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Briarcliff Skilled Nursing Facility in Carthage, TX

4054 Northwest Loop, Carthage, TX 75633
9036938504
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Overall CMS Rating

3.0/5

vs State Average: 2.8 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 2.1/5

5.0/5

Quality Measures

vs State Average: 3.8/5

2 penaltiesin last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
2Penalties in last 3 years
2Fines issued
CitationDateDescriptionSeverity
F689Nov 5, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
F641Jan 30, 2025Ensure each resident receives an accurate assessment.D
F689Jan 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
F695Jan 30, 2025Provide safe and appropriate respiratory care for a resident when needed.D
F604Jan 30, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D
Score
4.0
State Average
2.1
National Average
2.9
0.4RN Hours / Resident / Day
3.4Total Nurse Hours / Resident / Day
28.6%RN Turnover Rate
Score
5.0
State Average
3.8
National Average
3.6
5.0Long-Stay QM Rating
4.0Short-Stay QM Rating
67.7Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTLIBERTY COUNTY HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROLLIBERTY COUNTY HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROLPF CARTHAGE SNF OPS, LLC
CORPORATE DIRECTORGARDNER, SHANNON
CORPORATE DIRECTORGRIFFIN, WILLIAM
CORPORATE DIRECTORSTRATTON, CHARLES
CORPORATE OFFICERFREGIA, MILTON
CORPORATE OFFICERHENRY, PAUL
W-2 MANAGING EMPLOYEEFLANIGAN, RUSSELL
Recent Penalties
DateTypeFine
Nov 5, 2025Fine$24,205
Jan 30, 2025Fine$135,980

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