Briarcliff Health Center of Greenville

Name: Briarcliff Health Center of Greenville
Address: 4400 WALNUT ST, Greenville, TX, 75401, US
Telephone: 9034558729

4400 Walnut St, Greenville, TX 75401 · Hunt County · 120 certified beds · avg 84 residents/day · certified since Mar 10, 1997

2/5

Health inspection rating (on-site)

Serious findings on record

$40,076

Fines, last 3 years

3.18

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

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)

▲ Immediate jeopardy, one-off · Mar 27, 2026 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Mar 28, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, repeated · Sep 21, 2023 · F-0690 · triggered by a complaint

The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Sep 22, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, repeated · Sep 21, 2023 · F-0880

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.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Sep 22, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (38)

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
Apr 6, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Apr 6, 2026	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. · from a complaint
Apr 6, 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
Mar 27, 2026	▲ J · Immediate jeopardy, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Feb 11, 2026	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.
Feb 11, 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.
Feb 11, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 11, 2026	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.
Feb 11, 2026	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.
Feb 11, 2026	D · Potential for harm, one-off	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.
Nov 21, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 21, 2025	D · Potential for harm, one-off	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. · from a complaint
Jul 28, 2025	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Nov 20, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 20, 2024	E · Potential for harm, repeated	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.
Nov 20, 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.
Nov 20, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 20, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Nov 20, 2024	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.
Nov 20, 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.
Nov 20, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 20, 2024	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.
Nov 20, 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.
Apr 23, 2024	D · Potential for harm, one-off	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. · from a complaint
Sep 21, 2023	▲ K · Immediate jeopardy, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Sep 21, 2023	▲ K · Immediate jeopardy, 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.
Sep 21, 2023	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. · from a complaint
Sep 21, 2023	E · Potential for harm, repeated	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint
Sep 21, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Sep 21, 2023	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint
Sep 21, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Sep 21, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Sep 21, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Sep 21, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Sep 21, 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. · from a complaint
Sep 21, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Sep 21, 2023	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. · from a complaint
Sep 21, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	14	2	K ▲
2024	11	0	E
2025	3	0	D
2026	10	1	J ▲

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)

2 fines totaling $40,076.

Date	Type	Amount / length
Mar 27, 2026	Fine	$14,901
Sep 21, 2023	Fine	$25,175

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.18	3.46	3.95	bottom 37% in Texas; bottom 21% in the U.S.
Registered Nurse hours	0.29	0.44	0.69	bottom 27% in Texas; bottom 9% in the U.S.
Weekend total nurse staffing	2.81	3.04	3.50	bottom 40% in Texas; bottom 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.34	0.48	top 32% in Texas; bottom 45% in the U.S.
Total nursing staff turnover (%)	22.2	55.3	45.8	top 1% in Texas; top 4% in the U.S.
RN turnover (%)	57.1	54.6	42.9	bottom 46% in Texas; bottom 26% 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 3.39, RN 0.31, weekend 2.99. Staffing rating: 2/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Stephens Memorial Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2023
Bauder Family Investments, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023
Bauder Family Investments, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Bauder, Kelly	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023
Bauder, Kelly	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Bauder, Madison	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023
Bauder, Madison	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Bauder, Parker	Individual	5% or Greater Security Interest	NOT APPLICABLE	12/01/2023
Bauder, Parker	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Bauder, William	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Bauder, William	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Boulware St James LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023
Boulware St James LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Boulware, Douglas	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023
Boulware, Douglas	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Boulware, Sandra	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023
Boulware, Sandra	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Boulware, Steven	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023
Boulware, Steven	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Boulware, Thomas	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023

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 systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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
Greenville Health & Rehabilitation Center	0.4 mi	Greenville, TX	★☆☆☆☆	1/5	abuseSFF
Greenville Gardens	0.4 mi	Greenville, TX	★★★☆☆	3/5
Legend Healthcare and Rehabilitation - Greenville	2.1 mi	Greenville, TX	★★★★☆	4/5
Royse City Medical Lodge	11.2 mi	Royse City, TX	★★★☆☆	4/5
Farmersville Health and Rehabilitation	13.9 mi	Farmersville, TX	★★★★☆	4/5
Avir at Commerce	14.7 mi	Commerce, TX	★★☆☆☆	2/5
Lexington Medical Lodge	15.2 mi	Farmersville, TX	★★★★☆	5/5

Compare this facility with the 3 closest →

All facilities in Greenville →

Facility data as of CMS processing date 2026-08-01. CCN 675666.

The Care File

Visit checklist — Briarcliff Health Center of Greenville

4400 Walnut St, Greenville, TX 75401 · 9034558729

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $40,076

Most serious findings on record:

▲ Mar 27, 2026 (F-0760, Immediate jeopardy, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
▲ Sep 21, 2023 (F-0690, Immediate jeopardy, repeated): The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
▲ Sep 21, 2023 (F-0880, Immediate jeopardy, 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.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675666 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)