Inspection Reports for
Bridgeway Care and Rehabilitation Center at Bridgewater

Complaint #2648621 involved an allegation by Resident #2 that CNA #1 physically abused them by pulling their arms and punching them. The allegation was substantiated, and the facility failed to follow its abuse policy by not sending CNA #1 home pending investigation, placing residents at risk of harm.

The facility failed to immediately remove CNA #1 from all resident care after an abuse allegation, allowing CNA #1 to continue working on the unit and having access to Resident #2 and others, creating an Immediate Jeopardy situation. The facility later implemented a Removal Plan and corrective actions to prevent recurrence.

The survey was partially complaint-driven with complaint NJ #177346. The facility failed to report results of an abuse allegation timely to the New Jersey Department of Health for 2 residents. The complaint was substantiated as evidenced by interviews, record reviews, and observations.

Deficiencies were cited related to abuse, neglect, exploitation, and mistreatment, as well as food safety and life safety code violations. The facility was found non-compliant with several federal and state regulations, including failure to report alleged violations timely and multiple life safety code deficiencies.

Complaint # NJ177346 involved failure to report resident-to-resident abuse results timely. The abuse was substantiated after investigation. The facility submitted the summary and conclusion 64 days late, instead of within five days as required.

The facility failed to report the results of an allegation of resident-to-resident abuse involving two residents within the required timeframe. The abuse was substantiated, but the summary and conclusion were submitted 64 days late, violating reporting requirements.

Complaint #: NJ177346. The allegation of resident-to-resident abuse was substantiated. The facility reported the abuse 64 days late, instead of within five working days as required.

The facility failed to report the results of an allegation of resident-to-resident abuse involving two residents within the required timeframe, submitting the report 64 days late. Additionally, the investigation lacked timely employee statements initially, and the abuse allegation was substantiated.

Complaint investigation based on complaints NJ00164556, NJ00151859, and NJ00153370. The facility was found not in substantial compliance with federal and state regulations related to resident discharge, care planning, quality of care, and staffing.

The facility was found not in substantial compliance with requirements related to permitting residents to return after hospitalization, developing comprehensive care plans for residents with specific conditions, quality of care including monitoring and documentation, and maintaining required staffing ratios. Specific deficiencies included failure to follow discharge policies for a resident with behavioral issues, inadequate care planning for a resident with recurrent infections, failure to complete ordered assessments and follow care plans for a resident with a serious medical condition, and insufficient certified nursing assistant staffing on multiple shifts.

Complaint # NJ00164556 involved failure to permit a resident to return after hospitalization. Complaint # NJ00151859 involved failure to develop and implement a comprehensive care plan for recurrent UTIs. Complaint # NJ00153370 involved failure to provide appropriate treatment and monitoring for congestive heart failure.

The facility failed to permit a resident to return after hospitalization exceeding the bed-hold policy, failed to develop and implement a comprehensive care plan for a resident with recurrent UTIs, and failed to provide appropriate treatment and monitoring for a resident with congestive heart failure, resulting in actual harm.

Deficiencies were cited related to accuracy of assessments, professional standards of nursing practice, respiratory care equipment dating, and staffing ratios including infection preventionist role compliance.

The facility was found deficient in several areas including inadequate number of exits in the basement, improper exit discharge surfaces, improperly installed kitchen grease baffles, lack of documented fuel supply reliability for a generator, and failure to perform annual testing of non-hospital grade electrical receptacles. Plans of correction and timelines were provided for each deficiency.

The facility was found deficient in accurately assessing residents for pressure ulcers and contractures, maintaining professional nursing standards for feeding tube care, and ensuring respiratory equipment was properly dated. Deficiencies were identified in multiple residents with minimal harm or potential for harm.

The facility was found non-compliant due to failure to provide two acceptable exits from each story, specifically the Unit basement had only one exit. The basement was sprinklered and protected by a fire alarm system but lacked a second means of egress, posing a safety risk.