Deficiency Records for Bridge Point Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Bridge Point Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-14 | 2021-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-14 | 2021-06-24 | 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 | 2021-05-14 | 2021-06-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-14 | 2021-06-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-14 | 2021-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-14 | 2021-06-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-14 | 2021-06-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-14 | 2021-06-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-05-14 | 2021-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-14 | 2021-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-14 | 2021-06-24 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-05-14 | 2021-06-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-14 | 2021-06-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-14 | 2021-06-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-14 | 2021-06-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-14 | 2021-06-24 | 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 | 2021-05-14 | 2021-06-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-05-14 | 2021-06-24 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-21 | 2021-06-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-21 | 2021-06-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-04-21 | 2021-06-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-21 | 2021-06-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-03 | 2019-06-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-03 | 2019-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-03 | 2019-06-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-03 | 2019-06-12 | N |
| 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 | 2019-05-03 | 2019-06-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-03 | 2019-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-03 | 2019-06-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-03 | 2019-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-03 | 2019-06-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-03 | 2019-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-03 | 2019-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-30 | 2019-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-30 | 2019-06-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-30 | 2019-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-30 | 2019-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-30 | 2019-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-29 | 2018-06-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-29 | 2018-05-03 | 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 | 2018-03-29 | 2018-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-29 | 2018-05-03 | N |
| 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 | 2018-03-29 | 2018-05-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-29 | 2018-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-29 | 2018-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-29 | 2018-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-28 | 2018-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-28 | 2018-05-03 | N |
