BRIARCLIFF HEALTH CENTER OF GREENVILLE
4400 WALNUT ST
GREENVILLE, TX, 75401
9034558729
CCN: 675666
2
Overall2
Health2
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
GREENTREE HEALTH
1128b8
Excluded 2017-02-20
Ownership
| Name | Role | % |
|---|---|---|
| STEPHENS MEMORIAL HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| WALKER, KATIE | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAUDER, MADISON | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BOULWARE, DOUGLAS | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BOULWARE, SANDRA | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BOULWARE, STEVEN | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BOULWARE, THOMAS | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAUDER FAMILY INVESTMENTS, LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BOULWARE ST JAMES LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAUDER, KELLY | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAUDER, PARKER | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| EASLEY, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| BAUDER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MOORE, ROBIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PMG OPCO - GREENVILLE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-09-21 | Fine | $25K |
Health Deficiencies (30)
2025-11-21 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2025-07-28 · Health
D
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
2024-11-20 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-04-23 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2023-09-21 · Health
K
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F849 · Administration Deficiencies
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.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F700 · Quality of Life and Care Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
K
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
E
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F584 · Resident Rights Deficiencies
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.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
F576 · Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
2022-07-13 · Health
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.37
RN Hrs/Resident/Day0.54
0.23
LPN Hrs/Resident/Day0.81
1.06
CNA Hrs/Resident/Day2.33
2.09
PT Hrs/Resident/Day0.12
0.13
Data as of 2026-03-01