Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Community Living Center during CMS and state inspections, most recent first.
Surveyors identified multiple unsanitary conditions in food storage and preparation areas, including dust on vents and overhead pipes, dried substances on food container lids, rust-like and black build-up on equipment, and stains in storage areas. The CDM confirmed these issues should not be present, and all residents were receiving food from the affected kitchen.
Two residents with cognitive impairment were involved in an incident where an LPN allegedly yelled and cursed at them. The event was not reported to the DON, Administrator, or state agency within the required timeframe, resulting in a five-day delay. The delay was partly due to the reporting RN's lack of experience in LTC settings.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
Surveyors found that shared bathrooms used by several residents with varying cognitive and physical impairments contained multiple unlabeled and uncontained personal care items, such as mouthwash, drinking glasses, wipes, wash basins, bedpans, and urinals. An LPN confirmed these items should have been labeled and properly stored, but instead were left on surfaces and floors, compromising the cleanliness and organization of the environment.
The facility failed to maintain sanitary conditions in food storage and kitchen maintenance, with expired, unlabeled, and uncovered food items found during inspections. The kitchen equipment had significant carbon build-up, and the Dietary Manager confirmed these issues violated the facility's food safety policies.
Three nurses in an LTC facility failed to follow infection control protocols by not cleaning reusable medical equipment after use. An RN did not disinfect a blood pressure machine and pulse oximeter, nor change gloves or clean the area before applying a new trans-dermal patch. An LPN did not disinfect a FlexPen after insulin administration, and another LPN failed to clean an eye medication bottle after use. The DON confirmed the need for proper cleaning procedures.
The facility failed to accurately assess residents for smoking, medication review, and falls. A resident with a smoking history had outdated assessments, while another's high-risk medications were not documented. A third resident's smoking status was incorrectly recorded, and a fall with major injury was not noted in the MDS for another resident. An LPN confirmed these documentation errors.
A resident with severe cognitive impairment was prescribed Seroquel, with an order to increase the dosage from 75 mg to 100 mg daily and discontinue the 75 mg dose. However, the facility continued administering both doses concurrently due to a failure to transcribe the stop order, as confirmed by staff interviews.
A facility failed to have an order to monitor a dialysis shunt site every shift for a resident with ESRD. Despite the care plan requiring observation and documentation of signs of infection at the dialysis access site, there was no documentation of such monitoring. Interviews with an LPN and the DON confirmed the absence of an order and documentation, although the LPN acknowledged the need for it.
Unsanitary Food Storage and Preparation Conditions Identified
Penalty
Summary
The facility failed to maintain sanitary conditions in the storage, handling, preparation, and serving of food, as evidenced by multiple observations of uncleanliness and contamination in the kitchen and related areas. Surveyors found large quantities of gray dust on overhead pipes, chains supporting the vent hood, and air conditioner/return vents. Plastic containers holding dry food items had dried substances and loose particles on top of the lids. Stainless steel tables, metal storage racks, and the steam table were observed with a brown substance resembling rust on their legs, and the steam table also had a black substance build-up at the base of its legs. Additionally, a running streak of dried brown substance was found on the outside of the vent hood, and discolored paper was stuck underneath the rim of the vent hood. Further inspection revealed a large, round, brown dried stain on the shelf paper in the cabinet where plastic drinking glasses were stored. In the employee break room, the milk cooler contained a white flakey dried substance and a brown dried substance on the lower shelf, which was confirmed by the Certified Dietary Manager (CDM) to likely be dried milk from containers on the upper shelf. The CDM acknowledged that these conditions, including dust on vents, rust on equipment, and stains in storage areas, should not be present. At the time of the survey, the facility census was 33, with all residents receiving trays from the kitchen.
