Briarcliff Health & Rehabilitation Center
5024 Western Avenue, South Bend, IN 46619 · St. Joseph County · 131 certified beds · avg 93 residents/day · certified since May 7, 2015
Part of chain: STERLING HEALTHCARE (5 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 8, 2025 · F-0740
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 12, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 12, 2024 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 4, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 29, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 28, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 8, 2025 | ▲ G · Actual harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Aug 8, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 12, 2024 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Aug 12, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 12, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 12, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 12, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 12, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Aug 12, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 12, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Nov 29, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 1, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 14, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 14, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 14, 2023 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jul 14, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 14, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 1 | G ▲ |
| 2024 | 8 | 1 | G ▲ |
| 2025 | 3 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,839.
| Date | Type | Amount / length |
|---|---|---|
| Aug 12, 2024 | Fine | $10,839 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.41 | 3.42 | 3.95 | top 8% in Indiana; top 26% in the U.S. |
| Registered Nurse hours | 0.40 | 0.62 | 0.69 | bottom 19% in Indiana; bottom 22% in the U.S. |
| Weekend total nurse staffing | 3.76 | 3.01 | 3.50 | top 10% in Indiana; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.47 | 0.48 | bottom 4% in Indiana; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 48.6 | 45.9 | 45.8 | bottom 41% in Indiana; bottom 40% in the U.S. |
| RN turnover (%) | 61.5 | 40.4 | 42.9 | bottom 16% in Indiana; bottom 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.26, RN 0.39, weekend 3.63. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bennett, Adam | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Briarcliff Health Care - South Bend LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Chrisman, Kimberly | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2024 |
| Gill, Christopher | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2024 |
| Hutton, Charles | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Kauffman, Clinton | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Leman, Valerie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Malott, Gregg | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| McKay, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Mokfi, Shaya | Individual | Contracted Managing Employee | NOT APPLICABLE | 01/01/2024 |
| Pulaski Memorial Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Smith, Jennifer | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| White, Taylor | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What mental health services do you provide on-site, and who delivers them?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| West Bend Nursing and Rehabilitation | 2.2 mi | South Bend, IN | ★★★★★ | 4/5 | |
| Milton Home, the | 5.5 mi | South Bend, IN | ★★★★★ | 4/5 | |
| Wellbrooke of South Bend | 6.0 mi | South Bend, IN | ★★★★☆ | 3/5 | |
| Healthwin Health & Rehabilitation | 6.1 mi | South Bend, IN | ★★☆☆☆ | 2/5 | |
| Holy Cross Village at Notre Dame INC | 6.1 mi | Notre Dame, IN | ★★★☆☆ | 3/5 | |
| Cardinal Nursing and Rehabilitation Center | 6.2 mi | South Bend, IN | ★★★★★ | 5/5 | |
| Trailpoint Village | 7.3 mi | South Bend, IN | ★★☆☆☆ | 2/5 | abuse |
| Southfield Village | 7.6 mi | South Bend, IN | ★★★☆☆ | 2/5 | |
| Hamilton Grove | 7.8 mi | New Carlisle, IN | ★★★★☆ | 3/5 | |
| Majestic Care of South Bend | 8.1 mi | South Bend, IN | ★☆☆☆☆ | 1/5 | |
| Miller's Merry Manor | 8.1 mi | New Carlisle, IN | ★★★★☆ | 4/5 | |
| Holy Cross Rehabilitation and Wellness | 8.2 mi | South Bend, IN | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155831.