A list of the most recent deficiencies for Bridgewater Nursing Home. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-29 | 2021-09-17 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2021-07-29 | 2021-09-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-29 | 2021-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-29 | 2021-09-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-29 | 2021-09-17 | 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 | 2021-07-29 | 2021-09-17 | 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 | 2021-07-29 | 2021-09-17 | N |
| Keep all essential equipment working safely. | Health | 2021-07-29 | 2021-09-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-29 | 2021-09-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-07-29 | 2021-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-29 | 2021-09-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-07-29 | 2021-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-09-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-07-29 | 2021-09-10 | N |
| Report COVID19 data to residents and families. | Health | 2021-07-29 | 2021-09-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-07-29 | 2021-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-04-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-18 | 2019-05-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-18 | 2019-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-18 | 2019-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-04-18 | 2019-05-30 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-05-24 | 2018-06-18 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2018-05-24 | 2018-06-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-24 | 2018-06-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-05-24 | 2018-06-18 | 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 | 2018-05-24 | 2018-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-24 | 2018-06-18 | N |
