Bridgepoint Subacute and Rehab Capitol Hill

In the surveyor’s words

From the most serious findings on record at Bridgepoint Subacute and Rehab Capitol Hill, in the surveyor’s own words.

• Immediate jeopardy, patternF689May 5, 2025

  2. A policy titled, Smoking Policy with a review date of 12/2024 instructed in part, To protect the health, safety, and comfort of our residents, visitors, medical staff and employees . Bridge Point is a smoke free facility. Smoking may not occur with the facility. This policy is applicable to all employees, staff, visitors, and residents, both smokers and non-smokers. The information in this policy will be reviewed with all staff during orientation and on an annual basis .Residents receive information regarding policy during the admission process .Residents and visitor compliance with the policy is a shared responsibility of all Bridge Point employees and staff .The nursing facility acts to minimize the smoke (sp) to the greatest extent possible. […]

• Actual harm, isolatedF686May 6, 2026

  Based on record review and staff interviews, for one (1) of 53 sampled residents, facility staff failed to order a wound consult and treatment for a resident who was observed with blisters on his right buttock. Subsequently, five (5) days later, the resident was observed with a Stage 3 pressure ulcer to his right buttock. Resident #38.The findings included: A review of the facility policy entitled Pressure Ulcer/Injury Assessment, reviewed 12/2025 that documented: Steps in the Procedure:Gather assessment tools and documentation and conduct the assessment in the manner most appropriate to the resident's condition and willingness to participate. If necessary, allow the resident to take rest periods during the assessment. […]

• Actual harm, isolatedF686May 5, 2025

  Based on observation, record reviews and staff interviews for one (1) of 39 sampled residents, facility staff failed to consistently assess and document changes in the skin of Resident #47 who developed an in-house, acquired pressure injury/ulcer that was first identified at an advanced stage (Stage 3). (Resident #47) These failures resulted in actual harm to Resident #47. The findings include: A policy titled, Prevention of Pressure Ulcers/Injuries with a revision date of 05/24/24 instructed staff to, Inspect the skin on a daily basis when performing or assisting with personal care or ADLs (activities of daily living); Identify any signs of developing pressure injuries (i.e., non-blanchable erythema). […]

• Actual harm, isolatedF600Mar 25, 2022

  Based on observations, record review, staff, and resident interviews, for one (1) of 53 sampled residents, facility staff failed to ensure that Resident #266 was free from mental abuse and rough handling/physical abuse by a licensed practical nurse employed by the facility. These failures resulted in psychosocial harm to Resident #266. The findings include: Facility policy entitled Abuse Policy revised 07/2017 stipulates, Definitions .1.Abuse . the willful infliction of injury, unreasoned confinement, intimidation or punishment with resulting physical harm, pain or mental anguish .Includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled through the use of technology. […]

• No harm, potential for more than minimal, widespreadF942May 5, 2025

  Based on record reviews and staff interviews, facility staff failed to ensure that staff members were educated on the resident's rights and the facility's responsibilities to properly care for its residents, as set forth at §483.10, respectively. The findings included: A review of the Facility's Assessment updated 12/03/24, that documented: .Section 3.4 Staff Training/Education and Competencies. We only hire individuals that are eligible to work in The District of Columbia, currently using temporary nursing assistant(s). Department and job specific competencies are completed during orientation and reviewed annually. […]