Inspection Reports for
Briarcliff Manor Center For Rehabilitation & Nursing

Complaint Survey with 2 health citations including abuse and neglect and reporting of alleged violations; one corrected by August 12, 2025.

The complaint was substantiated. Resident #1 reported being hit in the groin by Certified Nurse Aide #3 on 6/11/2025. The facility investigation, including witness statements and photo lineup identification, confirmed the abuse. Certified Nurse Aide #3 was suspended and subsequently terminated. The police were notified and involved in the investigation.

The facility failed to ensure a resident remained free from physical abuse. Resident #1 reported being hit in the groin by Certified Nurse Aide #3 on 6/11/2025, resulting in psychosocial harm. The facility investigation confirmed the abuse occurred, leading to the suspension and termination of the Certified Nurse Aide involved.

Complaint Survey with 12 health and 11 life safety citations covering multiple quality of care and life safety deficiencies, all corrected by May 7 or May 12, 2025.

The facility was found deficient in multiple areas including residents' rights to dignified care, accuracy of advance directives, environmental safety issues, timely reporting of injuries of unknown origin, provision of personal hygiene care, appropriate respiratory care, staffing shortages, and inadequate nurse aide training. Several residents were observed with unmet care needs and documentation deficiencies were noted.

The visit was complaint-related, investigating allegations that Resident #1 was moved multiple times without written notice or consent. Resident #1 denied receiving any written documentation or prior notification. The complaint was substantiated based on record review and interviews.

The facility failed to ensure that Resident #1 received written notice prior to multiple room changes, violating the resident's right to be informed. Interviews with the resident, social worker, and Director of Nursing confirmed that written notification was not provided and that residents were not given a choice regarding room moves.

Complaint Survey with one health citation for room/roommate change notification, corrected by March 10, 2025.

Complaint Survey with one health citation for free of accident hazards, corrected by June 14, 2024.

The facility failed to ensure a nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents. A certified nursing assistant transferred Resident #1 without the required assistance, resulting in the resident falling to the floor without injury.

Complaint Survey with 12 health and 4 life safety citations including criminal history checks, infection control, nutrition, nursing staff sufficiency, and electrical systems; all corrected by March 2024.

The facility was found deficient in multiple areas including failure to maintain resident dignity, inadequate notification of Medicare non-coverage, incomplete abuse investigations, environmental hazards, insufficient nursing staff, improper food storage and handling, incomplete medical record documentation, and lapses in infection prevention and control.

Covid-19 Survey with one health citation for reporting to national health safety network; widespread scope, not corrected at time of report.

Covid-19 Survey with one health citation for reporting to national health safety network; widespread scope, not corrected at time of report.

Complaint Survey with two health citations including pharmacy services and significant medication errors (Level 4, immediate jeopardy), corrected by November 13, 2023.

The facility failed to provide pharmaceutical services ensuring accurate medication administration for Resident #1 and Resident #2, resulting in multiple missed doses of prescribed anti-seizure medications. Resident #1 suffered a seizure and was hospitalized due to omitted doses of Vimpat. Documentation and communication failures were noted, including lack of notification to medical providers and inadequate medication stock management.

Complaint Survey with two health citations for accident hazards and quality of care, corrected by July 26, 2023.

The facility failed to ensure proper documentation of supplement intake and daily weights for a resident at risk of malnutrition, and did not provide adequate supervision to prevent a resident's fall resulting in injury. Interviews revealed staff confusion and inconsistent implementation of care plans and supervision protocols.

Complaint Survey with two health citations for comprehensive care plan and accident hazards, corrected by February 24, 2023.

The facility was found deficient in multiple areas including failure to provide dignified dining experiences, inadequate call bell accessibility for residents, incomplete and improperly followed care plans for pressure ulcers and medications, poor oral hygiene care, failure to offload pressure ulcers as ordered, and lapses in infection prevention and control practices such as improper catheter bag placement, laundry handling, and hand hygiene.