Bedford Specialty Care

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880May 2, 2024

  Based on observation, clinical record review, staff interviews, and policy review the facility failed to perform on-going Infection Control surveillance and failed to perform appropriate hand hygiene for 1 of 5 residents (Resident #77) during resident care. The facility reported a census of 26 residents. Findings include: 1. On 5/01/24 at 11:40 AM, a review of the facility's surveillance binder indicated Infection Control surveillance documentation had not been completed. A document titled Infection Control: Regulations Governing Implementation dated April 2018 indicated the facility must establish an infection prevention and control program (IPCP) that must include, at a minimum, a system of surveillance designed to identify possible communicable diseases or infections before they can… […]

• No harm, potential for more than minimal, patternF812Dec 8, 2022

  Based on observations and staff interviews, the facility failed to label and date foods after opening and failed to discard unsanitary utensils and expired products when required. The facility identified a census of 29 residents. Findings include: 1. An initial kitchen tour conducted on [DATE] at 10:30 a.m., revealed 4 rubber spatulas with cracks that rendered the item unsanitizable. In addition, the freezer contained bags of rib patties, cake donuts, and chicken breasts with rib meat, and boxes of pizza patties, tilapia filets, and Swiss steak patties without open dates. 2. The following items were stored in the kitchen fridge ready for service: a. Sysco Classic Coleslaw 3.18 Kg with expiration date of [DATE]. b. […]

• No harm, potential for more than minimal, isolatedF755Jul 31, 2025

  Based on observation, interview and clinical record review the facility failed to destroy discontinued Controlled Substances (high potential for abuse) for 2 of 4 residents reviewed (Residents #2 and #6.) The facility reported a census of 30 residents. Findings include:1) According to the Minimum Data Set (MDS) dated [DATE], Resident #6 had Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated intact cognition. The Care Plan updated on 4/9/25, showed that Resident #6 had impaired cognitive function with intermittent confusion, increased confusion, anxiety, and signs and symptoms of sundowning. Staff were to administer medication as ordered. Her diagnoses included: osteoporosis, anxiety disorder, and delirium due to known physiological condition. […]

• No harm, potential for more than minimal, isolatedF656Sep 19, 2024

  Based on observations, clinical record review, staff interviews, and policy review, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (Resident #28) of 12 residents reviewed for care plans. The facility reported a census of 29 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #28, dated 8/21/24, included diagnoses of Non-Alzheimer's Dementia and malnutrition. A Brief Interview for Mental Status score of 99, indicated the resident was unable to complete the assessment indicating severe cognitive impairment for decision-making. […]

• No harm, potential for more than minimal, isolatedF880Sep 19, 2024

  Based on observation, clinical record review, policy review, and staff interviews the facility failed to provide appropriate infection prevention practices by contaminating clean surfaces with contaminated gloves and not completing hand hygiene in accordance with standards of practice for 2 of 5 residents (Resident #25 and #28) reviewed. The facility reported a census of 29 residents. Findings included: 1. The Minimum Data Set (MDS) assessment dated [DATE] documented Resident #25 entered the facility on 7/20/24. The MDS also documented a Brief Interview for Mental Status (BIMS) of 99 indicating Resident #25 was unable to complete the interview. […]