Nursing homes › Texas › Briarcliff Skilled Nursing Facility
4054 Northwest Loop, Carthage, TX 75633 · 9036938504 · 91 certified beds
Per CMS filings, this facility is affiliated with Stonegate Senior Living, a group operating 24 facilities in 2 states. Group record: average rating 2.4/5, 1 abuse citation icons, 3 facilities on the Special Focus list, $1,106,837 in federal fines. This facility rates above its group average (2.4/5).
Total nurse staffing: 3.26 (Texas median: 3.27). RN hours: 0.34. Weekend total: 2.98. Nursing staff turnover: 39%.
All-time on record: 28 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-04-17 |
| 2026-04-01 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2026-04-17 |
| 2026-04-01 | 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 | Health | corrected 2026-04-17 |
| 2026-04-01 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2026-04-17 |
| 2026-04-01 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-04-17 |
| 2026-04-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-04-17 |
| 2025-11-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | Past Non-Compliance |
| 2025-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2025-02-05 |
| 2025-01-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-02-01 |
| 2025-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-02-01 |
| 2025-01-30 | 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. | E | Health | corrected 2025-02-01 |
| 2025-01-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-02-01 |
| 2025-01-30 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-02-01 |
| 2025-01-30 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-02-01 |
| 2025-01-30 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-02-01 |
| 2025-01-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-02-01 |
| 2023-12-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-12-20 |
| 2023-12-13 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-12-20 |
| 2023-12-13 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-12-20 |
| 2023-12-13 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-12-20 |
| 2023-12-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-12-20 |
| 2023-12-13 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-12-20 |
| 2023-12-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-12-20 |
| 2023-12-13 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Health | corrected 2023-12-20 |
| 2023-12-13 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-12-20 |
| 2023-12-13 | Keep all essential equipment working safely. | D | Health | corrected 2023-12-20 |
| 2023-11-13 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2023-12-09 |
| 2023-11-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-12-09 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-05 | Fine | $15,733 |
| 2025-01-30 | Fine | $135,980 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/31/2017 |
| STRATTON, CHARLES | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2005 |
| PF CARTHAGE SNF OPS, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/23/2021 |
| STONEGATE SENIOR LIVING, LP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/22/2022 |
| BEQUETTE, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/06/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676051. Corrections: data@carerecords.org.