Briar Creek Health Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

52.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 267 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 1.00 therapist hours per resident per day in 2026Q1 — more than 97% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 6 beds and averages 4.6 residents a day — about 77% occupied, or roughly 1 bed typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 10.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 3.02 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.26 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 9.84 hrs/resident/day on weekends vs 10.95 on weekdays — 10% thinner on weekends. RN hours go from 3.43 to 1.99 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Actual harm · G2024-03-07 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident interview, and staff interviews the facility failed to assess a resident's pain and administer pain medication ordered by the physician for 1 of 2 residents (Resident #70) when the resident complained of left ankle pain. Resident #70 experienced pain of 8 on a scale of 0-10 (10 being the worst pain) from 1:00 am on 1/12/2024 until her medication arrived twelve hours after she was readmitted to the facility from the hospital for a fractured left fibula. Findings included: Resident #70 was admitted to the facility on [DATE] and she was readmitted from the hospital on 2/26/2024 with diagnoses of left fibula fracture with surgical repair and osteoarthritis. An admission Nursing assessment dated [DATE] at 9:18 pm stated Resident #70 had a left ankle fracture with surgical repair, and she received pain medication, Hydrocodone-Acetaminophen, at the hospital at 7:00 pm and denied pain. Resident #70's medication orders stated she had Hydrocodone-Acetaminophen 5-325 milligrams one tablet…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-03-07 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident interview, and staff interviews the facility failed to obtain pain medication ordered by the physician for 1 of 2 residents (Resident #70) when the resident was admitted to the facility after surgical repair of a left fibula fracture. Resident #70 experienced pain of 8 on a scale of 0-10 (1- being the worst pain) from 1:00 am on 1/12/2024 until her medication was administered on 1/12/2024 at 1:06 pm on 1/12/2024. Findings included: Resident #70 was admitted to the facility on [DATE] and she was readmitted from the hospital on 2//2024 with diagnoses of left fibula fracture with surgical repair and osteoarthritis. An admission Nursing assessment dated [DATE] at 9:18 pm stated Resident #70 had a left ankle fracture with surgical repair, and she received pain medication, Hydrocodone-Acetaminophen, at the hospital at 7:00 pm and denied pain. Resident #70's medication orders stated she had Hydrocodone-Acetaminophen 5-325 milligrams one tablet by mouth every 6 hours as needed for pain…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-06 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews the facility failed to electronically submit direct care staffing information based on payroll data to the Centers for Medicare and Medicaid Services (CMS) as required for quarter 3 (April 1 through June 30, 2024), quarter 4 (July 1 through September 30, 2024) of federal fiscal year (FY) 2024 and quarter 1 of FY 2025 (October 1 through December 31, 2024). This failure occurred for 3 of 3 quarters reviewed. The findings included: Review of the Payroll Based Journal (PBJ) staffing data reports from the Certification and Survey Provider Enhanced Reports (CASPER) database revealed the facility failed to submit the required PBJ staffing data for the third and fourth quarters of federal FY 2024 and the first quarter of federal FY 2025. An interview on 05/05/25 at 11:38 AM with the Administrator revealed the payroll department at their corporate office was responsible for submitting the PBJ staffing data. The Administrator indicated payroll information from the facility payroll system would roll up to the corporate office. A follow-up interview…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-06 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews, the facility failed to develop a baseline care plan with goals that addressed a resident's pain and opioid pain medication for 1 of 1 resident reviewed for baseline care plan (Resident #156). Findings Included: Resident #156 was admitted to the facility on [DATE] with a diagnosis that included multiple fractures post fall. A review of Resident #156's Physician order summary dated 5/1/2025 included: - Oxycodone 5mg every 6 hours as needed for pain. - Acetaminophen oral tablet 500 mg, 2 tablets by mouth three times a day for manage of pain for 10 days. - Assess pain every shift using numeric 1 to 10 scale. Document findings and interventions in nursing notes. A review of the medication administration record revealed documentation of pain medication administration and pain assessment. Acetaminophen oral tablet 500 mg, 2 tabs given three times per day on 5/1, 5/2, 5/3 and 5/4/2025. Oxycodone 5 mg given once on 5/2/25, given twice on 5/3/25, and given once on 5/4/25. