Below 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 Village during CMS and state inspections, most recent first.
The facility did not respond to concerns raised by residents during council meetings, including issues with dietary services, late medication administration on weekends, improper medication handling, and ill-fitting bed sheets. Two residents reported that their concerns were repeatedly brought up without action, and the administrator confirmed a lack of evidence showing staff response.
Three residents requiring assistance with ADLs did not consistently receive scheduled showers, as confirmed by medical record review, interviews, and observation. Residents and family members reported missed showers and lack of regular bathing, with one resident observed to have greasy hair. The Executive Director verified the missed showers.
A resident with COVID-19, requiring assistance with daily activities and placed on droplet isolation, was observed with their door open and interacting with another unmasked resident at the doorway. No isolation signage was posted, and PPE along with used meal items were improperly stored in the hallway. Staff confirmed that required infection control protocols, including keeping the door closed and posting signage, were not followed.
A deficiency was cited due to the presence of accident hazards in an area and insufficient supervision to prevent accidents. The environment did not meet safety standards, and oversight was inadequate to ensure resident safety.
The facility did not report confirmed norovirus cases and widespread GI symptoms among residents and staff to the local health department, despite multiple individuals testing positive and many others experiencing symptoms. Facility staff and administration confirmed that required notifications were not made, in violation of policy and state regulations.
A physical altercation occurred between two residents, one of whom has Alzheimer's disease and the other severe cognitive impairment, resulting in a bruise. Although the incident was documented and met the facility's definition of abuse, it was not reported to the state agency as required by policy and regulation.
The facility did not have a full-time Director of Nursing (DON) employed, affecting all 86 residents. Interviews with the Administrator confirmed the absence of a DON since mid-September, and staffing records showed no DON scheduled for the last week of September.
The facility did not conduct required 90-day and/or annual performance evaluations for several STNAs, as confirmed by HR. This affected four out of six employee files reviewed, potentially impacting all residents.
The facility did not ensure that STNAs completed the required 12 hours of annual education, as revealed by a review of employee files and confirmed by the Executive Director. Two STNAs, hired in 2019 and 2022, had no documented training for 2023 or 2024, despite the facility's policy requiring annual training.
A facility failed to create a care plan for a resident admitted with a walking cast. The resident, who had a broken foot, had no care plan or physician orders documented, and her medical records lacked a diagnosis for the leg fracture. Interviews with staff confirmed the absence of necessary documentation and care planning, despite the facility's policy requiring comprehensive care plans for all resident care.
A facility failed to monitor bruises on a resident with Parkinson's and dementia, who was on anticoagulant therapy. Bruises were found on the resident's left buttock, but there was no documentation of ongoing assessment or monitoring, despite care plan requirements. The Regional Clinical Services confirmed the lack of documentation, highlighting a deficiency in following care plans and physician orders.
A resident with type two diabetes received outdated insulin due to a medication error at the facility. An LPN administered insulin from a vial that was opened beyond the recommended 28-day period. The LPN mistakenly believed the insulin was good for a month, but the DON confirmed it should be discarded after 28 days, as per guidelines.
A resident with a history of multiple health conditions was found with a cup containing 18 pills on their over bed table. An LPN confirmed she handed the medications to the resident without ensuring they were taken. The facility's policy requires medications to be stored safely and securely.
Failure to Address Resident Council Concerns
Penalty
Summary
The facility failed to respond to concerns raised by residents during Resident Council meetings, as evidenced by a review of meeting minutes and staff interviews. Specific issues documented included complaints about the dietary department, late administration of medications on weekends due to nurses assisting aides, nurses leaving medications at the bedside, and sheets not fitting larger beds. Despite these concerns being recorded in the Resident Council Meeting Minutes, there was no evidence that the facility took action to address them, except for a note that more blue sheets for larger beds were provided on one occasion. Interviews with two residents who regularly attended the meetings confirmed that multiple concerns had been brought up each month without any resulting action. The facility administrator also verified the absence of documentation or evidence showing that staff had responded to the issues raised during the meetings. This deficiency was identified during an investigation under a specific complaint number and affected at least two residents out of the four reviewed for Resident Council participation.
Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to provide scheduled showers for residents who required assistance with activities of daily living (ADLs). Medical record reviews, resident interviews, and staff interviews confirmed that three residents did not consistently receive showers on their assigned days. One resident with impaired cognition and a diagnosis of COPD was scheduled for showers on Tuesdays and Fridays but missed several scheduled showers within a 14-day period. This resident reported needing help with bathing and stated that staff did not have enough time to assist her, resulting in extended periods without a shower. Another resident, with intact cognition and a diagnosis of respiratory failure with hypoxia, also missed a scheduled shower and expressed uncertainty about her shower schedule, stating she did not feel she was receiving regular showers. A third resident, who required moderate assistance with ADLs and had recently returned from the hospital, missed a scheduled shower, and her family expressed concerns about her not receiving showers as scheduled. Observation revealed this resident's hair appeared greasy. The Executive Director confirmed that these residents were not receiving showers as scheduled.
