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🔎 Briarwood Rehabilitation And Healthcare Center

Inspection Results


Inspection Overview

Briarwood Rehabilitation And Healthcare Center has been cited for a total of 58 deficiencies since we began saving each survey.

In Massachusetts, the average facility has **46.34 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: G

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2025-02-18
Correction Date: 2025-02-17
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey Date: 2024-07-26
Correction Date: 2024-08-07
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-07-26
Correction Date: 2024-08-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey Date: 2024-07-26
Correction Date: 2024-08-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2024-07-26
Correction Date: 2024-08-07
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2024-07-26
Correction Date: 2024-08-07
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Respond appropriately to all alleged violations.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide care or services that was trauma informed and/or culturally competent.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that residents are free from significant medication errors.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: F

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Provide and implement an infection prevention and control program.

Survey Date: 2023-05-12
Correction Date: 2023-06-12
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2021-04-28
Correction Date: 2021-05-24
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Give the resident's representative the ability to exercise the resident's rights.

Survey Date: 2021-04-28
Correction Date: 2021-05-24
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey Date: 2021-04-28
Correction Date: 2021-05-24
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey Date: 2021-04-28
Correction Date: 2021-05-24
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey Date: 2021-04-28
Correction Date: 2021-05-24
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2021-04-28
Correction Date: 2021-05-24
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey Date: 2019-04-02
Correction Date: 2019-06-21
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Keep residents' personal and medical records private and confidential.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: B

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: B

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2019-04-02
Correction Date: 2019-06-21
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: G

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Assist a resident in gaining access to vision and hearing services.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate foot care.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: G

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey Date: 2019-04-02
Correction Date: 2019-06-21
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey Date: 2019-04-02
Correction Date: 2019-06-21
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey Date: 2019-04-02
Correction Date: 2019-05-07
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2019-04-02
Correction Date: 2019-06-21
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Keep each resident free from physical restraints, unless needed for medical treatment.

Survey Date: 2017-11-01
Correction Date: 2017-11-16
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives an accurate assessment by a qualified health professional.

Survey Date: 2017-11-01
Correction Date: 2017-12-14
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2017-11-01
Correction Date: 2017-11-01
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2017-11-01
Correction Date: 2017-11-30
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide care by qualified persons according to each resident's written plan of care.

Survey Date: 2017-11-01
Correction Date: 2017-11-17
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

Survey Date: 2017-11-01
Correction Date: 2017-11-08
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

Survey Date: 2017-11-01
Correction Date: 2017-11-08
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Survey Date: 2017-11-01
Correction Date: 2017-12-08
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Survey Date: 2017-11-01
Correction Date: 2017-11-20
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide a tasty and well-balanced diet that meets the nutritional needs of each resident.

Survey Date: 2017-11-01
Correction Date: 2017-12-22
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Survey Date: 2017-11-01
Correction Date: 2017-11-20
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Store, cook, and serve food in a safe and clean way.

Survey Date: 2017-11-01
Correction Date: 2017-11-03
Category: Nutrition and Dietary Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**