Bridgewater Home , Inc.

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF656Jan 22, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to develop comprehensive care plans (CCPs) that included the residents current code status for all residents in the survey sample. The findings included:The facility staff failed to develop CCPs that included the residents current code status. During the clinical record review, the surveyors were unable to locate information on the resident's CCPs that referenced their current code status. On 01/21/26 at 5:00 p.m., during an end of the day meeting with the Administrator, Director of Nursing (DON), and Infection Preventionist the issue with the code status not being on the resident's CCP was reviewed. […]

• No harm, potential for more than minimal, patternF576Jan 22, 2026

  Based on resident interview, staff interview, and facility document review, the facility staff failed to recognize and respect the residents' right to exercise their rights as a resident/citizen of the United States to send/receive mail. The findings included:For the facility, the facility staff failed to recognize and respect the residents' right to exercise their rights as a resident/citizen of the United States to send/receive mail on Saturdays. On 1/21/2026 at 2:50 PM, this surveyor met with six members of the Resident Council, Resident #12, Resident #77, Resident #85, Resident #101, Resident #104, and Resident #117. The residents' concurred mail is not delivered to them on Saturdays at the facility. […]

• No harm, potential for more than minimal, patternF680Jan 13, 2022

  Based on staff interview, clinical record review and complaint investigation, the facility staff failed to employ a qualified activity professional for the facility. For two years, the facility had no qualified therapeutic recreation specialist or activities professional providing direction/supervision of the activity programs for residents. The findings include: During a complaint investigation regarding Resident #37's activities, the household coordinator (CNA #1) was identified as the staff person responsible for providing recreational activities on the resident's living unit. On 1/12/22 at 2:37 p.m., certified nurses' aide (CNA) #1 was interviewed about Resident#37's activities program. […]

• No harm, potential for more than minimal, patternF758Jan 13, 2022

  Based on clinical record review and staff interview, the facility staff failed to ensure 2 of 26 residents in the survey sample were free from unnecessary [CONDITION(S)] medications, Resident #45 and Resident #37. Resident #45 had physician orders for as needed (PRN) antianxiety medication [MEDICATION(S)] that extended more than 14 days without a stop date. Resident #37 had physician orders for as needed (PRN) antipsychotic medication [MEDICATION(S)] and the antianxiety medication Lorazepam that extended for more than 14 days without a stop date; and an as needed (PRN) dose of [MEDICATION(S)] was administered to Resident #37 without an indication for use or documented prior attempts of non-drug interventions. The findings include: 1. […]

• No harm, potential for more than minimal, isolatedF584Jan 22, 2026

  Based on observation, staff interview, and clinical record review, the facility staff failed to maintain a comfortable homelike environment for 1 of 28 residents in the survey sample, Resident #105.The findings included:A large area of drywall/sheetrock next to the resident's bed was visibly scuffed and damaged.Resident #105's diagnoses included Alzheimer's disease and dementia.Section C (cognitive patterns) of Resident #105's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 11/24/25 had been coded to indicate this resident was moderately impaired in cognitive skills for daily decision making.On 01/20/26 during initial tour of the facility the surveyor observed a large area of drywall beside the resident's bed to be scuffed and damaged.A second… […]