Bridgewood Health Care Center

In the surveyor’s words

From the most serious findings on record at Bridgewood Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jan 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure five sampled residents (Resident #23, #28, #34, #44, and #46) were free from physical abuse. During a staff to resident abuse, Resident #44 was pushed to the corner of the wall, and held in place with a forearm against the resident chest area, resulting in bruising. During a resident to resident altercation, Resident #28 was attacked by Resident #23, ending up with both residents on the floor, hitting and pulling each other's hair and banging each other's head on the floor. Resident #23 sustained bruising to both eyes. Resident #28 was bit in the face, resulting in the resident's right upper cheek being punctured and a bump to the back right side and middle center of his/her head. […]

• Immediate jeopardy, patternF584Jun 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure a comfortable and homelike environment by not maintaining the indoor air temperatures of resident rooms in the facility between 71.0 F (degrees Fahrenheit) and 81.0 F for 20 sampled residents (Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, and #22) with room temperatures ranging from 82.0 degrees Fahrenheit ( F) to 86.7 F. Resident #1 reported he/she had to sleep in the common area due to the discomfort of her personal room. Resident #2 said he/she felt his/her heart was in distress. Resident #3 said he/she had hot sweats when trying to nap during the day and has had to go sleep in the TV room twice because of the heat. […]

• Immediate jeopardy, patternF600Mar 16, 2022

  Based on interview and record review, the facility failed to prevent staff to resident abuse for nine sampled residents(Resident #1, #2, #3, #4, #5, #7, #8, #9 and #10) who resided on a locked unit out of 10 sampled residents, when the residents alleged Hall Monitor A and Hall Monitor G were providing them with illicit drugs (marijuana). Resident #2 was found with a substance in a plastic bag thought to be an illicit drug (marijuana). Residents #1, #2, #3, and #4 provided permissions for drug testing and all were positive for marijuana. The facility census was 159 residents. On 3/15/22 at 10:15 A.M., the Administrator was notified of the past noncompliance immediate jeopardy (IJ) which occurred on 3/10/22. […]

• Immediate jeopardy, patternF689Mar 16, 2022

  Based on observation, interview, and record review, the facility failed to provide supervision for one sampled resident (Resident #1), when on 3/5/22 at approximately 11:45 A.M., he/she accessed the facility snack room for staff and obtained a semi automatic nine millimeter hand gun with 16 bullets in the magazine. He/she took the loaded handgun, walked past the nurses station, three resident rooms, and entered his/her room and hid the gun in his/her ceiling. The facility census was 159 residents. On 10/15/22 at 10:15 A.M., the Administrator was notified of the past noncompliance immediate jeopardy (IJ) which occurred on 3/5/22. On 3/5/22, the facility administration was notified of the incident and the investigation was started. […]

• Immediate jeopardy, isolatedF600Apr 14, 2026

  Based on observation, interview, and record review, the facility failed to protect seven sampled residents (Resident #1, #2, #5, #6, #8, #12, and #16) out of 18 sampled residents from physical abuse between residents. On 3/23/26 at 7:30 P.M. Resident #2 approached Resident #1 and a verbal argument between the residents escalated into a physical argument with both Resident #1 and Resident #2 punching one another in the face and torso areas. Resident #1 then pulled a broken pair of scissors from his/her pants pocket and stabbed Resident #2 in the left forearm. Resident #2 was sent to the hospital and diagnosed with a concussion and received two sutures to the left forearm. […]