Bridgeway Care And Rehab Center At Bridgewater

C#: 2679544Based on interviews, medical record review, and review of other pertinent facility documentation on 04/08/2026 and 04/09/2026, it was determined that the facility failed to a) honor Resident #2's family representative's (Responsible Party (RP) decision to request and/or refuse laboratory test on the resident and b) failed to follow the facility's policy titled Requesting, Refusing and/or Discontinuing care or Treatment. This deficient practice was identified for 1 of 4 residents reviewed for resident right.The evidence was as follows:This deficient practice was evidenced by the following:According to the admission Record Resident #2 had diagnoses which included but were not limited to: unspecified dementia (a decline in mental ability), heart failure (a chronic progressive condition where the heart cannot pump enough blood to meet the body's needs) and major depression (a serious mood disorder causing persistent sadness).According to the resident's Minimum Data Set (MDS), an assessment tool dated 02/09/2026, Resident #2 had a Brief Interview Mental Status (BIMs) score of…

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.

C#: 2679544Based on interviews, medical record review, and review of other pertinent facility documentation on 04/08/2026 and 04/09/2026, it was determined that the facility failed to provide a resident's (Resident #2) responsible party (RP) a written summary and resolution of the investigation regarding a grievance filed by the RP on 08/29/2025; failed to follow its policy titled Grievance/Complaints, Filing. The deficient practice was identified for 1 of 4 residents reviewed for grievance.This is evidenced by the following:According to the admission Record, Resident #2 had diagnoses which included but were not limited to: unspecified dementia (a decline in mental ability), heart failure (a chronic progressive condition where the heart cannot pump enough blood to meet the body's needs) and major depression (a serious mood disorder causing persistent sadness).According to the resident's Minimum Data Set (MDS), an assessment tool dated 02/09/2026, Resident #2 had a Brief Interview Mental Status (BIMs) score of 9/15, which indicated that Resident #2's cognition was moderately…

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, interview, and review of pertinent facility documents, it was determined that the facility failed to handle potentially hazardous food to prevent food-borne illness. This deficient practice was evidenced by the following: On 3/25/25 from 9:58 AM until 10:51 AM, the surveyor observed the following in the kitchen in the presence of the Food Service Director (FSD): 1. In the bay marine refrigerator, on a shelf, there was a chicken salad sandwich labeled with a use-by date of 3/21/25. The FSD stated that the sandwich can be stored for three (3) days after it was prepared and should be discarded by the Use by date. The FSD stated that she would discard the chicken salad sandwich. 2. In the same refrigerator, there was an unlabeled large block of a white, round, solid food item wrapped in white paper on the shelf. The FSD was unable to identify the food item. At that time, the Chef Manager approached the surveyor and FSD and stated that it was a block of cheese that belonged to the kitchen staff. The FSD stated that staff were not supposed to store their personal…

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.

Complaint #: NJ177346 Based on interview, record review, and review of facility documents, it was determined that the facility failed to report the results of an allegation of resident-to-resident abuse to the New Jersey Department of Health (NJDOH) within five working days for 2 of 2 residents (Resident #74 and Resident #195) reviewed for abuse. This deficient practice was evidenced by the following: On 3/25/25 at 10:42 AM, the surveyor observed Resident #74 who was seated in a wheelchair with a transfer pad beneath of him/her and the resident was engaged in a group activity. When interviewed at that time, the Activity Aide stated that the resident frequently called out for the nurse. On 3/25/25 at 1:09 PM, the surveyor reviewed the medical record of Resident #74. A review of the admission Record, and admission summary, revealed that the resident had diagnoses which included, but were not limited to, hemiplegia (paralysis of one side of the body) and hemiparesis (weakness on one side of the body) following cerebral infarction (stroke) affecting the right dominant side and anxiety…

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 Complaint #: NJ00151859 Based on interview, medical records review, and review of other pertinent facility documentation on 09/19/23 and 09/20/23, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan (CP) for a resident with recurrent urinary tract infections (UTI). The deficient practice was identified for Resident #2, 1 of 3 residents reviewed for CP and was evidenced by the following: The surveyor reviewed the closed medical record for Resident #2: According to the admission Record, Resident #2 was admitted on [DATE] with medical diagnoses which included but were not limited to Metabolic Encephalopathy (a problem in the brain caused by an imbalance in the blood), Chronic Kidney Disease, and UTI. Review of the quarterly Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated 11/06/21, revealed that Resident #2 had a Brief Interview for Mental Status Score of 13, which indicated the resident was cognitively intact. The…

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 Complaint # NJ00164556 Based on interviews, medical records review, and review of other pertinent facility documentation on [DATE] and [DATE], it was determined that the facility failed to follow their policies and procedures for a facility-initiated discharge. A resident (Resident #3) exhibited aggressive behaviors and was sent to the hospital for a behavioral evaluation. When the resident was discharged from the hospital, the facility would not permit a return back to the facility. The deficient practice was identified for Resident #3, 1 of 3 residents reviewed for transfer and discharge, and was evidenced by the following: The surveyor reviewed the closed medical record for Resident #3: According to the admission Record, Resident #3 was admitted to the facility on [DATE] with diagnoses which included but were not limited to Parkinson's Disease, Major Depressive Disorder, Bipolar Disorder, and Generalized Anxiety Disorder. Review of the Quarterly Minimum Data Set (MDS), an assessment tool used to facilitate…

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 observation, interview, and record review it was determined that the facility failed to accurately a.) assess a resident for pressure ulcers, and b.) properly code a resident for contractures in the Minimum Data Set (MDS)assessments. This deficient practice was identified in 2 of 27 residents reviewed for MDS, Residents #7 and #181, and was evidenced by the following: a.) Review of the admission Record showed that Resident #7 was admitted to the facility on 11/2021. Medical diagnosis included, but were not limited to Parkinson's disease (neurological disease), kidney disease, hypertension (high blood pressure), heart failure, and depression. Review of the Comprehensive Minimum Data Set (MDS), an assessment tool dated 11/21/22, indicated that Resident #7 had a Brief Interview of Mental Status of 7, meaning the resident had severe cognitive impairment. Review of Section G, Functional Status showed the resident was a two-person assist for mobility, transfers, and toilet use, and was a one-person physical…

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, interview, and record review, it was determined that the facility failed to maintain professional standards of practice by a.) ensuring a physician order was in place to check for proper feeding tube placement and residual stomach contents, and b.) accurately document feeding tube placement and residual stomach content for 1 of 25 residents (Resident #65) reviewed for professional standards of nursing practice. Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as casefinding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The…

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, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure respiratory equipment was dated properly. This deficient practice was identified for 1 of 2 residents (Resident #1) reviewed for respiratory care and the evidence was as follows: On 2/7/23 at 10:33 AM, the surveyor observed Resident #1 in his/her room. The resident was in bed and had on an oxygen nasal cannula (a device used to deliver supplemental oxygen) which was attached to an oxygen concentrator with a pre-filled humidifier bottle (a medical device that increases the humidity in oxygen while using supplemental oxygen). Neither the nasal cannula nor the bottle of humidifier solution were dated with the date they were changed. On 2/14/23 at 11:21 AM, the surveyor observed Resident #1 in his/her room resting in a geriatric chair (a large, padded chair that was designed to help seniors with limited mobility). The resident was receiving oxygen therapy via nasal cannula and pre-filled humidifier bottle. Neither the nasal cannula nor the…

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.