The Rehab Center at Bristol

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 1, 2025

  Based on observation, record review, interview, and facility document and policy review, the facility failed to provide adequate supervision to prevent accidents for 1 (Resident #101) of 4 residents reviewed for falls. Specifically, the facility failed to provide the appropriate level of supervision for Resident #101 during bathing. The resident was left unsupported on a shower bench while a staff member stepped away to retrieve a towel. As a result, the resident fell from the shower chair and hit their head, causing a head injury that required hospitalization. Findings included:A facility policy titled Falls-Clinical Protocol, revised 03/2018, indicated, 1. The physician will help identify individuals with a history of falls and risk factors for falling. The policy also specified, 5. […]

• No harm, potential for more than minimal, patternF610Oct 1, 2025

  Based on facility policy review, record review, facility document review, and interview, the facility failed to have evidence that allegations of abuse were thoroughly investigated for 4 (Residents #13, #92, #52, and #98) of 8 residents reviewed for abuse/neglect prohibition. The facility also failed to implement interventions to prevent further potential abuse/neglect while an investigation was in progress for 1 (Resident #98) of 8 residents reviewed for abuse/neglect prohibition.Findings included: A facility policy titled, “Abuse, Neglect, Exploitation or Misappropriation – Reporting and Investigating,” revised September 2022, revealed, “All reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported… […]

• No harm, potential for more than minimal, patternF584Oct 26, 2022

  Based on staff interview, family interview, and facility document review the facility staff to ensure a clean, comfortable, homelike environment for 1 of 2 floors, and one of 19 residents, Resident #36. The findings included: 1. For the 2nd floor of the facility, the facility staff failed to ensure a clean environment. Throughout the course of the survey, the surveyor observed a pervasive odor of urine in the hallway of the second floor. The surveyor also observed debris in the floor, and inside the handrails. These observations were addressed with the maintenance director and housekeeping district manager on 10/26/22 at 11:10 am during a waking tour of the 2nd floor of the facility. […]

• No harm, potential for more than minimal, patternF881Oct 26, 2022

  Based on staff interview and facility document review, the facility staff failed to maintain an infection prevention and control program to include an antibiotic stewardship program. The findings included: The facility staff failed to safeguard and maintain documentation regarding the facility antibiotic stewardship program. On 10/26/22 at 12:39 pm, surveyor met with the administrator and director of nursing (DON) regarding the facility infection prevention and control program. The DON began employment with the facility on 6/27/22 and the administrator began on 9/20/22. […]

• No harm, potential for more than minimal, isolatedF609Oct 1, 2025

  Based on facility policy review, record review, facility document review, and interview, the facility failed to ensure an allegation of abuse was reported within two hours, which affected 1 (Resident #98) of 8 residents reviewed for abuse or neglect prohibition. Findings included: A facility policy titled, Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, revised 09/2022, revealed All reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported to local, state and federal agencies (as required by current regulations) and thoroughly investigated by facility management. Findings of all investigations are documented and reported. The policy revealed, 1. […]