Inspection Reports for Briarcliffe Gardens Memory Care Assisted Living
RI, 02919
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Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 10, 2025
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was based on complaint ACTS reference numbers 101828 and 101718. No deficiencies were found, indicating no substantiated issues.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 24, 2025
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the facility from 2025-04-23 through 2025-04-24.
Findings
No deficiencies were identified relative to the State Licensure survey during the inspection.
Complaint Details
The visit included a complaint/incident investigation survey; however, no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 17, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at the facility.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was unannounced and no deficiencies were found, indicating no substantiated issues.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 4, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
An unannounced complaint/incident investigation survey was conducted; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 9, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was complaint/incident related and no deficiencies were found.
Inspection Report
Annual Inspection
Deficiencies: 8
Jun 7, 2023
Visit Reason
A biennial State licensure survey was conducted at Briarcliffe Gardens LLC to assess compliance with state licensure requirements.
Findings
Multiple deficiencies were identified related to food service safety, medication administration, and resident care practices. The facility was found non-compliant with Rhode Island Food Code and medication storage and administration regulations, with corrective actions planned and ongoing.
Deficiencies (8)
| Description |
|---|
| Food employees observed without beard restraints, violating Rhode Island Food Code requirements. |
| High dust accumulation on juice dispensing system, grates on ice machine, and stove. |
| Macaroni salad held at improper temperatures during lunch meal observations. |
| Frozen ravioli and spinach not fully submerged under running water during thawing. |
| Chlorine sanitizer solution pH not properly obtained; improper sanitizing of baking pans. |
| Dishwashing machine chlorine solution pH not registered; high dust on juice dispenser and stove. |
| Medication storage not secure; narcotic reconciliation policy not properly followed; narcotic count discrepancies. |
| Resident not served pureed diet as ordered; staff unaware of diet order. |
Report Facts
Date of survey completion: Jun 7, 2023
Number of tablets of Morphine Sulfate: 22
Inspection Report
Complaint Investigation
Deficiencies: 0
May 3, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was unannounced and complaint/incident based; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 18, 2023
Visit Reason
A complaint survey was conducted at this facility.
Findings
No deficient practice was identified during the complaint survey.
Complaint Details
A complaint survey was conducted at this facility. No deficient practice was identified.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 8, 2022
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The visit was complaint-related and no deficiencies were found, indicating no substantiated issues.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 1, 2021
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the facility on 07/01/2021.
Findings
The facility was found deficient in medication services related to storage and administration. Several expired medications were identified and discarded, and medications lacked proper directions for administration. The Campus Director of Nursing was unable to provide evidence that medications were stored to prevent spoilage, dosage errors, and administration errors.
Complaint Details
The visit was complaint-related as it included a complaint/incident investigation survey. Specific complaint substantiation status is not stated.
Deficiencies (1)
| Description |
|---|
| Failure to ensure medications were stored securely and in a manner to prevent spoilage, dosage errors, administration errors, and/or inappropriate access for 5 of 7 sample residents. |
Report Facts
Expired medications: 4
Sample residents with medication storage deficiencies: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse | Present during surveyor observation of medication cart lacking directions. |
| Staff B | Registered Nurse | Present during surveyor observation of medication cart lacking directions. |
| Campus Director of Nursing | Unable to provide evidence that medications were stored properly to prevent errors. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 1, 2021
Visit Reason
An unannounced complaint/incident investigation survey and a biennial State licensure survey were conducted at this residence.
Findings
No deficiencies were identified relative to the complaint/incident investigation.
Complaint Details
The complaint/incident investigation was unannounced and no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 18, 2021
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
Unannounced complaint/incident investigation survey with no deficiencies identified.
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