Bridgetown Nursing and Rehabilitation Centre

In the surveyor’s words

From the most serious findings on record at Bridgetown Nursing and Rehabilitation Centre, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Sep 4, 2025

  Based on record review, staff interview, and review of job description, the facility failed to ensure there was sufficient qualified nursing staff available to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, physical, mental and psychosocial well-being. This directly affected seventeen residents (#1, #3, #11, #14, #17, #19, #20, #22, #26, #28, #29, #30, #32, #33, #36, #37, and #38) and had the potential to affect all residents. The facility census was 41.Medical record review for seventeen residents (#1, #3, #11, #14, #17, #19, #20, #22, #26, #28, #29, #30, #32, #33, #36, #37, and #38) revealed their Minimum Data Set assessments were not submitted timely. […]

• No harm, potential for more than minimal, widespreadF727Sep 4, 2025

  Based on record review, staff interview, and review of job description, the facility failed to ensure the Director of Nursing (DON) was ensuring the nursing services for residents were being provided. This directly affected seventeen residents (#1, #3, #11, #14, #17, #19, #20, #22, #26, #28, #29, #30, #32, #33, #36, #37, and #38) and had the potential to affect all residents. The facility census was 41.Findings include:Medical record review for seventeen residents (#1, #3, #11, #14, #17, #19, #20, #22, #26, #28, #29, #30, #32, #33, #36, #37, and #38) revealed their Minimum Data Set assessments were not submitted timely. […]

• No harm, potential for more than minimal, widespreadF804Sep 4, 2025

  Based on observation, resident interview, staff interview, and record review, the facility failed to provide meals that were attractive and appetizing. This affected three Residents (#03, #05, and #20,) however, it had the potential to affect all 36 residents who receive food at the facility. The facility identified five Residents (#08, #15, #30, #33, and #45) who do not receive food from the kitchen. The facility census was 41. Findings include:1. Medical record review for Resident #03 revealed he was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Sep 4, 2025

  Based on observation, record review, staff interview, and policy review, the facility failed to maintain a maintain, store, and prepare food in a sanitary manner. This had the potential to affect all residents at the facility, who received food from the kitchen. The facility identified five Residents (#08, #15, #30, #33, and #45) who do not receive food from the kitchen. The facility census was 41. Findings include: Observation on 09/02/25 at 9:01 A.M., with the facility Administrator during the initial tour of the kitchen revealed the lights over the food preparation and steam table areas had multiple unknown brown items with legs attached inside the light. The ceiling fans had black fuzzy substance and debris all over them hanging over the food preparation area. […]

• No harm, potential for more than minimal, widespreadF880Sep 4, 2025

  Based on observation, staff interview, record review, and policy review, the facility failed to ensure staff doffed personal protection equipment (PPE) appropriately, failed to perform hand hygiene after providing direct care, and failed to ensure there was a proper receptacle for disposing of PPE for residents in Enhanced Barrier Precautions. This affected one (#8) of 14 residents sampled for infection control. The census was 41.Findings include:Review of the medical record revealed Resident #8 was admitted to the facility on [DATE]. Diagnoses included type II diabetes, recurrent major depressive disorder, and aphasia following cerebral infarction. […]