Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Briarcliffe Manor during CMS and state inspections, most recent first.
Medication labeling and storage deficiencies were identified in CMT carts and the med room. An opened protein supplement, inhalers, and Artificial Tears were found open and undated, and several eye drop bottles lacked resident-specific labels; one discontinued inhaler remained in a cart available for administration. The med room refrigerator also had heavy ice buildup with water dripping into the compartment where resident medications were stored, and staff acknowledged the labeling and storage issues.
Infection control practices were not maintained during blood glucose monitoring, insulin administration, and wound care. An LPN exited a Droplet Precautions room wearing contaminated PPE before obtaining insulin, an RN failed to keep a glucometer disinfectant wet for the required dwell time, and staff did not implement EBP for a resident with a chronic, non-pressure wound requiring complex dressing care. The DNS acknowledged staff should follow manufacturer guidance and that EBP had not been initiated for the wound resident.
The facility failed to send written discharge notices to a representative of the State LTC Ombudsman at the same time they were issued to residents and their representatives. Record review showed no evidence of Ombudsman notification for residents discharged to another facility or community setting when return was not expected, or for a resident who left AMA. Staff stated the facility only notifies the Ombudsman for hospital transfers or discharges after a formal 30-day notice.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to ensure drugs and biologicals were labeled and stored according to accepted professional standards for two of three CMT carts and for one medication room. During observation of one CMT cart, an opened bottle of Pro-Stat liquid protein supplement was undated, an opened Breo Ellipta inhaler was undated, a box of Artificial Tears was open and undated and did not have a resident-specific label, and an opened Trelegy Ellipta inhaler was undated. Staff C acknowledged that the items were open and in use but had not been dated to track expiration, and also acknowledged that the eye drops lacked a resident-specific label. During observation of another CMT cart, a Qvar Redihaler was labeled as opened on 3/18/2026 even though the medication had been discontinued on 3/20/2026 and remained in the cart available for administration. The same cart also contained an open, undated bottle of Artificial Tears and three additional boxes of Artificial Tears that lacked resident-specific labels. In the 3rd Floor Medication Room, the refrigerator had a heavy accumulation of ice buildup in the freezer that extended into the refrigerator compartment where resident medications were stored, and the ice was actively melting and dripping water into the refrigerator. Staff E acknowledged the condition, and the DNS later confirmed that medications in CMT carts must be labeled with resident-specific identifiers and that discontinued medications should be removed from carts.
Infection Control and EBP Failures During Medication Administration and Wound Care
Penalty
Summary
The facility failed to maintain appropriate infection control practices during blood glucose monitoring and insulin administration for two residents. During observation, an LPN entered a resident’s room that had Droplet Precautions signage posted for a respiratory infection, performed a fingerstick, then exited the room into the hallway while still wearing the contaminated isolation gown and surgical mask. The LPN went to the medication cart, obtained the resident’s insulin, and then re-entered the room. In interview, the LPN acknowledged the resident was on Droplet Precautions and admitted she should have removed the contaminated gown and mask before leaving the room. The facility also failed to disinfect a glucometer according to the manufacturer’s instructions during a fingerstick blood glucose test on another resident. An RN used a bleach wipe to clean the glucometer but did not allow the disinfectant to remain wet on the device for the required 3-minute contact time. Instead, the RN wiped the disinfectant off with a dry paper towel immediately after application, and the glucometer displayed an error code after a test strip was inserted. The RN repeated the process two additional times. In interview, the RN acknowledged that the device should have remained wet for the full dwell time to achieve proper disinfection. The facility further failed to implement Enhanced Barrier Precautions for a resident with a left foot/heel skin tear that required a multi-step wound treatment regimen. The resident had diabetes and a wound that had remained unchanged since April 2026, with scant serosanguineous drainage and a wound clinic referral due to lack of progression. Survey observations showed no isolation signage and no PPE cart at the resident’s doorway, and nursing staff confirmed that EBP was not being used. Staff stated the wound was considered a skin tear and not chronic, while the DNS acknowledged that EBP had not been initiated and was unable to define what constitutes a chronic wound.
Failure to Notify LTC Ombudsman of Resident Discharges
Penalty
Summary
The facility failed to send a copy of the written discharge notices to a representative of the State Office of the Long-Term Care Ombudsman at the same time the notices were issued to residents and their representatives. Record review showed that the facility’s discharges from March 1 through May 31, 2026 did not include evidence that the Ombudsman was notified for residents who were discharged to another facility or other location in the community when return to the original facility was not expected, or for a resident who left the facility against medical advice. During interview, Social Services Staff A stated that the facility does not provide notification to a representative of the State LTC Ombudsman when a resident is discharged and only notifies the Ombudsman for residents transferred to the hospital. The DON stated that the facility only issues notifications to the State LTC Ombudsman when a resident is transferred to the hospital or when a resident is discharged following a formal 30-day notice, and that the facility does not notify the State LTC Ombudsman of any other type of discharges.
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 621 citations issued within 25 miles in the last 12 months — including the 25 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 Johnston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cherry Hill Manor | 2.2 mi | ★★★★★ | 7 | 0 |
| Morgan Health Center | 2.3 mi | ★★★★★ | 3 | 1 |
| Cedar Crest Nursing Centre Inc | 3.2 mi | ★★★★★ | 1 | 0 |
| Lincolnwood Rehabilitation And Healthcare Center | 4.2 mi | ★★★★★ | 10 | 0 |
| Golden Crest Nursing Centre | 4.4 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Briarcliffe Manor.
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 August 2026) and official state health department websites.