Failure to Timely Report Alleged Verbal Abuse
Penalty
Summary
The facility failed to report an allegation of verbal abuse involving two residents within the required timeframe, as outlined in its own policy and regulatory requirements. The incident involved an LPN allegedly yelling and cursing at two residents who were arguing with each other. The event occurred on 12/28/2024, but the DON was not notified until 12/31/2024, and the Administrator and state agency were not informed until 1/2/2025, resulting in a five-day delay from the time of the alleged incident to the time of reporting. According to facility policy, all reports of abuse, neglect, mistreatment, or misappropriation of property must be reported to the administrator within 24 hours, and the DON confirmed that allegations must be reported to the proper agency within 2 hours, or within 24 hours if no bodily harm occurred. Resident #1 had severe cognitive impairment with a BIMS score of 5 and diagnoses including hypertension, dementia, and anxiety disorder. Resident #13 had moderate cognitive impairment with a BIMS score of 9 and diagnoses including Alzheimer's disease, delusional disorder, and hypertension. The delay in reporting was attributed in part to the RN who witnessed the event, as she was new to the LTC setting and may not have been aware of the immediate reporting requirements. The LPN involved continued to work the remainder of the shift after the alleged incident.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report does not specify particular actions, inactions, or events, nor does it mention any specific residents or staff involved in the deficiency.
Failure to Maintain Safe and Sanitary Shared Resident Bathrooms
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, sanitary, and comfortable environment in shared resident bathrooms. In two separate shared bathrooms, multiple personal care items such as mouthwash, drinking glasses, Wet One wipes, wash basins, bedpans, and urinals were found unlabeled, uncontained, and improperly stored. Items were left on surfaces like paper towel dispensers, vanities, and floors, and a toilet plunger was found uncovered and uncontained next to a toilet. These observations were confirmed by an LPN, who acknowledged that personal items should be labeled and stored in residents' drawers, and that certain items, such as drinking glasses, should not be kept in bathrooms. The residents involved had varying degrees of cognitive and physical impairment, including severe cognitive impairment, dependence on staff for activities of daily living (ADLs), and diagnoses such as dementia, chronic obstructive pulmonary disease, congestive heart failure, metabolic encephalopathy, diabetes, and hemiplegia. The improper storage and lack of labeling of personal care items were directly observed in bathrooms shared by these residents, and staff confirmed that these practices did not meet facility expectations for safe and sanitary storage.
Sanitation Deficiencies in Food Storage and Kitchen Maintenance
Penalty
Summary
The facility failed to maintain sanitary conditions in food storage, preparation, and service, as evidenced by multiple observations of expired, unlabeled, undated, and uncovered food items. During a series of inspections, surveyors found expired cheese noodles, undated pork loin, and hash browns in the freezer, as well as unlabeled and undated cooked meat, lunch meat, and meat patties in the refrigerator. Additionally, there were uncovered food items such as pudding, gravy, butter, and peanut butter on a metal shelf. The Dietary Manager confirmed that all items should be labeled and dated to ensure proper food safety practices. Furthermore, the facility's kitchen equipment was not maintained in a clean condition, with significant carbon build-up observed on the stove's six eyes and an unknown black substance in the ovens. The Dietary Manager acknowledged the presence of carbon build-up and confirmed that the ovens required cleaning. The facility's policy on food storage and preparation was not adhered to, as evidenced by the presence of expired and improperly stored food items, which the Dietary Manager confirmed should have been discarded.
Infection Control Deficiencies in Equipment Handling
Penalty
Summary
The facility failed to maintain infection prevention and control practices, as evidenced by the actions of three nurses who did not adhere to proper cleaning protocols for reusable medical equipment. RN A did not clean or disinfect a blood pressure wrist machine and pulse oximeter after using them on a resident with multiple diagnoses, including Atrial Fibrillation and Diabetes. Additionally, RN A did not change gloves or clean the area before applying a new trans-dermal patch on the same resident. LPN E also failed to disinfect a FlexPen after administering insulin to a resident with Diabetes and Chronic Kidney Disease. Furthermore, LPN B did not clean or disinfect an eye medication bottle after administering eye drops to a resident with Schizoaffective Disorder and Parkinson's Disease. The LPN placed the bottle on a tissue barrier on the overbed table but did not clean the table or the medication cart before or after use. During an interview, the Director of Nursing confirmed that reusable equipment should be cleaned before and after use, and that proper procedures for applying trans-dermal patches and handling medication bottles should be followed.
