Bride Brook Rehabilitation & Nursing Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for one sampled resident (Resident #5) who required assistance for nail care, the facility failed to ensure the resident's nails were clean and trimmed. The findings include: Resident #5's diagnoses included rheumatoid arthritis, lupus, and repeated falls. The quarterly MDS assessment dated [DATE] identified Resident #5 was cognitively intact, had no behaviors, required touching assistance for personal hygiene, was a partial to moderate assistance for toileting, bathing, lower body dressing, and was independent for eating, and oral hygiene. The assessment further identified the resident was able to ambulate using a walker and was dependent when using a wheelchair. The care plan dated 2/12/25 identified Resident #5 had a self-care deficit related to generalized weakness and impaired mobility, which required assistance with personal hygiene, bathing, nail care and transfers. It…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, review of facility policy, and interviews for one sample resident (Resident #61) reviewed for skin condition, the facility failed to ensure treatment to a wound was provided timely and for one of five sampled residents (Resident #83) reviewed for unnecessary medication the facility failed to ensure that physician's orders were implemented and completed as prescribed by the physician. The findings include: 1. Resident #61 was readmitted to the facility on [DATE] with diagnoses that included foot drop, arterial disease, muscle wasting and atrophy. The admission nurse's note dated 1/3/25 at 9:16 PM identified Resident #61 was alert and oriented, had a left second toe amputation and the left third toe had a scabbed area that measured 0.5 centimeters (cm) in length by 0.5 cm in width. The 5-day MDS assessment dated [DATE] identified Resident #61 had intact cognition and required extensive assistance with toileting, personal hygiene, bed mobility, and transfers. The care plan dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for pain management, the facility failed to ensure a complete and accurate medical record regarding physician notification with a change in status. The findings include: Resident #1's diagnoses included fracture of the shaft of the left femur (straight part of the thigh bone running from below the hip to the knee) and age-related osteoporosis (weak and brittle bones). The Resident Care Plan (RCP) dated 12/4/24 identified that Resident #1 had acute pain with interventions that included for staff to notify the physician if interventions are unsuccessful, or if the current complaint is a significant change from the resident's past experience of pain. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Brief Mental Interview for Mental Status (BIMS) of nine (9) indicative of moderately impaired cognition and required substantial…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interviews and review of facility policy for one (1) of three (3) residents (Resident #1) reviewed for resident rights, the facility failed to ensure a resident's privacy was protected. The findings included: Resident #1 had diagnoses of dementia, generalized anxiety disorder, and unspecified cerebrovascular disease. Review of the annual Minimum Data Set assessment dated [DATE] identified Resident #1 as severely cognitively impaired and required moderate assistance with oral hygiene and toileting hygiene, and supervision or touching assistance with eating. Review of Resident #1's care plan dated 6/26/24 identified a history of cerebrovascular accident/transient ischemic attacks with interventions that directed to ensure diet is the correct consistency to facilitate safe swallowing, monitor/document abilities for activities of daily living, assist as needed, and encourage the resident to do what he/she can do for his/herself. Interview with Person #1 on 9/17/24 at 9:32 AM…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, review of facility policy and interviews for three of six sampled residents (Residents #12, #35 and #521) reviewed for respiratory care, the facility failed to ensure that oxygen tubing was changed on a consistent basis, labeled, and dated. The finding include: 1. Resident #12's diagnoses included spastic quadriplegic cerebral palsy, vascular dementia, and cervical disc disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #12 had severe cognitive impairment, required total dependence for bed mobility, transfers, locomotion, dressing, toileting, and personal hygiene. Observation on 6/26/23 at 11:20 AM identified Resident #12 with oxygen in place via nasal cannula at 3 Liters via concentrator. The tubing was without the benefit of a label on the tubing that consisted of the date, time, and the initial of the individual who changed the tubing. Observation on 6/27/23 at 9:35 AM identified Resident #12 with oxygen in place via nasal…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review and interviews for one of five sampled residents (Resident #112) reviewed for accidents, the facility failed to ensure the resident was transferred with the assistance of two staff as ordered, resulting in the resident sustaining a fall. The findings include: Resident #112 's diagnoses included cerebral infarction, hemiplegia, hemiparesis to right dominant side, aphasia, and atrial fibrillation. The admission MDS assessment dated [DATE] identified Resident #112 had severe cognitive impairment, required extensive assist for bed mobility, toileting and hygiene and transfers. Assessment