The Haven of Bridgeport

In the surveyor’s words

From the most serious findings on record at The Haven of Bridgeport, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 24, 2024

  Based on observation, interview, and record review the facility failed to ensure a resident was properly restrained while being transported in the facility van for 2 (R1 and R4) of 4 residents reviewed for accidents in a sample of 4. This failure resulted in R1 sustaining a laceration to her head requiring 14 staples and 8 sutures, a fracture to the second digit of the right foot, left nasal bone fracture with deviation of the septum, and bruising to the lower abdomen and upper thighs. Findings include: 1. R1's Admission Record documented an admitted [DATE] with diagnoses that included Parkinson's disease, difficulty in walking, unsteadiness on feet. […]

• Actual harm, isolatedF689Jul 27, 2023

  Based on observation, interview and record review, the facility failed to safely transfer and immediately report a fall for one (R22) of seven residents reviewed for risk of falls in the sample of 34. This failure resulted in R22 falling against the toilet during a one assist transfer and sustaining a rib fracture with resulting pain. This past noncompliance occurred between 6/17/23 and 7/12/23. Findings include: R22's Face Sheet documented an admitted [DATE] and diagnoses including Alzheimer's Disease, Chronic Obstructive Pulmonary Disease, Diabetes Type 2, and Heart Failure. […]

• No harm, potential for more than minimal, widespreadF725Jan 7, 2026

  Based on interview and record review the facility failed to ensure they had sufficient staff to meet the needs of the residents timely for 4 of 4 (R1, R2, R13, and R14) residents reviewed for staffing in the sample of 14. This has the potential to affect all 67 residents who currently reside at the facility.Findings Include:The facility Resident Matrix dated 1/5/2026 documents 67 residents currently reside at the facility.1. R2's admission Record with a print date of 1/6/26 documents R2 was admitted to the facility on [DATE] with diagnoses that includes morbid obesity, unsteadiness on feet, heart disease, and osteoarthritis.R2's MDS (Minimum Data Set) dated 10/31/25 documents a BIMS (Brief Interview for Mental Status) score of 15, which indicates R2 is cognitively intact. […]

• No harm, potential for more than minimal, widespreadF812May 31, 2024

  Based on observation, interview, and record review the facility failed to properly label/cover food items and prevent cross contamination. This failure has the potential to affect all 67 residents residing in the facility. The Findings Include: On 5/28/24 at 10:00 AM, during the initial tour of the kitchen, the following items were found not to be labeled and/or covered in the refrigerators: drink pitchers not labeled, desert bowls that were covered but not labeled, shredded cheese not labeled, and salad not labeled. The cake was found to be uncovered on a tray and not labeled. During the initial kitchen tour, the bulk sugar container had a cup with no handle in the container. […]

• No harm, potential for more than minimal, widespreadF812Jul 27, 2023

  Based on observation, interview and record review, the facility failed to properly sanitize dishware. This has the potential to affect all 61 residents residing in the facility. Findings include: On 07/23/23 at 11:30 AM, the chemical sanitizer level in the dish machine was checked by V13 (Dietary Aide) for chlorine sanitizer and did not register any sanitizer on the test strip. After looking at the container of sanitizer and seeing it was empty, V13 (Dietary Aide) stated, the container ran out last night (07/22/23). On 07/23/23 at 11:50 AM, a new container of sodium hypochlorite solution (chlorine) sanitizer was brought into the kitchen and utilized for the dish machine. […]