Failure to Follow COVID-19 Isolation and Infection Control Protocols
Penalty
Summary
The facility failed to follow established infection control procedures for a resident who was admitted with a diagnosis of COVID-19. The resident, who had moderately impaired cognition and required assistance with activities of daily living, was placed on droplet isolation. However, observations revealed that the resident's door was left open, and the resident was allowed to stand at the doorway and interact with another resident who was not wearing a mask. There was no isolation signage posted on or near the resident's room, and personal protective equipment (PPE) was found in disarray in the hallway, including dirty gowns in a laundry basket and on the floor, as well as used breakfast items placed on top of the dirty linen container. Staff interviews confirmed that the resident was on droplet isolation, but the required protocols were not being followed. The dietary aide and registered nurse both acknowledged the lack of isolation signage, the open door, and the resident's interactions with others at the doorway. The facility's policy required the door to remain closed and isolation signs to be posted, and the COVID-19 entry sign instructed staff to wear N95 masks, face shields, gowns, and gloves when entering the room. These procedures were not adhered to, resulting in a failure to maintain proper infection control for the resident with COVID-19.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, and supervision was insufficient to prevent potential accidents. Specific actions or inactions leading to this deficiency include the presence of accident hazards and a lack of appropriate oversight in the affected area. No additional details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Report Norovirus Outbreak to Local Health Department
Penalty
Summary
The facility failed to report confirmed norovirus cases and multiple residents' gastrointestinal (GI) symptoms to the local health department, as required by both state regulations and facility policy. Medical record reviews showed that two residents tested positive for norovirus after being sent to the hospital, and at least sixteen other residents throughout the facility experienced GI symptoms such as nausea, vomiting, and diarrhea. Some of these residents were tested for norovirus and found negative, while others were placed in contact isolation without testing. Additionally, two staff members were reported to have tested positive for norovirus at a local hospital, and were off work for several days. Interviews with facility staff, including an LPN, the Administrator, and the Regional Director of Clinical Services, confirmed that the local health department was not notified about the norovirus cases or the outbreak of GI symptoms among residents and staff. The local health department also confirmed that they had not been contacted by the facility, despite the facility's policy requiring notification of such outbreaks. The failure to report these cases and symptoms had the potential to affect all 92 residents in the facility.
Failure to Report Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to report an incident of resident-to-resident physical abuse to the state agency as required by both facility policy and state regulations. The incident involved a resident with Alzheimer's disease and psychotic disorder who was struck and pushed by another resident with dementia and severe cognitive impairment in a common area. The altercation was witnessed by staff, and although the resident who was struck did not fall, a bruise was later observed on her upper arm. The event was documented in the medical records and confirmed by staff interviews, including a CNA and an RN who attributed the bruise to the altercation. Despite the facility's policy requiring notification of all alleged abuse to the Ohio Department of Health within 24 hours, the incident was not reported. Interviews with the Administrator and the Regional Director of Clinical Services confirmed that the event met the definition of physical abuse and should have been reported. Review of the state agency's reporting system showed no record of the incident being reported, confirming the facility's non-compliance with mandatory reporting requirements.
Failure to Employ Full-Time Director of Nursing
Penalty
Summary
The facility failed to employ a Director of Nursing (DON) on a full-time basis, which had the potential to affect all 86 residents. During an interview on September 30, 2024, at 7:17 A.M., the Administrator confirmed that there was no DON employed at the facility. A follow-up interview on October 1, 2024, at 10:11 A.M. revealed that the facility had been without a DON or acting DON since September 18, 2024. A review of staffing sheets from September 23, 2024, through September 29, 2024, confirmed that no DON had been scheduled during this period.
Failure to Conduct Required Evaluations for STNAs
Penalty
Summary
The facility failed to ensure that State tested Nursing Assistants (STNAs) received their required 90-day and/or annual performance evaluations. This deficiency was identified through a review of employee files and interviews, affecting four out of six employee files reviewed. Specifically, STNA #353, hired on 05/14/19, did not have an annual evaluation for July 2023 or any for 2024. STNA #374, hired on 11/06/18, lacked annual evaluations for 2020, 2021, and 2023. STNA #370, hired on 01/10/24, did not have a 90-day evaluation, and STNA #331, hired on 10/05/23, also lacked a 90-day evaluation. An interview with Human Resources (HR #508) confirmed that the evaluations were missing from the employee files for these STNAs. This oversight had the potential to affect all residents, given the facility's census of 99.
