Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Briarfield Place during CMS and state inspections, most recent first.
Failure to inform a resident of psychotropic medication risks and benefits: A resident with CVA, depression, and anxiety was started on Remeron/Mirtazapine for poor PO intake, but the record contained no evidence that the resident was informed of the medication’s risks, benefits, or alternative treatment options before it was initiated. The DON stated the facility had no protocol for this process, and the DON later verified there was no documentation showing the resident was informed prior to the medication being started.
The facility failed to ensure sanitary food service, affecting all 52 residents. The Food Service Director was observed not wearing a beard guard while handling kitchen equipment, contrary to facility policy. Additionally, staff were seen delivering uncovered cups of hot beverages on meal trays to residents' rooms, posing a risk of contamination. The facility's policies on hair restraints and meal/tray delivery were not followed.
The facility failed to ensure proper PICC line flushing as ordered by the physician. An LPN used the SASH method instead of the physician-ordered saline flush for a resident receiving ceftriaxone, leading to improper medication administration. The inconsistency between the physician's order and facility protocol was confirmed through observation and staff interviews.
The facility failed to clean a resident's CPAP equipment according to the manufacturer's instructions. The resident confirmed that staff did not routinely clean the CPAP mask, tubing, or machine. The medical record and care plan lacked evidence of any cleaning interventions, and the DON confirmed the deficiency.
A resident was prescribed antibiotics for a UTI despite not meeting the criteria for antibiotic use, as there were no documented symptoms of a UTI, only a positive lab result. The facility's policy on Antibiotic Stewardship was not followed.
Failure to Inform Resident of Psychotropic Medication Risks and Benefits
Penalty
Summary
The facility failed to inform a resident of the risks, benefits, and alternative treatment options before starting a new psychotropic medication. Resident #7 was admitted with diagnoses including cerebral infarction, depression, and anxiety, and the care plan identified the use of psychoactive medications with interventions to monitor mental status, mood and behavior changes, interactions with others, and pharmacy review of the medication regimen. A nurse practitioner progress note documented poor oral intake and new orders for Remeron/Mirtazapine 7.5 mg at bedtime for seven days, then 15 mg at bedtime, but there was no indication the resident was informed of the medication’s risks and benefits or alternative treatment options before it was started. Review of the resident’s medical record, including nursing progress notes, physician progress notes, NP progress notes, nutritional notes and assessments, and resident documents, found no evidence that the resident was informed before Mirtazapine was implemented. Current physician orders later showed Mirtazapine 15 mg daily for depression and appetite. During interviews, the DON stated the facility did not have a protocol for informing residents of the risks and benefits of psychotropic medications and said the physician usually discussed that information when the medication was started. The Administrator was unsure whether documentation existed, and the DON later verified there was no documentation in the resident’s record showing the resident had been informed before Mirtazapine was initiated.
Failure to Ensure Sanitary Food Service
Penalty
Summary
The facility failed to ensure food was served in a sanitary manner, affecting all 52 residents who received meals from the kitchen. During an observation of the kitchen, the Food Service Director (FSD) was noted to have a noticeable growth of facial hair and was not wearing a beard guard while handling kitchen equipment. The FSD confirmed that he had never worn a beard guard in the kitchen. The facility's policy on the proper use of hair restraints requires food employees to wear hair restraints, including beard guards, to prevent hair from contacting exposed food and clean equipment. The Dietitian confirmed that the FSD should have been wearing a beard guard as per the policy. Additionally, staff were observed delivering uncovered cups of hot beverages on meal trays to residents' rooms, which posed a risk of contamination. Multiple staff members, including a State tested Nursing Assistant (STNA) and the Director of Nursing (DON), were seen pouring coffee from a beverage cart and placing the uncovered cups on residents' trays before walking through the hallways to deliver them. The facility's policy on meal/tray delivery requires staff to practice universal precautions related to infection control during meal delivery. The Dietitian confirmed that staff should not take meal trays with uncovered cups of beverages up and down hallways due to the risk of contamination.
