Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Briar Hill Rest Home during CMS and state inspections, most recent first.
A resident with a recent lower leg fracture, assessed as needing a two-person assist for transfers, was injured during a transfer when staff failed to follow the facility's two-person lift protocol. One CNA operated the full body lift while the other was not actively assisting, resulting in the resident sliding from the sling, striking her head, and sustaining a subarachnoid hemorrhage.
The facility failed to maintain sanitary food storage practices, with observations revealing overly ripe produce, outdated milk, and unlabeled food items in the kitchen. The Certified Dietary Manager acknowledged responsibility for checking outdated foods and ensuring proper labeling, while the Administrator expected daily monitoring of food items.
A CNA at an LTC facility recorded and posted a video on social media without a resident's consent, showing an unsafe transfer and making demeaning gestures. The resident, with dementia and cognitive deficits, was unable to consent. The CNA initially denied involvement, but evidence confirmed her identity. The resident's family stated she would not have consented to the video.
A CNA in an LTC facility failed to follow the care plan requiring a two-person transfer for a resident with cognitive deficits and dementia, as shown in a social media video. The facility's policy on safe lifting was not adhered to, leading to the CNA's termination after the incident was reported to the administrator.
The facility did not post direct care daily staffing numbers in an accessible location for residents and visitors on two days during a survey. Despite awareness of the policy by the DON and an LPN, a communication breakdown led to this oversight. The Administrator confirmed the importance of posting staffing information but was unsure why it was not done.
The facility failed to maintain a medication error rate below five percent, resulting in an 11.54% error rate. Two residents were affected due to the unavailability of prescribed medications, which were not reordered in a timely manner. An LPN admitted to forgetting to order one medication stat, and the facility's policy of reordering medications when the supply reached a five-day threshold was not followed.
A facility failed to serve consistent portion sizes as per the menu guidelines, particularly for meatloaf during lunch. A resident, who was cognitively intact and required large portions, reported inconsistent meal sizes. Dietary staff admitted to slicing meatloaf freehand without using available scales, leading to varying portion sizes. The CDM was unaware of the issue, and the Administrator expected adherence to menu portion sizes.
The facility failed to follow care plans for three residents, leading to unsafe transfers and missed medication doses. A resident requiring a two-person assist was transferred by one CNA, while two other residents did not receive prescribed medications due to stock issues. The ADON and DON confirmed the importance of following care plans and medication orders.
Failure to Follow Two-Person Lift Protocol Results in Resident Injury
Penalty
Summary
The facility failed to protect a resident from neglect during a transfer using a full body lift, resulting in injury. According to facility policy, two staff members are required to operate the total lift, with both present and actively assisting throughout the transfer process. On the day of the incident, one CNA attached the resident to the lift before the second CNA entered the room, contrary to the policy and training that require both staff to be present from the beginning. During the transfer, one CNA turned away to retrieve a geri-chair, leaving the other CNA to operate the lift alone. While the resident was being moved, a loud noise was heard, and the resident began to slide out of the sling, ultimately striking her head and sustaining a bleeding injury. Interviews with staff revealed inconsistent understanding and execution of the two-person assist protocol. The CNAs involved gave differing accounts regarding when the second staff member was present and their roles during the transfer. The lift trainer and DON both confirmed that standard procedure requires both CNAs to be positioned at the lift, with one supporting the resident and the other operating the equipment, to ensure safety. However, during the incident, this protocol was not followed, as one CNA was not actively assisting at the lift when the resident slid out. The resident involved had a recent history of a left lower leg fracture and was assessed as requiring a two-person assist for transfers. Following the incident, the resident was found unresponsive with a head injury and was later diagnosed with a subarachnoid hemorrhage. The failure to follow established transfer protocols directly led to the resident's fall and subsequent injury.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food safety, as evidenced by improper storage and labeling of food items in the kitchen. During an observation, nine overly ripe tomatoes with white biological growth were found in Refrigerator #1. Additionally, an unopened bag of salad mix with a discolored liquid and no manufacturer's date was discovered. An opened block of cream cheese and several plastic storage bags containing sliced ham and bologna were found with handwritten dates, indicating when they were opened. In Refrigerator #3, four containers of chocolate milk were wrapped in plastic wrap with outdated manufacturer's dates. The freezer contained an opened bag of shrimp with exposed contents. Interviews with the Certified Dietary Manager (CDM) and the Administrator revealed acknowledgment of the issues, including overly ripe produce, outdated milk, and unlabeled food items. The CDM admitted responsibility for checking outdated foods and ensuring proper labeling, stating that food should be checked daily and staff are in-serviced monthly on food safety. The Administrator was aware of the findings and expected the kitchen staff to monitor foods daily for expired items and inspect produce regularly.
Resident Exploitation via Social Media Video
Penalty
Summary
The facility failed to protect a resident from exploitation, as evidenced by an incident involving a Certified Nurse Aide (CNA) who recorded and posted a video on social media without the resident's consent. The resident, who had diagnoses of unspecified dementia and cognitive communication deficits, was unable to participate in an interview due to a Brief Interview for Mental Status (BIMS) score of 99. The video showed the CNA forcefully transferring the resident from her bed to a geriatric chair, exposing parts of the resident's body, and making demeaning gestures and comments about the resident's condition. The incident was reported by two CNAs to the facility's Administrator, who then conducted an investigation. The video, which was live-streamed on social media, depicted the CNA dancing and interacting with viewers while the resident was visible in the background. The CNA's actions were praised by viewers, and she responded by clapping and smiling, indicating enjoyment of the attention. The video ended abruptly when the CNA appeared to notice someone approaching the room. Interviews with the involved CNA revealed that she initially denied her involvement in the video, despite evidence from her driver's license photo confirming her identity. The resident's family expressed that the resident was private and would not have consented to such a video. The facility's policies on resident rights and abuse, neglect, and exploitation were reviewed, highlighting the failure to uphold these standards in this incident.
