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Briarcliff Skilled Nursing Facility

4054 Northwest Loop, Carthage, TX 75633
9036938504
Website not available
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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 penalties in 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
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Nov 5, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K
Jan 30, 2025 Ensure each resident receives an accurate assessment. D
Jan 30, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J
Jan 30, 2025 Provide safe and appropriate respiratory care for a resident when needed. D
Jan 30, 2025 Ensure 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
0.4 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
28.6% RN Turnover Rate
Score
5.0
State Average
3.8
National Average
3.6
5.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
67.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL PF CARTHAGE SNF OPS, LLC
CORPORATE DIRECTOR GARDNER, SHANNON
CORPORATE DIRECTOR GRIFFIN, WILLIAM
CORPORATE DIRECTOR STRATTON, CHARLES
CORPORATE OFFICER FREGIA, MILTON
CORPORATE OFFICER HENRY, PAUL
W-2 MANAGING EMPLOYEE FLANIGAN, RUSSELL
Recent Penalties
Date Type Fine
Nov 5, 2025 Fine $24,205
Jan 30, 2025 Fine $135,980

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