Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056056

Brier Oak On Sunset

101 federal citations on record , including 3 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $94,221.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
101
Total citations
78
Last 3 years
3
Actual harm+
4
Federal penalties
$94,221
Total fines
1
Overall ★ rating

Most common violation categories here

Medication & Pharmacy20 Resident Rights18 Care Planning18 Quality of Care17 Infection Control9

Most common F-tags at this facility

F7558 F8808 F6567 F7615 F7604

Citation history

101 on record
SurveyF-TagViolationSeveritySource
Jan 14, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Dec 15, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 15, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 15, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 15, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Dec 15, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Dec 8, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Nov 18, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Nov 18, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Nov 18, 2025F679Provide activities to meet all resident's needs.DComplaint
Oct 10, 2025F880Provide and implement an infection prevention and control program.DComplaint
Oct 10, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Oct 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Oct 10, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 17, 2025F761Ensure 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.DComplaint
Jun 17, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
May 6, 2025F880Provide and implement an infection prevention and control program.EComplaint
May 6, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
May 6, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DComplaint
May 6, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint
Mar 6, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 6, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Feb 6, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jan 3, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Jan 3, 2025F880Provide and implement an infection prevention and control program.EStandard
Jan 3, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jan 3, 2025F814Dispose of garbage and refuse properly.EStandard
Jan 3, 2025F761Ensure 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.EStandard
Jan 3, 2025F760Ensure that residents are free from significant medication errors.EStandard
Jan 3, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Jan 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jan 3, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Jan 3, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Jan 3, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jan 3, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jan 3, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jan 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 3, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jan 3, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 3, 2025F641Ensure each resident receives an accurate assessment.BStandard
Jan 3, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Jan 3, 2025F584Honor 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.DStandard
Jan 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 28, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Oct 28, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 28, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 6, 2024F584Honor 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.DComplaint
Aug 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Aug 9, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint
Jun 17, 2024F584Honor 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.DComplaint
Apr 26, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Feb 9, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 29, 2023F880Provide and implement an infection prevention and control program.DStandard
Dec 29, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Dec 29, 2023F761Ensure 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.DStandard
Dec 29, 2023F758Implement 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.EStandard
Dec 29, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 29, 2023F732Post nurse staffing information every day.CStandard
Dec 29, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Dec 29, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 29, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Dec 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 29, 2023F641Ensure each resident receives an accurate assessment.BStandard
Dec 29, 2023F625Notify 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.DStandard
Dec 29, 2023F576Ensure residents have reasonable access to and privacy in their use of communication methods.EStandard
Dec 29, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 29, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 13, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Aug 7, 2023F880Provide and implement an infection prevention and control program.DComplaint
Aug 7, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Aug 7, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 7, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Aug 7, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Aug 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 22, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 7, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EComplaint
Apr 6, 2023F880Provide and implement an infection prevention and control program.EComplaint
Apr 6, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EComplaint
Apr 6, 2023F761Ensure 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.DComplaint
Apr 6, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 25, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 12, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Jan 12, 2023F880Provide and implement an infection prevention and control program.DStandard
Jan 12, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EStandard
Jan 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 12, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 12, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Jan 12, 2023F761Ensure 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.EStandard
Jan 12, 2023F760Ensure that residents are free from significant medication errors.DStandard
Jan 12, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Jan 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 12, 2023F641Ensure each resident receives an accurate assessment.DStandard
Jan 12, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Jan 12, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard
Jan 12, 2023F574The resident has the right to receive notices in a format and a language he or she understands.EStandard
Jan 12, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $94,221 and 1 payment-denial actions spanning 79 days.

DateTypeFinePayment denial
Oct 10, 2025Fine$62,790—
Oct 10, 2025Payment Denial—Nov 11, 2025 · 79 days
Aug 9, 2024Fine$21,681—
Mar 25, 2023Fine$9,750—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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