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Nursing HomeMedicaid Investigative

Briarcliff Health & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5024 Western Avenue, South Bend, IN 46619131 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 61 Google reviews

5
4
3
2
1
Briarcliff Health & Rehabilitation Center Nursing Home in South Bend, IN — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • High RN turnover (54%)

Below average in IN · Below recommended RN staffing · Above recommended total nurse staffing · $10,839 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While the facility excels at community engagement and has a dedicated memory care unit, there are recurring, serious reports of neglect and slow response times. We strongly recommend that you visit unannounced, specifically during weekends or evenings, to observe the actual staffing levels and response times for yourself before making a decision.

Google Reviews

Google Reviews

61 reviews on Google
Briarcliff Health & Rehabilitation Center receives highly polarized feedback, with recent reviews often praising community events and specific staff members, while long-term or critical reviews describe serious issues with neglect and poor communication. Families frequently report concerns regarding slow response times, hygiene standards, and medication management, contrasting sharply with the positive experiences of those involved in the facility's social activities. Prospective families should be aware that while some find the staff compassionate and the environment welcoming, others have documented significant failures in basic patient care.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean5.0Activities9.0Meds2.0Memory7.0Comms4.0ValueN/A

Strengths

  • Engaging community events and activities
  • Welcoming and professional administrative staff
  • Clean and well-maintained facility environment
  • Compassionate care in the memory care unit

Concerns

  • Neglect and poor hygiene (e.g., bed sores, failure to assist with toileting) (mentioned by 5 reviewers)
  • Slow or non-existent response to call lights and patient needs (mentioned by 4 reviewers)
  • Unprofessional or rude communication with families (mentioned by 4 reviewers)
  • Medication management errors or delays (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(2)'20(4)'22(1)'24(38)'26(1)

Distribution · 63 analyzed

5
44
4
1
3
1
2
0
1
17
19 reviews posted between Oct 16, 2024Oct 18, 2024 · 19 were 5-star
12 reviews posted between Oct 23, 2024Oct 25, 2024 · 12 were 5-star

How They Respond to Reviews

33%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your community events; could you tell us more about the types of activities planned for residents each week?
  • 2How does the nursing team ensure that call lights are answered promptly, especially during the night shifts?
  • 3What specific protocols are in place to ensure medication is administered accurately and on schedule?
  • 4Can you walk us through your process for maintaining hygiene and skin integrity, such as regular repositioning for residents?
  • 5How does the administration handle communication with families to ensure we are always kept in the loop regarding care updates?
  • 6What is the dining experience like here, and how do you handle specific dietary needs or meal preferences?

Personalized based on this facility's data


Key Review Excerpts

My wife has been a patient in the memory care unit since June 2024 and I have nothing but high praises for this facility and their staff. They are kind, friendly, loving, and take excellent care of her.

Memory care family member · 2024★★★★★

My grandma was here for a stroke in the rehab department she ended up getting a nasty bed sore from neglect. They had her in a wheelchair all day and she sat in her urine and feces.

Rehab patient's family · 2025☆☆☆☆

My boyfriend was put in there for rehab. For his hip. There ain’t one person in there that wants to do their job. They would hardly come in his room. When they do they just say what’s wrong or what do you want.

Rehab patient's family · 2024☆☆☆☆
Source: 61 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
48%
Registered nurses for medical care
Total Nursing
4.45hrs
OK
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
15.3%
IN
13.0%
St. joseph
17.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
14.4%
IN
11.4%
St. joseph
15.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility12.8%
Mixed vs Avgs
Here
12.8%
US
12.1%
IN
24.8%
St. joseph
10.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
19.5%
IN
23.5%
St. joseph
17.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.0%
Worse than Avg
Here
26.0%
US
19.4%
IN
23.8%
St. joseph
25.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IN
93.6%
St. joseph
96.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
IN
79.0%
St. joseph
85.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
IN
81.5%
St. joseph
87.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
IN
1.3%
St. joseph
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Near state avg (7.6)
4 complaint-triggered
$10,839 in fines

This facility shows concerning patterns with 51 deficiencies across recent surveys, including families filing complaints that led to investigations for resident abuse and rights violations. The most frequent issues involve fire safety and emergency systems (with repeated generator and sprinkler problems), medication management, and food safety. While all deficiencies show correction dates, the recurring nature of fire safety issues and multiple complaint-triggered investigations suggest ongoing operational challenges that families should carefully consider.

Mar 20, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 17, 2025Complaint
1
0131Potential for harm · PatternCorrected

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

Aug 8, 2025Routine
17
0740Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0361Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0927Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Aug 12, 2024Routine
14
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0927Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

0657Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Nov 29, 2023Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Sep 1, 2023Complaint
1
0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Federal Penalties

Fine

Aug 12, 2024

$10,839

Ownership & Operations

Who Operates This Facility

Owner / Operator

Briarcliff Health & Rehabilitation Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Sterling Healthcare

Chain Size

5 facilities nationwide

Ownership & Management

Key personnel

Mokfi, ShayaContracted Managing EmployeeChrisman, KimberlyW-2 Managing EmployeeGill, ChristopherW-2 Managing EmployeeBennett, AdamOfficer / DirectorHutton, CharlesOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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