Bedford Alzheimer's Care Center

In the surveyor’s words

From the most serious findings on record at Bedford Alzheimer's Care Center, in the surveyor’s own words.

• Actual harm, patternF600Dec 28, 2023

  Based on observation, interviews, record review, and facility policy review, the facility failed to protect residents' rights to be free from resident to resident physical abuse for four (4) of seven (7) sampled residents. Resident #1, Resident #2, Resident #3, and Resident #4. Resident #1 was initiated physical altercations on 12/9/23 and 12/19/23 which resulted in: a. Resident #1 receiving bruising and a skin tear. b. Resident #2 receiving bruising and skin discoloration under the right eye. c. Resident #3 receiving redness to her cheek. d. Resident #4 receiving bruising, skin tears, and a hematoma. Findings include: A review of the facility's policy Abuse Prevention Program, undated, revealed Our residents have the right to be free from abuse, neglect . […]

• Actual harm, patternF655Dec 28, 2023

  Based on interviews, record review, and facility policy review, the facility failed to develop a baseline care plan within 48 hours that addressed safety concerns, identified the resident's need for supervision, or included behavioral interventions for a resident with behavioral aggression, for one (1) of seven (7) sampled residents. Resident #1. Resident #1 was involved in a physical altercations on 12/9/23 and 12/19/23 which resulted in: a. Resident #2 receiving bruising and skin discoloration under the right eye and bleeding to the right middle finger and chin area. b. Resident #3 receiving redness to her cheek. c. Resident #4 receiving bruising, skin tears, and a hematoma. Findings include: A record review of the facility's policy Baseline Care Plan, revised 11/06/23 revealed . […]

• No harm, potential for more than minimal, widespreadF812Mar 7, 2024

  Based on observation, staff interviews, and facility policy review, the facility failed to ensure that foods were stored safely by leaving food opened and exposed on the self, not dating foods with a use-by date, storing foods without an identifying label, and not discarding food items after their use-by date for one (1) of two (2) kitchen observations. Findings include: Record review of the facility's policy, Food Safety Requirements, revised [DATE], revealed, .Foods will be stored, in accordance with professional standards for service safety. Policy Interpretation and Implementation .3. c. iv. Labeling, dating and monitoring refrigerated food .so it is used by its use-by date .discarded, and .v. […]