NewBridge on the Charles Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at NewBridge on the Charles Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF761May 13, 2026

  Based on observations and interview, the facility failed to ensure staff stored all drugs and biologicals used in the facility in accordance with currently accepted professional principles. Specifically, the facility failed to ensure medications for Residents #24 and #62 remained in view of the nurse and were not left unattended and unsecured during the medication administration pass. Findings include:Review of the facility's policy titled Automated Dispensing Machine (ADM), dated as last revised 9/29/25, indicated but was not limited to the following:-ADMs are used to provide access to medications and to ensure medication security.-Only authorized personnel may remove medications. […]

• No harm, potential for more than minimal, isolatedF604Jun 7, 2023

  Based on observation, record review and interview, the facility failed to ensure one Resident (#46) was free from restraints out of a total sample of 21 residents. Specifically, for Resident #46 the facility failed to assess the use of pillows under the fitted sheet on both sides of the bed as a potential restraint. Findings include: Review of the facility policy titled Restraints and dated as revised 2/7/22, indicated that all patients have the right to be free from restraints. The least restrictive method of restraint that meets the patient's assessed need is used. Further review indicated that the documentation of the management of medical conditions along with documentation of alternate approaches used to manage a patient's behavior should be entered in the medical record. […]

• No harm, potential for more than minimal, isolatedF804Oct 13, 2021

  Based on observations, interviews, and test tray results, the facility failed to ensure foods provided to all residents were appetizing and served at palatable temperatures. Findings include: On 10/6/21 at 11:45 A.M., the surveyor observed food service staff preparing to serve the noon meal from the unit pantry kitchen. Multiple (25) plate warming devices (thermal unit) with plates were observed stored on the service counter prior to serving the resident meal trays. During an interview on 10/6/21 at 11:45 A.M., the Food Service Manager/ Chef said the facility food service uses a DuraTherm/Dinex system to maintain food temperatures which includes a heated base (electrical conduction), plate and insulated dome cover, and the system can hold hot food temperatures for at least 30 minutes. […]

• No harm, potential for minimal, patternF636Jun 7, 2023

  Based on records reviewed and interview the facility failed to complete discharge Minimum Data Set (MDS) Assessments in a timely manner for four Residents (#7, #12, #28 and #48) out of a total sample of 21 residents. Findings include: Review of the Resident Assessment Instrument (RAI) Manual 3.0 indicated the following: A discharge MDS must be completed no later than 14 days after discharge. 1. Review of the medical record indicated that Resident #7 was discharged from the facility on 3/11/23. Further review failed to indicate a discharge MDS was completed. 2. Review of the medical record indicated that Resident #12 was discharged from the facility on 2/18/23. Further review failed to indicate a discharge MDS was completed. 3. […]