Briarcliff Health & Rehabilitation Center
5024 Western Avenue · South Bend, IN · 46619 · 5743184600
131 certified beds Non profit - Other Chain: Sterling Healthcare
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 3.93 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $10,839 |
Inspection citations (20 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 24, 2026 · Quality of Life and Care
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Actual harm · G August 8, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 8, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F August 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 12, 2025 · Nutrition and Dietary
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Actual harm · G August 12, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 4, 2024 · Quality of Life and Care
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Potential for harm · D August 12, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 4, 2024 · Quality of Life and Care
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Potential for harm · D August 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 4, 2024 · Pharmacy Service
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Potential for harm · D August 12, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 4, 2024 · Pharmacy Service
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Potential for harm · D August 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 4, 2024 · Nutrition and Dietary
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Potential for harm · E August 12, 2024
Provide and implement an infection prevention and control program.
Corrected September 4, 2024 · Infection Control
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Potential for harm · D August 12, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 4, 2024 · Environmental
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Actual harm · G November 29, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 1, 2023 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 29, 2023 · Resident Rights
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Potential for harm · D July 14, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 19, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 14, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 19, 2023 · Quality of Life and Care
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Potential for harm · D July 14, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected August 19, 2023 · Quality of Life and Care
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Potential for harm · D July 14, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 19, 2023 · Quality of Life and Care
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Potential for harm · D July 14, 2023
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.
Corrected August 19, 2023 · Pharmacy Service
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Potential for harm · E July 14, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 19, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 12, 2024 | Fine | $10,839 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155831 · certified since May 7, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.