Failure to Ensure Two-Person Transfer for Resident
Penalty
Summary
The facility failed to ensure a two-person transfer for a resident who required extensive assistance, as evidenced by video footage showing a CNA transferring the resident from the bed to a geriatric chair by herself. The facility's policy, which emphasizes the importance of safe lifting and transporting practices to prevent injuries, was not followed. The incident was brought to the attention of the facility's administrator by another CNA who saw the video on social media. The administrator confirmed the incident and subsequently terminated the employment of the CNA involved. The resident involved in the incident was identified as requiring a two-person assist for transfers, as documented in the care plan and confirmed by the MDS nurse and another CNA. The resident's medical history includes a cognitive communication deficit and unspecified dementia, and the resident was unable to participate in interviews due to a BIMS score of 99. The facility's system allows CNAs to access care plans via kiosks, indicating that the CNA should have been aware of the resident's transfer requirements.
Failure to Post Daily Staffing Information
Penalty
Summary
The facility failed to comply with its policy of posting direct care daily staffing numbers in a location accessible to residents and visitors. This deficiency was observed during a survey conducted over three days. On the first two days of the survey, there were no staffing numbers posted in the facility, which was a violation of the facility's policy revised on February 3, 2023. The policy mandates that staffing information be made readily available in a readable format at the beginning of each shift. Interviews conducted with the Director of Nursing and a Licensed Practical Nurse revealed awareness of the requirement to post staffing information. However, there was a breakdown in communication, leading to the failure to post the information on the specified days. The Administrator also acknowledged the policy and its importance but was unsure why the information was not posted during the survey. The usual practice was to post the staffing data at the nursing station, but this was not adhered to on the days in question.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, as evidenced by three errors observed out of twenty-six medication administration opportunities, resulting in an error rate of 11.54%. This affected two residents during medication pass. The facility's policy on medication administration requires medications to be administered as prescribed, but this was not adhered to in the observed cases. For Resident #48, the error involved the unavailability of Bethanechol Chloride, which was not found in the medication cart or the Omnicell. The resident had an active order for this medication, which was not administered for two doses on one day and the morning dose the following day. The LPN responsible admitted to forgetting to order the medication stat, which should have been done to ensure timely administration. Resident #13 experienced a similar issue with the unavailability of Fluticasone Propionate nasal spray and Saline nasal spray. The resident missed doses due to these medications being out of stock. The LPN confirmed the unavailability and reported it to the administration. The facility's policy requires medications to be reordered when the supply reaches a five-day threshold, but this was not followed, leading to the medication errors observed.
Inconsistent Portion Sizes in Meal Service
Penalty
Summary
The facility failed to serve therapeutic portion sizes of food as planned per the facility's menu, specifically for the lunch meal tray line. This deficiency was identified through observation, interviews, and record reviews. The facility's policy on tray assembly, revised in June 2017, requires that prepared foods be portioned and assembled for individual meals with the use of specified serving utensils and portion scales. However, during an observation of the lunch meal, it was noted that the portion sizes for meatloaf were inconsistent. Dietary Staff #1 admitted to slicing the meatloaf freehand, resulting in varying sizes, and confirmed that no means to measure the portions was provided. The Certified Dietary Manager (CDM) was unaware of the uneven slicing and confirmed that a scale was available but not used during the serving of the meatloaf. Resident #40, who was cognitively intact with a BIMS score of 15, had complained about inconsistent portion sizes and had a physician order for a regular diet with large portions. The Administrator was made aware of the issue and expected the dietary staff to adhere to the portion sizes specified on the menu. The facility's failure to provide the necessary tools and oversight to ensure consistent portion sizes led to the deficiency in meeting the nutritional needs of the residents as per the facility's menu guidelines.
Failure to Follow Care Plans and Medication Administration
Penalty
Summary
The facility failed to implement and follow the care plans for three residents, leading to deficiencies in their care. For Resident #12, the care plan required an extensive two-person assist for transfers. However, a CNA was observed transferring the resident alone, which was deemed unsafe and contrary to the care plan. This intervention was crucial for the resident's safety and was documented in the care plan accessible to staff. Resident #13's care plan included medications for managing COPD and respiratory failure, but the necessary nasal sprays were out of stock, resulting in missed doses. Similarly, Resident #48's care plan required Bethanechol Chloride for hypertension, but the medication was unavailable for several doses. The ADON confirmed that medications should be reordered when supplies are low, and the DON emphasized the importance of administering medications as prescribed. These lapses indicate a failure to adhere to the care plans, impacting the residents' health management.
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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.
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Nursing homes near Florence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jnh-jaquith Inn | 5 mi | — | 7 | 0 |
| Jnh-jefferson Inn | 5 mi | — | 8 | 0 |
| Jnh-madison Inn | 5 mi | — | 2 | 0 |
| Methodist Sepcialty Care Center | 8.1 mi | — | 1 | 0 |
| Edgewood Health & Rehabilitation | 8.4 mi | — | 9 | 4 |
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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 August 2026) and official state health department websites.