Inspection Reports for
Highbridge Woodycrest Center

The state logged 39 complaints about this facility; 6 led to on-site inspections. One citation resulted from those complaints.

Across 4 inspections, 2 had no citations and 2 resulted in 25 total citations primarily related to standard health and Life Safety Code violations. The facility had 39 complaints with 6 on-site inspections and no formal enforcement actions.

The facility failed to maintain a facility-specific water management plan for Legionella with all required components and did not ensure that the designated Infection Preventionist had completed specialized infection prevention and control training as required.

The facility was found to have a tampered bathroom doorknob in a shared resident room that posed an accident hazard, and the facility did not have a qualified Infection Preventionist with specialized training as required. The bathroom door handle was replaced during the survey, and interviews revealed lack of awareness about infection prevention training requirements.

The facility failed to ensure that a physician reviewed and documented the clinical rationale for continued use of an antipsychotic medication for Resident #31. The resident was prescribed Zyprexa for an unclear diagnosis, with conflicting documentation regarding the diagnosis of dementia versus psychosis. The physician disagreed with pharmacist recommendations but did not document clinical rationale. Non-pharmacological interventions were used, and no inappropriate behaviors were observed. Additionally, expired influenza vaccines were found in the medication refrigerator.