Federal inspection record · CMS data as of October 1, 2026
Briarcliff Health & Rehabilitation Center
5024 Western Avenue, South Bend, IN · (574) 318-4600
- Certified beds
- 131
- Residents per day
- 95
- Ownership
- Non-Profit
- Chain
- Sterling Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 7, 2015
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Briarcliff Health & Rehabilitation Center carries 51 inspection points. That is fewer than 32% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: 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★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana 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
19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care5D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
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.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
Resident Assessment and Care Planning2D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-08-08
4 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-08-12
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-07-14
7 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 18 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
4 h 18 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 46% 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
$10,839 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-12 | Fine | $10,839 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.2 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 98.9% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 5.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.1 pts better | 11.4% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts better | 2.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.5 pts better | 14.0% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts better | 13.1% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.7 pts better | 5.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 4.9% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse | 25.7% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 1.9% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.5 pts better | 99.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit21.5 pts worse | 32.4% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.7 pts better | 90.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts worse | 24.4% | 21.8% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bennett, Adam | Corporate Director · Individual | 0% | 13 facilities |
| Briarcliff Health Care - South Bend LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Chrisman, Kimberly | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Gill, Christopher | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Hutton, Charles | Corporate Director · Individual | 0% | 13 facilities |
| Kauffman, Clinton | Corporate Director · Individual | 0% | 13 facilities |
| Leman, Valerie | Corporate Director · Individual | 0% | 6 facilities |
| Malott, Gregg | Corporate Officer · Individual | 0% | 30 facilities |
| Mckay, Michael | Corporate Director · Individual | 0% | 13 facilities |
| Mokfi, Shaya | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Pulaski Memorial Hospital | Operational/Managerial Control · Organization | 0% | 28 facilities |
| Smith, Jennifer | Corporate Director · Individual | 0% | 17 facilities |
| White, Taylor | Corporate Director · Individual | 0% | 12 facilities |
·
Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D
Ensure proper usage of power strips and extension cords.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress6F
- F
Install proper backup exit lighting.
- E
Have exits that are accessible at all times.
- E
Have properly located and lighted "Exit" signs.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have properly located and lighted "Exit" signs.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C
Provide a written emergency evacuation plan.
Services3F
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- F
Implement emergency and standby power systems.
Construction1E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
·
Other homes nearby
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West Bend Nursing And Rehabilitation
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 47 min
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-
Milton Home, The
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-
Wellbrooke Of South Bend
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- G
- Nursing / resident / day
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