Federal inspection record · CMS data as of October 1, 2026

Briarcliff Health Center of Greenville

4400 Walnut St, Greenville, TX · (903) 455-8729

CMS overall rating

3 of 5

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Certified beds
120
Residents per day
87
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 10, 1997

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Briarcliff Health Center of Greenville carries 104.25 inspection points. That is fewer than 33% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 104.25 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

38 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 2 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 28 4 pts
E 6 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. J

    Ensure that residents are free from significant medication errors.

    March 27, 2026 · Complaint inspection · Pharmacy Service · F760 · Corrected March 28, 2026

  2. K

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

    September 21, 2023 · Standard inspection · Quality of Life and Care · F690 · Corrected September 22, 2023

  3. K

    Provide and implement an infection prevention and control program.

    September 21, 2023 · Standard inspection · Infection Control · F880 · Corrected September 22, 2023

Everything else, by area of care

Quality of Life and Care9E
  1. D

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

    April 6, 2026 · Complaint · F689 · Corrected April 7, 2026

  2. D

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

    February 11, 2026 · Standard · F689 · Corrected March 7, 2026

  3. 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.

    February 11, 2026 · Standard · F690 · Corrected March 7, 2026

  4. D

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

    November 20, 2024 · Standard · F677 · Corrected December 13, 2024

  5. D

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

    November 20, 2024 · Standard · F689 · Corrected December 13, 2024

  6. D

    Provide safe and appropriate respiratory care for a resident when needed.

    November 20, 2024 · Standard · F695 · Corrected December 13, 2024

  7. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    September 21, 2023 · Standard · F700 · Corrected October 13, 2023

  8. D

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

    September 21, 2023 · Standard · F677 · Corrected September 22, 2023

  9. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 21, 2023 · Standard · F695 · Corrected September 22, 2023

Resident Assessment and Care Planning6E
  1. D

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

    February 11, 2026 · Standard · F657 · Corrected March 7, 2026

  2. D

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

    November 21, 2025 · Complaint · F842 · Corrected November 22, 2025

  3. E

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

    November 20, 2024 · Standard · F656 · Corrected December 13, 2024

  4. E

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

    November 20, 2024 · Standard · F657 · Corrected December 13, 2024

  5. D

    Ensure each resident receives an accurate assessment.

    September 21, 2023 · Standard · F641 · Corrected September 22, 2023

  6. D

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

    September 21, 2023 · Standard · F656 · Corrected September 22, 2023

Resident Rights5E
  1. D

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

    November 20, 2024 · Standard · F550 · Corrected December 13, 2024

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    November 20, 2024 · Standard · F558 · Corrected December 13, 2024

  3. E

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    September 21, 2023 · Standard · F576 · Corrected September 22, 2023

  4. D

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

    September 21, 2023 · Standard · F582 · Corrected September 22, 2023

  5. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    September 21, 2023 · Standard · F584 · Corrected September 22, 2023

Pharmacy Service4D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 11, 2026 · Standard · F755 · Corrected March 7, 2026

  2. 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.

    February 11, 2026 · Standard · F761 · Corrected March 7, 2026

  3. 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.

    November 20, 2024 · Standard · F761 · Corrected December 13, 2024

  4. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 21, 2023 · Standard · F755 · Corrected September 22, 2023

Infection Control4E
  1. D

    Provide and implement an infection prevention and control program.

    February 11, 2026 · Standard · F880 · Corrected March 7, 2026

  2. D

    Provide and implement an infection prevention and control program.

    November 21, 2025 · Complaint · F880 · Corrected November 22, 2025

  3. E

    Provide and implement an infection prevention and control program.

    November 20, 2024 · Standard · F880 · Corrected December 13, 2024

  4. D

    Provide and implement an infection prevention and control program.