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-22 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff interviews, the facility failed to follow their infection control policies and procedures for Enhanced Barrier Precautions during high-contact care for a resident with a full-thickness wound and a suprapubic catheter (Resident #5) when Nurse #1 performed wound care without wearing a gown. Nurse #1 also failed to perform hand hygiene after removing a soiled dressing, cleaning a wound, and before applying a new wound dressing for a resident (Resident #5). The deficient practice occurred for 1 of 1 staff member (Nurse #1) observed during wound care. The findings included: The facility's Enhanced Barriers policy approved August of 2024 revealed it is the policy of this facility to use enhanced barrier precautions (EBP) based on guidance from the Center for Disease Control (CDC). Enhanced barrier precautions expands use of personal protective equipment (PPE) beyond situations in which exposure to blood and body fluids is anticipated (standard precautions). Enhanced barrier precautions refers to the use of gown and gloves during high-contact…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-07 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to label and cover cooked food, discard expired food in the walk-in refrigerator, and ensure resident meal trays, baking sheets, and pans were not stacked wet for 1 of 2 kitchen observations. These practices had the potential to affect food served to residents. The findings included: The facility kitchen was toured on 3/5/2024 at 7:47 AM. An observation was conducted of the walk-in refrigerator and the following were observed: a. A free-standing rack was labeled cooling rack had 2 deep steamer pans on the top shelf of the rack. There was cooked white colored meat in the pans that were floating in pink colored liquid. The sheet on the cooling rack noted turkey 3/2/2024 12:42 PM. The interim Dietary Manager (DM) was interviewed at the time of the observation, and she reported that the cooling rack was used to rapidly cool food for storage. The DM explained the turkey should have been covered and labeled after cooling and she would discard the pans of turkey. b. A container labeled tuna salad expires 3/4/2024 was noted.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• No harm found · B2024-03-07 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, resident, and staff interviews, the facility failed to notify the resident in writing of the reason for transfer to the hospital for 1 of 1 resident reviewed for hospitalization (Resident #4). The findings included: Resident #4 was admitted to the facility on [DATE] with diagnoses including kidney disease and hypertension. The medical record documented Resident #4 was her own responsible party. The admission Minimum Data Set (MDS) assessment dated [DATE] assessed Resident #4 to be cognitively intact. A nursing progress note dated 2/5/2024 documented Resident #4 had a change in condition with a decreased level of consciousness and low blood pressure. Resident #4 was transferred to the hospital for evaluation. The entry tracking record MDS dated [DATE] documented Resident #4 was readmitted to the facility after a stay at a short-term hospital. A review of the electronic medical record for Resident #4 revealed no written notice of transfer was scanned into the medical record. Resident #4…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• No harm found · B2024-03-07 · tag F0625 — pattern
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, resident, and staff interviews, the facility failed to provide a bed hold notice to resident transferred to the hospital for 1 of 1 resident reviewed for hospitalization (Resident #4). The findings included: Resident #4 was admitted to the facility on [DATE] with diagnoses including kidney disease and hypertension. The medical record documented Resident #4 was her own representative. The admission Minimum Data Set assessment dated [DATE] assessed Resident #4 to be cognitively intact. A nursing progress note dated 2/5/2024 documented Resident #4 had a change in condition with a decreased level of consciousness and low blood pressure. Resident #4 was transferred to the hospital for evaluation. The entry tracking record MDS dated [DATE] documented Resident #4 was readmitted to the facility after a stay at a short-term hospital. A review of the electronic medical record for Resident #4 revealed no bed hold notice was scanned into the medical record. Resident #4 was interviewed on 3/5/2024 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction

Fines & penalties

$8,606 in federal fines across 1 penalty.

• $8,606 — penalty dated 2024-03-07

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIBERTY SENIOR LIVING — 37 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 55 rows in the source record cover these 36 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

23 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $7.7M paid to related parties — landlords or management companies under common ownership — equal to about 27% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

What families pay in NC