Bedford Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Bedford Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 13, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents were free from neglect for two of three residents (Resident #127 and Resident #56) reviewed for abuse, neglect, and exploitation. 1. The facility failed to provide timely transportation for Resident #127 when he was finished with his medical appointment, being wheelchair bound, offsite from the facility. On 9-10-2024 Resident #127 was not picked up by a transportation driver for over 4 hours causing him to miss his lunch meal, pain medication time for Tramadol PRN every 4 hours (which the resident could have received at 11:00 AM but did not), causing psychosocial harm (resident was crying and felt abandoned which was exacerbated due to the resident's post-traumatic stress disorder). 2. […]

• Actual harm, isolatedF693Jun 23, 2023

  Based on interviews and record review, the facility failed to ensure a resident who received nutrition by enteral means received the appropriate treatment and services to prevent complications of enteral nutrition including metabolic abnormalities for 1 (Resident #1) of 3 residents who were reviewed for enteral nutrition (a form of nutrition that is delivered into the digestive system as a liquid in the form of a tube feeding). The facility failed to ensure Resident #1's physician order enteral nutrition (a form of nutrition that is delivered into the digestive system as a liquid in the form of a tube feeding) was changed, per the physician's order, to treat high blood sugars. […]

• Actual harm, isolatedF755Jun 23, 2023

  Based on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate dispensing and administering of all drugs and biologicals, to meet the needs of each resident for 1 (Resident #1) of 7 residents reviewed for medication administration. The facility failed to ensure Resident #1's blood sugars were monitored and insulin administered as ordered by his physician. These failures affected former Resident #1 and could affect other residents, who received insulin, by placing them at risk of complications and decline in their health from not receiving medications as ordered by the physician. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, and handle food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure walk-in freezer food items were dated, labeled, and secured.The facility failed to ensure that canned good food items were free of dents.The facility failed to ensure the walk-in refrigerator food items were dated, labeled, and secured.The facility failed to ensure staff followed food safety and sanitation protocols to prevent cross contamination. These failures could place residents at risk for foodborne illness and foodborne intoxication. […]

• No harm, potential for more than minimal, widespreadF812Mar 12, 2021

  Based on observation, interview and record review, the facility failed to serve food in accordance with professional standards for food service safety under sanitary conditions in the facility's only kitchen. 1. The facility failed to ensure soap was available at the hand wash station. 2. The facility failed to remove cracked eggs from intact egg tray in refrigerator. 3. The facility failed to ensure food items in the refrigerator was dated, labeled and sealed appropriately. These failures placed residents at risk for foodborne illness. Findings included: Observation of the kitchen on 03/09/21 at 6:54 p.m. revealed lack of soap in soap dispenser at kitchen wash station. Surveyors were unable to wash their hands, and had to use hand sanitizer instead. Observation on 3/09/21 at 6:58 p.m. […]