    April 23, 2024 · Complaint · F880 · Corrected May 4, 2024

Freedom from Abuse, Neglect, and Exploitation3E
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    April 6, 2026 · Complaint · F607 · Corrected April 9, 2026

  2. D

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

    April 6, 2026 · Complaint · F609 · Corrected April 9, 2026

  3. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    September 21, 2023 · Standard · F607 · Corrected October 12, 2023

Nutrition and Dietary2F
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 20, 2024 · Standard · F812 · Corrected December 13, 2024

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 21, 2023 · Standard · F812 · Corrected September 22, 2023

Environmental1D
  1. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    July 28, 2025 · Complaint · F925 · Corrected July 29, 2025

Administration1D
  1. 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.

    September 21, 2023 · Standard · F849 · Corrected September 22, 2023

Inspection history

  1. 2026-02-11

    12 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

  2. 2024-11-20

    11 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-09-21

    15 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 17 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 17 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 24% of nursing staff and 57% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$14,901 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-27Fine$14,901

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts better1.42.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts better0.42.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better1.0%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms4.5 pts worse6.8%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts better2.2%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.4 pts better15.4%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.5 pts better2.3%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.5 pts better7.4%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better8.2%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better0.7%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better11.5%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2.7 pts better1.0%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.8 pts better99.5%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts better7.6%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1 pts better0.4%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.8 pts better98.2%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse25.6%25.5%23.4%

·

Who owns and runs it

34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Stephens Memorial Hospital District5% Or Greater Direct Ownership Interest · Organization100%8 facilities
Bauder Family Investments, LLC5% Or Greater Mortgage Interest · Organization0%25 facilities
Bauder Family Investments, LLCAdp Of The SNF · Organization0%25 facilities
Bauder, Kelly5% Or Greater Mortgage Interest · Individual0%28 facilities
Bauder, KellyAdp Of The SNF · Individual0%28 facilities
Bauder, Madison5% Or Greater Mortgage Interest · Individual0%28 facilities
Bauder, MadisonAdp Of The SNF · Individual0%28 facilities
Bauder, Parker5% Or Greater Security Interest · Individual0%28 facilities
Bauder, ParkerAdp Of The SNF · Individual0%28 facilities
Bauder, WilliamOperational/Managerial Control · Individual0%42 facilities
Bauder, WilliamAdp Of The SNF · Individual0%42 facilities
Boulware St James LLC5% Or Greater Mortgage Interest · Organization0%25 facilities
Boulware St James LLCAdp Of The SNF · Organization0%25 facilities
Boulware, Douglas5% Or Greater Mortgage Interest · Individual0%46 facilities
Boulware, DouglasAdp Of The SNF · Individual0%46 facilities
Boulware, Sandra5% Or Greater Mortgage Interest · Individual0%20 facilities
Boulware, SandraAdp Of The SNF · Individual0%20 facilities
Boulware, Steven5% Or Greater Mortgage Interest · Individual0%48 facilities
Boulware, StevenAdp Of The SNF · Individual0%48 facilities
Boulware, Thomas5% Or Greater Mortgage Interest · Individual0%30 facilities
Boulware, ThomasAdp Of The SNF · Individual0%30 facilities
Bridgepointe Finanical Services, LLCAdp Of The SNF · Organization0%24 facilities
Easley, JamesCorporate Officer · Individual0%4 facilities
Innovative Nurse Consulting, LLCAdp Of The SNF · Organization0%20 facilities
Moore, RobinOperational/Managerial Control · Individual0%2 facilities
Moore, RobinAdp Of The SNF · Individual0%2 facilities
Pmg Opco - Greenville LLCOperational/Managerial Control · Organization0%1 facilities
Pmg Opco - Greenville LLCAdp Of The SNF · Organization0%1 facilities
Priority Management Group, LLCAdp Of The SNF · Organization0%40 facilities
Progressive Rehab Solutions, LLCAdp Of The SNF · Organization0%36 facilities
Selvaggi, RichardAdp Of The SNF · Individual0%3 facilities
Steven Boulware Family Investments LLCAdp Of The SNF · Organization0%19 facilities
Walker, Katie5% Or Greater Mortgage Interest · Individual0%30 facilities
Walker, KatieAdp Of The SNF · Individual0%30 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 11, 2026 · K345 · Corrected February 11, 2026

  2. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 11, 2026 · K321 · Corrected March 8, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 11, 2026 · K353 · Corrected March 6, 2026

·

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