resident.
Medication Administration Errors Result in High Error Rate
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, as evidenced by one nurse making four errors in 27 opportunities, resulting in a 14.81% error rate. These errors affected one resident, who was administered medications incorrectly. The nurse prepared nine morning medications for the resident, including both oral and topical forms. However, the nurse crushed and mixed several medications that should not have been altered, such as Ferrous Sulfate, Alfuzosin HCL ER, and Metoprolol Succinate ER, which are extended-release and should be swallowed whole. Additionally, the nurse administered Acidophilus with Pectin instead of the prescribed Acidophilus capsule. Interviews with the nurse and other staff revealed misunderstandings and incorrect assumptions about medication administration. The nurse believed that Ferrous Sulfate could be crushed and that Acidophilus with Pectin was equivalent to the prescribed Acidophilus. The Unit Manager and Assistant Director of Nursing also shared similar misconceptions, indicating a lack of awareness regarding the proper administration of these medications. The errors were compounded by the resident's difficulty swallowing, which led the nurse to crush medications that should not have been altered, without seeking alternative solutions or orders.
Failure to Follow COVID-19 Testing Policy During Outbreak
Penalty
Summary
The facility failed to adhere to its COVID-19 testing policy during an outbreak on the [NAME] Unit. The policy required testing of exposed residents and staff every 48 hours until the facility went 7 days without a new case. However, the facility did not conduct testing at the required intervals. On 6/24/24, two residents tested positive, marking the start of the outbreak. Testing was not conducted every 48 hours as required, with gaps noted on 6/26/24, 7/3/24, and 7/7/24. The Infection Preventionist (IP) confirmed that no additional guidance was received from a DPH epidemiologist, and the facility was supposed to follow its policy. The testing logs revealed inconsistencies in testing both residents and staff. While all residents were tested on certain dates, there were days when testing was not conducted as per the policy. Similarly, staff testing was not conducted on 6/26/24, 48 hours after the initial outbreak testing began. The Assistant Director of Nursing (ADON) acknowledged that the COVID-19 testing procedure was not conducted in accordance with the facility's policy, and the IP could not provide documentation to demonstrate compliance with the testing schedule.
Failure to Follow Advanced Directives for Resident
Penalty
Summary
The facility failed to ensure that the advanced directives for a resident with severe cognitive impairment were reviewed and followed. The resident, who had a history of stroke and dementia, was admitted with a guardianship arrangement that did not authorize the guardians to make decisions regarding advanced directives. Despite having a MOLST form indicating a Do Not Resuscitate (DNR) status, the form was marked as void due to lack of authorization, and the resident was listed as a full code in the medical records. Interviews revealed that the family believed the resident was a DNR and had discussed this with the facility, but there was no documentation to support that the facility pursued changing the code status as per the family's wishes. The social worker involved was not the regular social worker for the resident and was unaware of any conflict among the co-guardians regarding the code status. The facility's records did not show any legal pursuits to change the resident's code status, and the family's attorney confirmed they were not working on expanding the guardianship to include advanced directives. The facility's failure to act on the family's wishes and the lack of documentation regarding the pursuit of changing the code status led to the deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,169 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Needham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Skilled Nursing Facility At North Hill (the) | 1.3 mi | ★★★★★ | 0 | 0 |
| Newbridge On The Charles Skilled Nursing Facility | 2 mi | ★★★★★ | 1 | 0 |
| Elizabeth Seton | 2.7 mi | ★★★★★ | 0 | 0 |
| Stone Rehabilitation And Senior Living | 2.7 mi | ★★★★★ | 5 | 0 |
| Care Village At Parkway | 3.3 mi | ★★★★★ | 14 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Briarwood Rehabilitation & Healthcare Center.
100% money-back within 48 hours.
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.