A list of the most recent deficiencies for Bridgewater Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-18 | 2024-01-05 | Y |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-12-18 | 2024-01-05 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-18 | 2024-01-05 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-08 | 2023-05-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-08 | 2023-05-22 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-17 | 2023-05-10 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-17 | 2023-05-10 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-17 | 2023-05-10 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-17 | 2023-05-10 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-17 | 2023-05-10 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-04-17 | 2023-05-10 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-17 | 2023-05-10 | N |
Implement a program that monitors antibiotic use. | Health | 2023-04-17 | 2023-05-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-17 | 2023-05-10 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-18 | 2022-08-13 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-07-18 | 2022-08-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-18 | 2022-08-13 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-07-18 | 2022-08-13 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-20 | 2022-05-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-04-29 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-10 | 2022-04-29 | Y |
Post nurse staffing information every day. | Health | 2022-03-10 | 2022-04-29 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-10 | 2022-04-29 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-10 | 2022-04-29 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-10 | 2022-04-29 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-10 | 2022-04-29 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-28 | 2022-04-29 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-28 | 2022-04-29 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-28 | 2022-04-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-28 | 2022-04-29 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-28 | 2022-04-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-28 | 2022-04-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-28 | 2022-04-29 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-28 | 2022-04-29 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-28 | 2022-04-29 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-28 | 2022-04-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-28 | 2022-04-29 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-28 | 2022-04-29 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-28 | 2022-04-29 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-16 | 2021-12-03 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-05 | 2021-12-03 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-05 | 2021-12-03 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2021-11-05 | 2021-12-03 | Y |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-11-05 | 2021-12-03 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-05 | 2021-12-03 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-05 | 2021-11-11 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-11-11 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-27 | 2021-09-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-27 | 2021-09-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-09-08 | N |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-07-09 | 2021-07-25 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-09 | 2021-07-25 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-09 | 2021-07-25 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-21 | 2021-07-17 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-21 | 2021-07-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-21 | 2021-07-17 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-06-21 | 2021-07-17 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-21 | 2021-07-17 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-03 | 2021-06-02 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-03 | 2021-06-02 | Y |
Provide appropriate foot care. | Health | 2021-05-03 | 2021-06-02 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-03 | 2021-06-02 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-03 | 2021-06-02 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-03 | 2021-06-02 | Y |
Post nurse staffing information every day. | Health | 2021-05-03 | 2021-06-02 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-03 | 2021-06-02 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-05 | 2021-04-02 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-03-05 | 2021-04-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-04-02 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2020-01-27 | 2020-02-17 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-01-27 | 2020-02-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-01-27 | 2020-02-17 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-10 | 2020-01-07 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-12-10 | 2020-01-07 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-12-10 | 2020-01-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-10 | 2020-01-07 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-10 | 2020-01-07 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-10 | 2020-01-07 | N |