A list of the most recent deficiencies for Bridgewater Home , Inc.. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-02-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-13 | 2022-02-15 | 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 | 2022-01-13 | 2022-02-15 | 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 | 2022-01-13 | 2022-02-15 | 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 | 2022-01-13 | 2022-02-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-13 | 2022-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-02-15 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-01-13 | 2022-02-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-13 | 2022-02-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-11-14 | 2020-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-14 | 2020-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-14 | 2020-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-14 | 2020-01-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-14 | 2020-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-14 | 2020-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-17 | 2019-11-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-17 | 2019-11-20 | 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 | 2019-10-17 | 2019-11-20 | 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 | 2019-10-17 | 2019-11-20 | 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 | 2019-10-17 | 2019-11-20 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-17 | 2019-11-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-10-17 | 2019-11-20 | N |
| Meet other general requirements. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-18 | 2018-11-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-18 | 2018-11-29 | 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 | 2018-08-23 | 2018-09-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-23 | 2018-09-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-23 | 2018-09-21 | N |
| Post nurse staffing information every day. | Health | 2018-08-23 | 2018-09-21 | 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 | 2018-08-23 | 2018-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-09-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-23 | 2018-09-21 | N |
