Bridgewater Center for Rehab & Nursing L L C

In the surveyor’s words

From the most serious findings on record at Bridgewater Center for Rehab & Nursing L L C, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF585Jun 12, 2026

  Based on observations, record review, and interviews, the facility failed to ensure a process was in place for residents to have their grievances addressed appropriately for 349 of 349 residents residing in the facility. Specifically, 12 of 12 anonymous residents present at the resident group meeting stated they did not know where to obtain grievance forms, their right to file grievances anonymously, and who the grievance officer was. The residents present at the meeting stated their views, grievances, or recommendations voiced during resident council group meetings were not acted upon and responded to with a rationale and there was no documented evidence residents' voiced concerns were investigated, and rationales or responses were provided. […]

• No harm, potential for more than minimal, widespreadF812Jun 12, 2026

  Based on observations, record review, and interviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for one of one main kitchen, two of seven rolling coolers (Units 2B and 5A rolling coolers), and two of four unit pantries (Units 4A and 5A pantries). Specifically, in the main kitchen prepared foods were not cooled properly, multiple single serve milk cartons were past their best by date, several food items were stored in packages on the floor or loose on the floor of the freezer, two handwashing sinks did not have access to paper towels and areas of the kitchen were unclean; The Units 2B and 5A rolling coolers did not maintain temperature for proper cold storage; the Unit 5A pantry had several areas that were… […]

• No harm, potential for more than minimal, patternF550Jun 12, 2026

  Based on observations, record review, and interviews (IQIES intake 2647397), the facility failed to ensure residents had the right to a dignified existence in a manner and an environment that promoted the maintenance or enhancement of quality of life for three of three residents (Residents #19, #41, and #72) reviewed and for 10 of 12 anonymous residents present at a resident group meeting. Specifically, Resident #19's wheelchair was unclean and in disrepair; Resident #41's ceiling dripped liquid over their bed; Resident #72's clothing was improperly labeled and was worn by another resident; and 10 anonymous residents reported their clothing was not labeled properly, was not returned to them after laundering and was distributed to other residents. […]

• No harm, potential for more than minimal, patternF584Jun 12, 2026

  Based on observations, record review, and interviews, (IQIES intake 2991234), the facility did not ensure a safe, clean, comfortable, and homelike environment for four of seven resident units (Units 2A, 3A, 4A and 5A) reviewed. Specifically, Units 2A, 3A, 4A and 5A were unclean and in disrepair. Findings include: The facility policy Homelike Environment, revised 12/2025, documented residents were provided with a safe, clean, comfortable, and homelike environment and encouraged to use their personal belongings to the extent possible. Unit 2A During an observation on 06/10/2026 at 10:57 AM, the floors were very sticky throughout the unit and staff shoes were heard squeaking. […]

• No harm, potential for more than minimal, patternF761Jun 12, 2026

  Based on observations and interviews, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for three of seven medication carts (Unit 4A, Unit 4B, and Unit 5A). Specifically, the Unit 4A medication cart contained eye drops and inhalers that were not dated when opened, a blister pack of medications expired 06/05/2026, one insulin pen without a pharmacy label and one insulin pen that was not dated when opened; the Unit 4B medication cart contained an insulin pen that was not dated when opened; and the Unit 5A medication cart had unlabeled medication in a cup, a blister pack of medication that expired 01/15/2026, and an inhaler with two different open dates on it. […]