01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-21 | 1 | 2025-05-21 | 0 |
| Cycle 2 | 2024-04-10 | 3 | 2024-04-10 | 4 |
| Cycle 3 | 2023-03-08 | 10 | 2023-03-08 | 3 |
CMS CCN 6751422026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Briarcliff Health Center
3403 S Vine Ave · Tyler, TX 75701 · Smith County
Certified beds230CMS provider file
Recent citation rows21current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
21 rows in the current release
5 rows carry G–L scope/severity codes; 3 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-06-132024-08-13 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-05-30 · HEALTHF0849Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2024-06-28 · complaint2024-04-10 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2024-05-202024-04-10 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-05-202024-04-10 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-10 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-10 · FIREK0221Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide rooms that can be unlocked from inside without a key.
Correction field: Deficient, Provider has date of correction · 2024-05-202024-04-10 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-05-202024-04-05 · HEALTHF0550Severity G · isolated actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-04-06 · complaint2024-04-05 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-03-21 · complaint2024-04-05 · HEALTHF0620Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Correction field: Deficient, Provider has date of correction · 2024-04-06 · complaint2024-04-05 · HEALTHF0624Severity G · isolated actual harm
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-04-06 · complaint2024-02-06 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-02-07 · complaint2024-02-06 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2024-02-07 · complaint2024-02-06 · HEALTHF0836Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-02-07 · complaint2023-03-08 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-08 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-08 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-05-152023-03-08 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-05-152023-03-08 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2023-05-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-04-05 | Fine | $16,801 | 0 |
| 2024-02-06 | Fine | $34,233 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SOUTH LIMESTONE HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/01/2019
- GRAY, ARNOLDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- HEWITT, HERBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- MILSTEAD, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- O'NEAL, GLENDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- PRICE, LARRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- SEELINGER, CHETIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- SINCLAIR, LAURENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- STANTON, MARTHAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- WILLIAMS, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2019
- SBS LEASECO BRIARCLIFF LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2019
- BATES, JOSHUAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2019
- SHELTON, CHANAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2019
- SIMS, DEBRAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.67per resident day
RN hours0.47per resident day
Weekend nurse hours3.26per resident day
Staff turnover41.0%CMS reported field
06 / LOCAL RECORDS
Open the Tyler ledger →Other published facilities nearby
Avir At Azalea Heights120 beds · CMS overall 2/525 citation rowsAvir At Petal Hill120 beds · CMS overall 2/539 citation rowsAvir At Rose Trail172 beds · CMS overall 1/566 citation rowsGreenbrier Nursing & Rehabilitation Center Of Tyle120 beds · CMS overall 2/537 citation rowsMeadow Lake Health Center20 beds · CMS overall 5/54 citation rowsPark Place Nursing & Rehabilitation Center120 beds · CMS overall 1/538 citation rowsProvidence Park Rehabilitation And Skilled Nursing125 beds · CMS overall 2/525 citation rowsReunion Plaza Healthcare & Rehabilitation99 beds · CMS overall 4/519 citation rows