Bridges To Home

In the surveyor’s words

From the most serious findings on record at Bridges To Home, in the surveyor’s own words.

• Actual harm, isolatedF760Aug 4, 2025

  Based on interview and record review, the facility failed to ensure 1 of 2 residents (Resident 4) was free from a significant medication error. Resident 4 experienced harm when they were hospitalized for a benzodiazepine (medication to treat seizures [a temporary, uncontrolled burst of electrical activity in the brain that can cause temporary changes in behavior, movements, sensations, or awareness]) overdose (excessive/dangerous dose of a drug). This failure placed the residents at risk for serious medication errors, complications, and adverse health outcomes.Findings included.Review of the facility's policy titled, Medications -Medication Pass Procedure, revised on 12/27/2023, showed, medications will be administered per the eight rights of medication administration: right patient, right… […]

• No harm, potential for more than minimal, patternF656Aug 4, 2025

  Based on interview and record review, the facility failed to develop and implement care plans for 4 of 7 residents (Residents 7, 1, 6 & 4), reviewed for comprehensive care plans. The failure to implement care plans for use of benzodiazepine (a medication for seizures/epilepsy [a temporary, uncontrolled burst of electrical activity in the brain that can cause temporary changes in behavior, movements, sensations, or awareness]), diuretic (medications that help move extra fluid out of the body), and antibiotic (medications to treat infections) placed the residents at risk for unmet care needs and a diminished quality of life.Findings included. […]

• No harm, potential for more than minimal, patternF732Aug 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure the nurse staffing information postings were posted at the beginning of each shift for 3 of 4 days and failed to ensure the nurse staffing information posting was in a prominent location readily accessible to residents/representatives and visitors, reviewed for Nurse Staffing Information. These failures placed the residents/representatives and visitors at risk for not being fully informed of current nurse staffing levels and resident census information.Findings included .Review of the facility's undated policy titled, Staff Postings, showed, Staffing will be posted daily in a readable format in a prominent location in the facility. […]

• No harm, potential for more than minimal, patternF756Aug 4, 2025

  Based on interview and record review, the facility failed to ensure Medication Regimen Review (MRR- a comprehensive assessment of resident's medications, performed by a pharmacist [a qualified professional to provide expert advice on medication management, safety, and regulatory compliance] to identify and address potential problems) was completed for 1 of 5 residents (Resident 6), reviewed for unnecessary medications. This failure placed the resident at risk of receiving unnecessary medications and a diminished quality of life. Findings included . Review of the facility's policy titled, Medication Regimen Review and Reporting, dated January 2023, showed, The nursing center follows up on the recommendations to verify that appropriate action has been taken. […]

• No harm, potential for more than minimal, patternF761Aug 4, 2025

  Based on interview and record review, the facility failed to maintain proper temperature for 1 of 1 refrigerator (Medication Room Refrigerator), reviewed for medication storage. This failure placed the residents at risk of receiving compromised and ineffective medications.Findings included.Review of the facility's policy titled, Storage of Medication, dated January 2023, showed, Medications and biologicals are stored properly, following manufacturer's or provider pharmacy recommendations, to maintain their integrity and to support safe effective drug administration. The policy showed that medications requiring refrigeration would be kept between 36 to 46 degrees Fahrenheit ( F - a scale for measuring temperature). […]