Nursing homeActive

Briarcliff Health & Rehabilitation Center

5024 Western Avenue, South Bend, IN 466195743184600131 certified beds · 93 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
20
0173
Penalties · 3 yrs
$10,839
1 fine
Last survey
2026-03-19
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Indiana Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-19Complaint010CMS-2567 (Care Compare)
2025-08-08Standard021CMS-2567 (Care Compare)
2024-08-12Standard071CMS-2567 (Care Compare)
2023-11-29Complaint001CMS-2567 (Care Compare)
2023-09-01Complaint010CMS-2567 (Care Compare)
2023-07-14Standard060CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-19Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 155831-20260319-F689
2025-08-08Standard survey · 3 deficienciesOfficial report
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-12Record 155831-20250808-F740
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 155831-20250808-F609
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 155831-20250808-F812
2024-08-12Standard survey · 8 deficienciesOfficial report
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-04Record 155831-20240812-F697
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 155831-20240812-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 155831-20240812-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 155831-20240812-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 155831-20240812-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 155831-20240812-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 155831-20240812-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 155831-20240812-F921
2023-11-29Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-12-28Record 155831-20231129-F600
2023-09-01Complaint survey · 1 deficiencyOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 155831-20230901-F561
2023-07-14Standard survey · 6 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-19Record 155831-20230714-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-19Record 155831-20230714-F677
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-19Record 155831-20230714-F685
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-19Record 155831-20230714-F693
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-19Record 155831-20230714-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-19Record 155831-20230714-F812

Penalties & enforcement

DateActionAmountSource
2024-08-12Civil money penalty$10,839CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.39
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day4.26
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.63
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover49%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover62%
Facility
Indiana
National
Indiana 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIndianaNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.8%3.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.8%3.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
14.8%13.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.1%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
2.9%11.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.7%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
12.8%23.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Briarcliff Health Care - South Bend LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pulaski Memorial Hospital
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bennett, Adam
Individual
CORPORATE DIRECTORNOT APPLICABLE
Chrisman, Kimberly
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Gill, Christopher
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Hutton, Charles
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kauffman, Clinton
Individual
CORPORATE DIRECTORNOT APPLICABLE
Leman, Valerie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Malott, Gregg
Individual
CORPORATE OFFICERNOT APPLICABLE
Mckay, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mokfi, Shaya
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Smith, Jennifer
Individual
CORPORATE DIRECTORNOT APPLICABLE
White, Taylor
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Sterling Healthcare5 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.

No county cost figures on file for St. Joseph.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
West Bend Nursing And Rehabilitation
South Bend
2.2 mi2026-03-130180
Milton Home, The
South Bend
5.5 mi2026-01-050150
Healthwin Health & Rehabilitation
South Bend
6.1 mi2026-04-220331
Wellbrooke Of South Bend
South Bend
6.0 mi2026-04-200161
Holy Cross Village At Notre Dame Inc
Notre Dame
6.1 mi2026-05-060131
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01