Briarcliff Skilled Nursing Facility
4054 NORTHWEST LOOP, Carthage, TX, 75633
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Stonegate Senior Living
- Certified beds
- 91 · avg 68 residents/day
- Total nursing staff turnover
- 38.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $160,185 total
State licensing & capacity
- License number
- 147715
- Service type
- Medicare/medicaid
- Licensed capacity
- 91 beds
- Bed type breakdown
- 1 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- March 31, 2023
- Current license expires
- March 31, 2026
- Initial license date
- December 14, 1993
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Pf Carthage Snf Ops, Llc
- Administrator
- Aaron Bequette
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Stonegate Senior Living chain — 24 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (8 on record)
- Russell Flanigan
W-2 Managing Employee · since 2022
- Shannon Gardner
Corporate Director · since 2022
- William Griffin
Corporate Director · since 2022
- Milton Fregia
Corporate Officer · since 2022
- pf Carthage Snf Ops, Llc
Operational/managerial Control · since 2021
- Charles Bruce Stratton
Corporate Director · since 2017
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 29)
- K0689·Nov 5, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·Jan 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jan 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0804·Jan 30, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Jan 30, 2025
Pharmacy Service Deficiencies
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.
- E0755·Jan 30, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Jan 30, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- J0689·Jan 30, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20252 fines · $160K
Most recent events
- Nov 5, 2025Fine · $24K
- Jan 30, 2025Fine · $136K
Largest single fine on record: $136K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Jan 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Briarcliff Skilled Nursing Facility is a 91-bed Medicare/Medicaid nursing home in Carthage, Texas, managed by Pf Carthage Snf Ops, Llc under a hospital district license. CMS rates it 3 stars overall, with a 4-star staffing rating and a 5-star quality-measures rating — but a 2-star health inspection rating. Two CMS fines totaling $160,185 stand out. At roughly 74% occupancy, beds are currently available.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 4 stars — placing this facility in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 205 minutes of nursing care per day. The resident mix here skews toward people who need less hands-on help than average, so those 205 minutes go further than the same number would at a facility with heavier care needs.
Roughly 4 in 10 nursing staff left in the past year. That rate falls below Texas's 25th-percentile cutoff, meaning turnover is better than about three-quarters of nursing homes in the state. RN turnover follows the same pattern — about 3 in 10 RNs left over the same period, also in the low tier for Texas.
Two CMS fines totaling $160,185 have been levied against this facility. For context, the median fine total among penalized Texas nursing homes is about $20,699, and 30% of Texas facilities have no fines at all. At nearly eight times the state median, the dollar amount here reflects findings that regulators assessed as serious.
CMS rates quality measures 5 stars for long-stay residents and 4 stars for short-stay residents — the highest and second-highest tiers available. These scores reflect clinical outcomes such as rates of pressure wounds, falls, and hospital readmissions as reported to CMS.
The facility is operating at about 74% of its licensed 91 beds, or roughly 68 residents on an average day. That occupancy level, alongside the fine history, is part of the picture here.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details behind the two fines
Ask what the two CMS violations were, when they occurred, and what operational changes followed — the $160,185 total is well above the Texas median.
Why occupancy sits at 74%
The facility averages about 68 residents in 91 licensed beds; ask whether that reflects referral patterns, staffing decisions, or something else.
How the 2-star inspection rating is being addressed
Overall and quality ratings are higher than the health inspection rating; ask which specific deficiencies drove the 2-star inspection score and what the correction plan looks like.
Role of the management company
The facility is licensed to a hospital district but operated by Pf Carthage Snf Ops, Llc; ask how day-to-day decisions are divided between the two entities.
Resident Council scope and access
A Resident Council meets here but there is no Family Council; ask how family members can raise concerns and how often the Resident Council's findings are shared with administration.
Staffing levels on nights and weekends
Weekend nursing hours reported to CMS are about 3.1 hours per resident per day — ask how that compares to weekday coverage and how call-outs are handled.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.