Bruce Community Living Center

In the surveyor’s words

From the most serious findings on record at Bruce Community Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF558Aug 19, 2025

  Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure call lights and frequently used items were maintained within residents' reach for three (3) of four (4) residents observed (Residents #1, #2, and #3).Findings include: Review of the facility policy titled, “Call Light, Use Of,” last revised August 2014, revealed: “ .Procedure: When providing care to residents be sure to position the call light conveniently for the resident to use . Resident #1During an observation and interview with Resident #1 on 8/19/25 at 3:35 PM, she stated that on the evening of 6/23/25 her call light and phone were not within her reach. […]

• No harm, potential for more than minimal, isolatedF628Feb 19, 2026

  Based on interview and record review, the facility failed to ensure notification of the Long-Term Care Ombudsman for one (1) of two (2) residents reviewed for discharge. Resident #40. Findings Include: Review of typed Statement dated 02/19/26 on facility letterhead, revealed that (proper name) facility did not have a policy to notify the local or state ombudsman of discharges to home. Record review of Resident #40's Physician Orders revealed an order dated 11/25/25 to D/C (Discharge) home today with (proper name) Home Health. Record review of Resident #40's Progress Note dated 11/25/25 revealed Resident #40 was propelled in wheelchair to private auto and transferred out of wheelchair into private auto with maximum assistance of one. No new orders noted. […]

• No harm, potential for more than minimal, isolatedF646Feb 19, 2026

  Based on record review, staff interview, and facility policy review, the facility failed to notify the State Mental Health Authority of a change in mental health status for a resident with a diagnosed mental illness for one (1) of three (3) Pre-admission Screening and Resident Review (PASRR) records reviewed. Resident #2.Findings Include:Review of the facility policy titled Change in a Resident's Condition or Status latest review 08/2023 revealed under Policy Interpretation and Implementation.7. […]

• No harm, potential for more than minimal, isolatedF690Feb 19, 2026

  Based on observation, resident and staff interview, and record review, the facility failed to ensure a suprapubic catheter drainage system was maintained in a manner to promote proper drainage and prevent backflow of urine for one (1) of three (3) residents reviewed for catheters. Resident #12.Findings Include:Review of the education provided for skill competency catheter care titled Urinary Catheter Care dated 3/17/08 revealed, When providing care for the resident who has a catheter there are some important guidelines for the caregiver to know. The drainage bag must be kept below the level of the bladder to prevent the backflow of urine. […]

• No harm, potential for more than minimal, isolatedF550Aug 19, 2025

  Based on resident and staff interviews, record review, and facility policy review, the facility failed to honor a resident's expressed preference for care and provide services in a manner that maintained and promoted dignity. This failure resulted in Resident #1 not receiving care as requested, leaving her wet and uncomfortable, for one (1) of four (4) residents reviewed for dignity concerns (Resident #1).Findings include: Review of the facility policy titled, “Resident Rights,” last revised November 28, 2016, revealed: “(a) The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. […]