Bridgewood Post Acute

In the surveyor’s words

From the most serious findings on record at Bridgewood Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 23, 2025

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse by a resident for one of four sampled residents (Resident 2) when Resident 1 threw a plate on Resident 2's face. This failure resulted in Resident 2 sustaining a laceration on the right eyebrow. Findings: During a review of Resident 1's admission record, the record indicated Resident 1 was admitted in October 2024 with diagnoses that included schizophrenia (a mental illness that is characterized by disturbances in thought), bipolar disorder (sometimes called manic-depressive disorder; mood swings that range from the lows of depression to elevated periods of emotional highs), anxiety disorder (significant and uncontrollable feelings of anxiety and fear),… […]

• Actual harm, isolatedF660Dec 27, 2022

  Based on record review and interview, the facility failed to ensure a smooth and safe discharge back to the community when Resident 1 was dropped off at a shelter during a period of extreme heat without secured lodging after being exposed to COVID-19 by facility staff. This failure resulted in Resident 1 being readmitted to the hospital. Findings: A review of an admission record indicated Resident 1 was admitted to the facility on [DATE], with diagnoses which included shortness of breath, abnormalities of gait and mobility, and urinary retention. […]

• Actual harm, isolatedF686Mar 24, 2021

  Based on interview and record review, the facility failed to identify the development of multiple pressure ulcers (damage to the skin and underlying tissue due to localized pressure) for one (Resident 1) of three sampled residents. This failure resulted in Resident 1 not receiving wound care for multiple pressure wounds which had the potential to cause wound infection or [CONDITION(S)]. Findings: A review of Resident 1's Admission Record, indicated Resident 1 was admitted in 2016 with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF880Jun 29, 2023

  Based on observation, interview and record review, the facility failed to ensure infection prevention and control program guidelines and practices were maintained for a census of 44, when: 1. Licensed Nurse 6 (LN 6) did not sanitize hands and changed gloves during wound dressing change for Resident 3; 2. Unlabeled and undated opened humidifiers found at the bedside of Resident 153; 3. Outdated humidifier was used for Resident 155; 4. Used coffee mugs and office equipment were found on top of a folding table in the dining room; 5. Nursing staff did not perform hand hygiene during direct resident care in an isolation room; and 6. Infection Preventionist (IP) verbalized no knowledge of infection control and prevention. […]

• No harm, potential for more than minimal, widespreadF880Aug 29, 2022

  Based on observation and interview the facility failed to ensure guidelines and practices for infection prevention and control program were maintained for a census of 43, when: 1. Resident 1 was found outside an isolation precautions room and had lunch with other residents in the dining room; 2. Licensed Nurse (LN) entered and provided care to a resident in an isolation precautions room and did not wear proper PPEs (personal protective equipment); 3. Resident 3 was not placed in an isolation precautions room upon admission; and 4. Isolation precautions room cart did not contain gloves for staff to use. These failures had the potential to result in transmission of infection and diseases to a vulnerable population. Findings: 1. […]