Improper PICC Line Flushing Procedure
Penalty
Summary
The facility failed to ensure that peripherally inserted central catheters (PICC) were flushed appropriately and as ordered by the physician. This deficiency was observed during the administration of ceftriaxone to a resident with a PICC line. The Licensed Practical Nurse (LPN) administering the medication used the SASH method (Saline, Administer medication, Saline, Heparin) for flushing the PICC line, which was not in accordance with the physician's order. The physician's order specified flushing the PICC line with 10ml of normal saline (NS) every shift, but there was no order for the use of heparin or the SASH method. The LPN's actions were inconsistent with both the physician's order and the facility's policy, which also described the SASH method but was not aligned with the specific physician's order for this resident. The deficiency was confirmed through observation, medical record review, and staff interviews. The LPN admitted to not following the physician's order and the facility protocol correctly. The Director of Nursing also confirmed that the staff were instructed to use the SASH method, which conflicted with the physician's specific order for the resident. The facility's policy on PICC line flushing, reviewed by the medical director, indicated the use of the SASH method, but this was not reflected in the physician's order for the resident in question. This inconsistency led to the improper administration of medication and flushing of the PICC line for the resident, who had multiple diagnoses including a chronic non-pressure ulcer, diabetes mellitus, and hypertension.
Failure to Clean CPAP Equipment as Per Manufacturer's Instructions
Penalty
Summary
The facility failed to ensure that respiratory equipment, including a CPAP machine, was properly cleaned according to the manufacturer's instructions for a resident. Observation of the resident's room revealed a CPAP machine on the bedside stand, and the resident confirmed that staff did not clean the CPAP mask, tubing, or machine on a routine basis. A review of the resident's medical record showed no evidence of any cleaning of the CPAP equipment, despite the resident having diagnoses that required its use, such as obstructive sleep apnea, congestive heart failure, and chronic obstructive pulmonary disease. The care plan also lacked any interventions related to the cleaning of the CPAP equipment. The manufacturer's guidelines for the ResMed AirCurve 10 CPAP specify that the device should be cleaned weekly, with the mask cushion cleaned daily and the headgear and frame cleaned weekly. An interview with the Director of Nursing confirmed that there was no evidence of cleaning for the resident's CPAP machine and equipment. This deficiency affected one resident out of three reviewed for respiratory equipment use, in a facility with a census of 52 residents.
Inappropriate Antibiotic Use for Resident
Penalty
Summary
The facility failed to ensure that residents receiving antibiotic treatment had an appropriate indication for antibiotic use. This deficiency was identified during a review of Resident #9's medical record, which revealed that the resident was admitted with diagnoses including obstructive sleep apnea, congestive heart failure, and chronic obstructive pulmonary disease. On 12/28/23, the resident was evaluated by the primary care physician (PCP), who ordered a urinalysis with culture and sensitivity despite no urinary complaints or symptoms of a urinary tract infection (UTI) being documented in the progress notes. On 01/02/24, the urinalysis and culture results identified the presence of Escherichia coli (E. coli) in the resident's urine, leading the PCP to initiate treatment with amoxicillin-clavulanic acid for a UTI. An antibiotic assessment using McGeer's criteria was completed on 01/02/24 and determined that Resident #9 did not meet the criteria for antibiotic use, as there were no symptoms of a UTI, only a positive lab result. The facility's policy on Antibiotic Stewardship, revised in December 2016, indicated that antibiotics should be prescribed and administered under the guidance of the facility's Antibiotic Stewardship Program and only when criteria for an active infection or suspected sepsis are met. An interview with an LPN on 05/01/24 confirmed that Resident #9 did not meet McGeer's criteria for appropriate antibiotic use.
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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 Boardman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shepherd Of The Valley Poland | 0.6 mi | ★★★★★ | 8 | 0 |
| Caprice Health Care Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Willow Woods Rehabilitation And Nursing | 1.1 mi | ★★★★★ | 5 | 0 |
| Aventura At Assumption Village | 1.3 mi | ★★★★★ | 5 | 0 |
| Greenbriar Center | 1.6 mi | ★★★★★ | 1 | 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 June 2026) and official state health department websites.