Bridge Crest Post Acute

In the surveyor’s words

From the most serious findings on record at Bridge Crest Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF695Nov 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure there was a comprehensive and safe system in place for residents dependent on emergency respiratory equipment in a power failure including the proper emergency equipment at the bedside, a written emergency plan for residents dependent on life sustaining equipment and staff who specialized in respiratory care equipment and were knowledgeable in respiratory care for 1 of 1 sampled resident (Resident 10) reviewed for respiratory services. This facility failure, to have a necessary respiratory care system placed residents at risk of death in an emergency situation and was determined to be a Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF906Nov 14, 2023

  Based on observation and interview, the facility failed to ensure the required Type 1 essential electrical system (EES) and generator was in place and operational prior to accepting a ventilator assisted resident where an emergency electrical power system would be needed to maintain life support equipment in the event of a power outage for 1 of 1 sampled residents (10) reviewed for respiratory services. This was determined to be an Immediate Jeopardy to not have the necessary Type 1 EES system and placed residents at risk of death if an emergency occurred. This failure placed residents at risk in case of a power outage and needing respiratory support. […]

• Actual harm, isolatedF686Oct 27, 2025

  Based on interview and record review, the facility failed to consistently assess, monitor, and provide wound care treatments as ordered to existing pressure ulcers for 1 of 3 residents [Resident 1] reviewed for pressure ulcers. Resident 1 experienced harm when the residents left heel wound became malodorous, excessive fluid discharge, developed a maggot (fly larvae) infestation that required hospitalization and antibiotic treatment and placed the resident at risk of decreased quality of life. Findings included.Record review of the National Library of Medicine article, titled, Maggot Infestation: Various Treatment Modalities, dated 03/30/2018, showed the invasion of the skin and subcutaneous (under the skin) tissue by larvae (maggot) was known as maggot infestation. […]

• Actual harm, isolatedF686Apr 24, 2025

  Based on interview and record review, the facility failed to address a new skin pressure injury, timely notify the provider, and timely implement wound treatment orders for 1 of 1 sampled residents (Resident 1) reviewed for pressure ulcers (injuries to skin and underlying tissue resulting from prolonged pressure on the skin). Resident 1 experienced harm when they developed a facility acquired pressure ulcer which deteriorated prior to staff obtaining timely orders for wound treatment and pressure reduction modalities. This failure placed residents at risk for development and/or worsening of wounds, medical complications, and a diminished quality of life. […]

• Actual harm, isolatedF760Mar 11, 2025

  Based on interview and record review, the facility failed to ensure residents were free from significant medication errors for 1 of 1 sampled residents (Resident 1) reviewed for significant medication errors. Resident 1 experienced harm when they received two doses, of 10 times the ordered amount, of a blood thinner medication that resulted in hospitalization with three hematomas (bleeding within a muscle group) and transfusion of one unit of packed red blood cells. This failure placed residents at risk for a significant medication error, medication side effects and a diminished quality of life. […]