The Bristol Care Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Dec 1, 2023

  41015 48441 39866 Based on observations, interviews, and record review, the facility failed to prevent accidents and hazards related to smoking safety precautions, for 14 residents (#114, #96, #102, #198, #131, #188, #324, #162, #184, #191, #113, #57, #68, and #61) out of 14 residents sampled for smoking safety out of a 44 residents on the facility residents who smoke list. The facility failed to ensure the safety of all 229 residents in the facility as a result of the failure. On 9/22/23 at 5:11 p.m. Resident #61 was found smoking (alleged) marijuana in an unauthorized smoking area by the Nursing Home Administrator. On 10/21/23 at 4:03 a.m. […]

• Immediate jeopardy, widespreadF867Dec 1, 2023

  41015 48441 39866 Based on observations, interviews, and record review, the facility failed to utilize the Quality Assessment and Performance Improvement (QAPI) process to investigate, develop, and implement an effective Performance Improvement Plan (PIP) to prevent continued accidents and hazards related to smoking safety precautions, for 14 residents (#114, #96, #102, #198, #131, #188, #324, #162, #184, #191, #113, #57, #68, and #61) out of 14 residents sampled for smoking safety out of 44 residents on the facility residents who smoke list. The facility failed to ensure the safety of all 229 residents in the facility as a result of the failure. On 9/22/23 at 5:11 p.m. Resident #61 was found smoking (alleged) marijuana in an unauthorized smoking area by the Nursing Home Administrator. […]

• Immediate jeopardy, widespreadF926Dec 1, 2023

  41015 48441 39866 Based on observations, record review, and interview, the facility failed to develop and implement an effective policy and procedure to address smoking safety and fire hazards for 14 residents (#114, #96, #102, #198, #131, #188, #324, #162, #184, #191, #113, #57, #68, and #61) out of 14 residents sampled for smoking safety out of 44 residents on the facility residents who smoke list. On 9/22/23 at 5:11 p.m. Resident #61 was found by the Nursing Home Administrator smoking (alleged) marijuana in an unauthorized smoking area of the facility. On 10/21/23 at 4:03 a.m. Resident #102, who was on oxygen, was permitted to keep smoking materials at the bedside and as a result Resident #102 was harmed when she smoked in bed on 10/21/23 and started a fire inside the facility. […]

• Immediate jeopardy, isolatedF678May 5, 2023

  Based on record review, interview, facility documentation review and policy review the facility failed to accurately identify a resident, follow facility policy, and accurately identify a code status of one resident (#1) out of six residents reviewed for advance directives. Resident #1, had physician orders and care plan showing her wishes were for a Full Code (meaning all resuscitation procedures will be provided to keep her alive if found without a pulse and/or respirations). On [DATE] when Resident #1 was found to be unresponsive without pulse and respirations, resuscitation efforts were begun, and then stopped due to a mistake in identifying the correct medical record. […]

• Immediate jeopardy, isolatedF689Apr 15, 2022

  Based on observations, interviews with the nursing staff, Nursing Home Administrator, the Director of Nursing, the facility's Maintenance Director, the facility's Medical Director, and review of the resident's medical record and facility policies, the facility failed to ensure one resident (#1) of 13 residents sampled for supervision, was provided with supervision and services related to the resident's known exit-seeking behaviors and attempts to open exit doors on the secured dementia care unit. […]