Bridgeway Senior Living

In the surveyor’s words

From the most serious findings on record at Bridgeway Senior Living, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 1, 2024

  Based on interview and record review the facility failed to identify a change in a resident condition, failed to provide frequent monitoring, failed to provide accurate information to the physician, and failed to transfer R2 to the hospital in a timely manner. This failure resulted in R2 experiencing a slow deterioration from the morning of [DATE], until she was transferred to the hospital at 12:30 PM on [DATE], in critical condition. R2 died at the hospital on [DATE] from septic shock. This applies to 1 of 3 residents (R2) reviewed for quality of care in the sample of 11. The Immediate Jeopardy began on [DATE] at 1:18 AM when V28 (LPN - Licensed Practical Nurse) failed to identify R2's change in condition, complete an assessment, obtain vital signs, and notify R2's physician. […]

• Immediate jeopardy, isolatedF689Nov 22, 2022

  Based on observation, record review and interview, the facility failed to provide supervision for a resident with wandering behaviors and Dementia. As a result, R1 left the secured unit and eloped from the facility without facility knowledge. R1 was found by a bystander on the grounds of neighboring independent living complex near a high traffic area and the bystander notified emergency services. As a result, R1 was transported to the local hospital and was noted with a head injury and nasal fracture and required emergency medical treatment. This failure resulted in Immediate Jeopardy. This applies to 6 of 6 residents (R1 through R6) who were reviewed for supervision and safety from a total sample of 10. […]

• Actual harm, isolatedF760Jul 23, 2026

  Based on the interview and record review, the facility failed to ensure a resident's monthly atypical antipsychotic injection and oral antibiotics were administered as ordered. This failure resulted in a resident experiencing unstable behaviors with a subsequent involuntary psychiatric admission.This applies to 1 of 4 residents (R4) reviewed for significant medication errors.On 07/21/2026 at 10:05 AM, V18 (R4's family member) stated that R4 receives Invega (atypical antipsychotic medication) injections on the 5th of each month, and in July she did not receive it. V18 said on 07/12/2026, R4 also received an order for an oral antibiotic treatment for a urinary tract infection, but R4 did not receive her antibiotic either. […]

• Actual harm, isolatedF689Apr 25, 2026

  Based on interview and record review the facility failed to ensure the safety of resident during care. This failure resulted in R1 falling from her bed during peri care, sustaining a scalp laceration, and needing transferred to a local hospital for sutures. This applies to one of three residents (R1) reviewed for safety in the sample of three. This past non-compliance occurred from 3/29/26 to 3/30/26.The findings include:The facility face sheet for R1 shows she was admitted to the facility with diagnoses to include conversion disorder with seizures, dementia, aphasia (communication disorder) and dysphagia (difficulty swallowing). […]

• Actual harm, isolatedF689Aug 15, 2025

  Based on interview and record review, the facility failed to provide a safe environment and implement care plan interventions to prevent a fall that resulted in injury.This applies to 1 of 3 residents (R12) reviewed for falls in the sample of 14.This failure resulted in R12, experienced a fall that resulted in a right hip fracture and required hospitalization.The findings include:R12's EMR (Electronic Medical Record) showed R12 was admitted to the facility on [DATE], with multiple diagnoses including dementia, unspecified combined chronic diastolic and systolic congestive heart failure, history of falling and chronic kidney disease. […]