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Deficiency Records for Bridgeway Care and Rehab Center at Hillsborough
View the most recent health deficiencies and inspection results for Bridgeway Care and Rehab Center at Hillsborough. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bridgeway Care and Rehab Center at Hillsborough. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-22 | 2026-02-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-22 | 2026-02-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-22 | 2026-02-20 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-22 | 2026-02-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-22 | 2026-02-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-22 | 2026-02-20 | N |
| Respond appropriately to all alleged violations. | Health | 2026-01-22 | 2026-02-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-22 | 2026-02-20 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-22 | 2026-02-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-11-05 | 2025-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-05 | 2025-11-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-19 | 2024-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-19 | 2024-09-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-19 | 2024-08-30 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-08-19 | 2024-08-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-19 | 2024-08-30 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-19 | 2024-08-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-19 | 2024-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-19 | 2024-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-19 | 2024-08-20 | 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 | 2023-07-06 | 2023-08-17 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-07 | 2023-02-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-07 | 2022-11-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-11-07 | 2022-11-23 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-11-07 | 2022-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-07 | 2022-11-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-07 | 2022-11-23 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-11-07 | 2022-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-07 | 2022-11-23 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-11-07 | 2022-11-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-07 | 2022-11-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-07 | 2022-11-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-07 | 2022-11-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-07 | 2022-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-07 | 2022-11-23 | N |