BRIARCLIFF HEALTH CENTER OF GREENVILLE

4400 WALNUT ST
GREENVILLE, TX, 75401
9034558729
CCN: 675666
2
Overall
2
Health
2
Staffing
4
Quality
Special 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
NameRole%
STEPHENS MEMORIAL HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%
WALKER, KATIE5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BAUDER, MADISON5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BOULWARE, DOUGLAS5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BOULWARE, SANDRA5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BOULWARE, STEVEN5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BOULWARE, THOMAS5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BAUDER FAMILY INVESTMENTS, LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BOULWARE ST JAMES LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BAUDER, KELLY5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BAUDER, PARKER5% OR GREATER SECURITY INTERESTNOT APPLICABLE
EASLEY, JAMESCORPORATE OFFICERNOT APPLICABLE
BAUDER, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MOORE, ROBINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PMG OPCO - GREENVILLE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2023-09-21Fine$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/Day
3.37
3.68
RN Hrs/Resident/Day
0.23
0.54
LPN Hrs/Resident/Day
1.06
0.81
CNA Hrs/Resident/Day
2.09
2.33
PT Hrs/Resident/Day
0.13
0.12
Data as of 2026-03-01