further noted Resident #112 was non ambulatory and utilized a wheelchair for mobility. The Resident Care Plan (RCP) dated 4/29/23 identified Resident # 112 was at risk for falls related to poor mobility, hemiplegia, stroke and other abnormalities of gait and mobility. Care plan intervention identified: anticipate and meet resident's needs,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record reviews, interviews, and facility policy for two of three sampled residents (Resident #12, #73 and Resident #521) reviewed for respiratory therapy, the facility failed to follow a physician's order for a prescribed oxygen administration rate, failed to follow a physician's order to monitor oxygen saturation levels, and failed to have a protocol or policy to indicate settings for the titration of oxygen. The findings include: 1. Resident #12's diagnoses included spastic quadriplegic cerebral palsy, vascular dementia, and cervical disc disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #12 was severely cognitively impaired, and was totally dependent on staff for bed mobility, transfers, dressing, toileting, and personal hygiene. Resident #12's care plan dated 4/24/19 identified Resident #12 had an altered respiratory status with interventions that included observing for signs and symptoms of respiratory distress and decreased pulse…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy, and interviews, for the one sampled resident, (Resident #570), reviewed for pain, the facility failed to notify the physician when the resident requested an increase in pain medication being administered. The findings include: Resident #570 has diagnoses included muscle wasting and a history of myocardial infarction (heart attack). The initial Nursing admission assessment dated [DATE] identified Resident #570 was cognitively intact, required set up help for eating, supervision for transfers, and extensive assistance with dressing. The Resident Care Plan dated 6/20/23 identified that Resident #570 was at risk for falls, had generalized pain, and required assistance with activities of daily living. Interventions included Resident #570 should ask for assistance with mobility and staff should monitor and record the resident's pain. A physician's order dated 6/20/23 directed to observe and document pain every shift and to provide…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview, for 1 of 4 medication carts reviewed for medication storage, the facility failed to secure a controlled substance appropriately. The findings include: During inspection of the first floor medication cart on 6/30/23 at 2:06 PM, an opened, unlabeled (no resident name or date opened) single blister pack (medication package) labeled Oxycodone HCl 5 milligrams was noted. The opened blister pack contained ½ of a white pill. Interview with LPN #3 on 6/30/23 at 2:06 PM identified that she had not administered any Oxycodone to a resident during her shift. LPN #3 identified that the blister pack did not belong to a resident and appeared to have been taken from the facility's emergency narcotic supply. Additionally, LPN #3 identified that as a narcotic, it should not have been stored in the top medication drawer but should have been double locked in the narcotic box located within a drawer of the medication cart. Interview with the DNS on 6/29/23 at 2:45 PM identified he had investigated how the medication had been placed inappropriately in the medication…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical records, facility documentation review, facility policy review, and interviews for four of six residents (Resident #1, Resident #28, Resident #95 and Resident #300) reviewed for infection control, the facility failed to ensure the safe storage of prescribed medications. The findings include: 1. Resident #1 was admitted to the facility in 4/2021 with diagnoses that included cerebral infarction, hemiplegia and hemiparesis, fibromyalgia and adjustment disorder with depressed mood. The admission MDS dated [DATE] identified Resident #1 was cognitively intact. The physician's order dated 4/15/2021 directed to administer Flonase Suspension 50mcg/act, 2 sprays in each nostril in the morning for allergies. Observation of the Personal Protective Equipment (PPE) bin on 4/28/2021 at 1:45 PM located outside of Resident #1's room on the COVID Observation Unit identified an open box of Flonase Suspension 50mcg/act with an open pack of disposable gowns inside the clean and unlocked…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record and staff interviews for one of fourteen residents (Resident #80) reviewed for dining services, the facility failed to ensure that a meal provided to a resident accommodated the resident's allergies, and intolerances. The findings include: Resident #80 was admitted to the facility with diagnoses that included major depression, mild cognitive impairment, and anxiety. The physician order dated 2/1/2021 and directed a regular diet. The quarterly Minimum Data Set assessment (MDS) dated [DATE] identified intact cognition and Resident #80 could eat by him/herself with set up help. Review of the Resident care plan (RCP) dated 4/13/2021 identified a list of food allergies that included avocado, banana, lettuce, melon. Additionally, the care plan identified a problem with nutrition and directed to administer diet as ordered. Observation and interview with Resident #80 on 4/30/2021 at 8:16 AM identified a breakfast tray on Resident #80's bedside table that contained…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.