Inaccurate Resident Assessments in LTC Facility
Penalty
Summary
The facility failed to accurately assess residents in several areas, including smoking, medication review, and falls, for four residents. Resident #28, who has a history of smoking, had not received a smoking assessment since 2021, despite the requirement for quarterly evaluations. The LPN MDS Coordinator confirmed the assessments were incomplete. Resident #31 was taking high-risk medications, including an anti-depressant, diuretic, anticoagulant, and opioid, but these were not documented in the MDS, which was confirmed as a clerical error by the LPN MDS Coordinator. Resident #34 was inaccurately assessed for smoking, with conflicting information in the MDS and care plan regarding their smoking status. The LPN MDS Coordinator confirmed the error in the smoking assessment. Resident #38 experienced a fall resulting in a hip fracture and subsequent surgery, but this incident was not recorded as a fall with major injury in the MDS. The LPN MDS Coordinator acknowledged the omission in the documentation.
Failure to Discontinue Antipsychotic Medication as Ordered
Penalty
Summary
The facility failed to adhere to Physician's Orders regarding the administration of antipsychotic medications for a resident diagnosed with Dementia, Chronic Obstructive Pulmonary Disease, Psychosis, and Polyneuropathy. The resident, who was severely cognitively impaired, was prescribed Seroquel, an antipsychotic medication. Initially, the resident was to receive 75 mg of Seroquel daily. However, a new order was issued to increase the dosage to 100 mg daily and discontinue the 75 mg dosage. Despite this change, the facility continued to administer both the 75 mg and 100 mg doses concurrently from June 25, 2024, to June 30, 2024. Interviews with facility staff revealed that the error occurred because the nurse failed to transcribe the stop order for the 75 mg dosage. The Registered Nurse confirmed that the resident should not have been on both doses simultaneously, acknowledging the oversight. The Quality Assurance nurse also confirmed the failure to transcribe the stop order, which led to the continued administration of both dosages, contrary to the updated Physician's Orders.
Failure to Monitor Dialysis Shunt Site
Penalty
Summary
The facility failed to have an order to monitor the dialysis shunt site every shift for a resident who required dialysis services. The facility's policy on the care of residents with End-Stage Renal Disease (ESRD) mandates that the general medical nurse document the location of the catheter, the condition of the dressing, and any observations post-dialysis every shift. However, the medical record review revealed that there was no documentation of an order for monitoring the dialysis site each shift for the thrill, bruit, and signs of infection for the resident in question. The resident, who was admitted with diagnoses including ESRD, heart failure, and diabetes, was cognitively intact and receiving dialysis as a special treatment. Despite the care plan indicating the need to observe and document any signs of infection at the dialysis access site, the facility was unable to provide documentation of such monitoring. Interviews with an LPN and the Director of Nursing confirmed that there was no order for monitoring the dialysis site, and the LPN admitted to not charting the observations, although they acknowledged it should be documented.
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 22 citations issued within 25 miles in the last 12 months — including the 1 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 Lexington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lexington Post Acute | 1.6 mi | ★★★★★ | 4 | 0 |
| Decatur County Healthcare | 15.6 mi | ★★★★★ | 2 | 0 |
| Westwood Nursing And Rehabilitation | 16 mi | ★★★★★ | 0 | 0 |
| Henderson Health And Rehabilitation Center | 21.5 mi | ★★★★★ | 6 | 0 |
| Laurelwood Health Care Center | 21.8 mi | ★★★★★ | 5 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.