Nursing HomeInspections

Briarcliff Health & Rehabilitation Center

Nursing home in South Bend, IN

Medicare & Medicaid certified2★ overall (CMS)

Call (574) 318-4600Send a messageMap ↗

Public-record details

Address
5024 Western Avenue, South Bend, IN 46619
Phone
(574) 318-4600
Listed under
Nonprofit
Medicare CCN
155831
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
131
Average residents per day
93
Ownership
Nonprofit, other
Legal business name
Pulaski Memorial Hospital
Chain
Sterling Healthcare (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 7, 2015
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 155831. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 8, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 14, 2023 to Mar 19, 2026): 3 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 19, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 8, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Aug 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Aug 8, 2025Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care
G
Actual harm, isolated
Aug 12, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 12, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 12, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 12, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 12, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Aug 12, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
D
Potential for more than minimal harm, isolated
Aug 12, 2024Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Aug 12, 2024Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care
G
Actual harm, isolated

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,839 in the last three years.

Aug 12, 2024Fine: $10,839

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.26 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
2.66 hours
Total nurse staffing on weekends
3.63 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
62%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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