Bridgewater Park Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Bridgewater Park Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Dec 10, 2021

  Based on observation, interview, and record review, the facility failed to immediately consult with the resident's physician and notify the resident's representative when there was a critical laboratory result that required a change in medication for 1 of 2 residents reviewed for change in condition in a total sample of 38 residents, Resident #69. The resident was transferred to a higher level of care and did not survive. This facility failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on [DATE]. […]

• Immediate jeopardy, isolatedF600Dec 10, 2021

  Based on observation, interview, and record review, the facility failed to ensure the residents were free from neglect by not notifying the resident's physician of a change in condition related to critical laboratory results, Resident #69, and for not ensuring proper medical equipment supplies for a suprapubic catheter, Resident #36, for 2 of 8 residents, in a total sample of 38 residents. Resident #69 had a serious urinary tract infection, was transferred to a higher level of care for further treatment because the critical laboratory results were not reported to the physician. Resident #69 did not survive. This facility failure to ensure Resident #69 was free from neglect resulted in Immediate Jeopardy. The Immediate Jeopardy began on [DATE]. […]

• No harm, potential for more than minimal, widespreadF801Mar 5, 2026

  Based on interview and record review, the facility failed to ensure staff hired in the position of Dietary Manager had obtained the required qualifications to serve as Dietary Manager of the facility.Findings include: During an interview on 3/2/2026 beginning at 9:22 AM, Staff A, Dietary Manager, stated he was employed by the facility as the Dietary Manager. Review of personnel records for Staff A, Dietary Manager, revealed the Dietary Manager had high school education and had worked as the facility Dietary Manager since September 2025. […]

• No harm, potential for more than minimal, widespreadF812Dec 10, 2021

  Based on observation, interview, and record review, the facility failed to ensure ice used for the resident's consumption was kept free from contamination. This had the potential to affect all current residents who consume the facility's food. Findings: During a tour of the kitchen on 12/6/2021 at 9:06 AM with the Certified Dietary Manager (CDM), the surveyor observed the ice machine with a brownish black substance around the inside of the door opening. During an interview on 12/6/2021 at 10:28 AM, the CDM confirmed the ice machine had a brownish/black substance around the lid and door. […]

• No harm, potential for more than minimal, patternF761May 4, 2023

  Based on observation, interview, and record review, the facility failed to ensure medications were securely stored in 3 of 4 Halls in the rooms of Resident #41, Resident #55, Resident #324, and Resident #164 (Photographic evidence obtained). Findings include: 1. During an observation of Resident #55's room on 5/1/2023 at 9:53AM, there was an Aluterol Inhaler on top of the resident's bedside table. No nursing staff was present in the room. Review of Resident #55's physician orders revealed no orders for self-administration of medications. During an interview on 5/1/2023 at 9:53 AM, Resident #55 stated, The nurse left the inhaler here but will be right back to pick it up. 2. […]