Non-compliance with STNA Annual Education Requirements
Penalty
Summary
The facility failed to ensure that State tested Nursing Assistants (STNAs) completed the required 12 hours of education annually, as mandated by their policy. This deficiency was identified through a review of employee files, interviews, and policy examination. Specifically, two out of three STNA files reviewed showed no record of education training for the years 2023 or 2024. STNA #353, hired on 05/14/19, and STNA #389, hired on 02/09/22, both lacked documentation of the required training. The Executive Director confirmed the non-compliance during an interview, acknowledging that the employees had not completed their education but were scheduled to take courses. The facility's policy, dated 10/2003, requires Nursing Assistants to complete 12 hours of training per year, calculated from their date of hire.
Failure to Develop Care Plan for Resident with Walking Cast
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident who was admitted with a walking cast. The resident, identified as Resident #195, was admitted with a walking boot due to a broken foot, but there was no corresponding care plan or physician orders documented in the medical records. The resident's diagnoses included post-surgical care for the digestive tract, overactive bladder, sciatica, and pulmonary hypertension, but did not include any diagnosis related to a fracture of the leg. During an interview, the resident expressed that she was not informed of any care plans regarding the walking cast and was unsure about the condition of her skin under the cast. Interviews with facility staff, including an LPN and Regional Clinical Services, confirmed the absence of a care plan, physician orders, or diagnosis related to the walking cast. The facility's policy on comprehensive care plans, dated November 2016, mandates the development of a care plan for all care provided to residents. However, in this case, the facility did not adhere to its policy, as there were no skin assessments or care plans for the resident's leg, despite the resident being admitted with the cast.
Failure to Monitor Bruises in Resident on Anticoagulant Therapy
Penalty
Summary
The facility failed to adequately monitor bruises observed on a resident, which was a deficiency identified during a survey. The resident, who had diagnoses including Parkinson's disease, dementia, and was on platelet aggregated therapy, was found to have bruises on the left buttock by a State tested Nursing Assistant during a shower. The bruises measured 12 cm by 6 cm and 9 cm by 6 cm. The resident reported that the bruises occurred due to a fall while packing at home. Despite the care plan requiring monitoring for signs and symptoms of bruising or bleeding every shift, there was no documentation of ongoing assessment or monitoring of the bruises. The medical record review and interviews revealed that the facility did not document the progression or healing of the bruises, nor did they provide any description of the bruises' age or healing status. The Regional Clinical Services staff confirmed the absence of documentation regarding the monitoring of the bruises, aside from the standard physician order to monitor for signs and symptoms of bruising/bleeding due to anticoagulant therapy. This lack of documentation and monitoring represents a failure to follow the care plan and physician orders, leading to the identified deficiency.
Outdated Insulin Administered to Resident
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors by administering outdated insulin to a resident. Resident #30, who was cognitively intact with a BIMS score of 15, had a medical history that included type two diabetes with complications and was on long-term insulin therapy. The resident received insulin aspart according to a sliding scale before meals. During an observation, an LPN administered insulin from a vial that was dated 07/05/24, which was beyond the recommended 28-day usage period after opening. The LPN believed the insulin was good for a month after opening and confirmed the date of administration was 08/07/24. Upon verification, the Director of Nursing confirmed that Novolog insulin should be discarded 28 days after opening, as supported by Medscape guidelines and the facility's skills competency checklist for medication administration. This oversight resulted in the administration of outdated insulin to the resident, which was a significant medication error.
Medications Left at Bedside
Penalty
Summary
The facility failed to ensure medications were not left at the bedside, affecting one resident. Resident #26, who was cognitively intact, had a medical history including congestive heart failure, rheumatoid arthritis, diabetes mellitus type II, anxiety disorder, depression, and cerebral ischemia. During an observation, a small plastic cup containing 18 pills and capsules was found on the over bed table next to the resident. The medications included acetaminophen, ascorbic acid, cyanocobalamin, isosorbide mononitrate, multivitamin, omeprazole, sitagliptin phosphate, spironolactone, zinc, carvedilol, ferrous sulfate, gabapentin, methocarbamol, sennosides, and oxycodone hydrochloride. An LPN confirmed that she had handed the resident the cup of medications as the resident was returning from breakfast and did not ensure the medications were taken. The facility's policy on medication storage, dated February 11, 2021, states that medications are to be stored safely and securely.
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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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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.