Bridge View Nursing Home

Inspectors wroteBased on interview and record review conducted during an abbreviated survey (NY00348590), the facility did not ensure that an alleged violation involving abuse, neglect, mistreatment, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involved abuse or resulted in serious bodily injury, or not later than 24 hours if the events that caused the allegation do not involved abuse and do not result in serious bodily injury, to the administrator of the facility of the facility and to other officials including to the State Agency and adult protective services where state law provides for judications in long term care facilities) . This was evident for one (1) out of seven (7) residents (Resident #5) sampled for abuse. [...]

Inspectors wroteBased on interview and record review conducted during an Abbreviated Survey (NY00348590), the facility failed to initiate an investigation of an alleged violation of abuse. This was evident for one (1) out of seven (7) residents (Resident #1) reviewed for abuse. Specifically, on 07/18/2024 at 4:06 PM the hospital Social Worker notified the facility's Director of Social Service that Resident #5 reported that they were physically and sexually abused while in the facility. Resident #5 also refused to be discharged back to the facility. The facility Director of Social Services did not immediately initiate an investigation to rule out abuse.

Inspectors wroteBased on observation, interviews, and record review conducted during the Recertification Survey from 4/27/23 to 5/04/23, the facility did not ensure the resident's right to a safe, clean, comfortable, and homelike environment. This was evident for 4 (Units 3, Unit 4, Unit 5, Unit 6) of 5 Units. Specifically, 1) Unit 3 was observed with walls with mismatching paint, plaster, broken tiles, and holes throughout multiple rooms, loose cable wires, a shower room in disrepair, and radiators that were dirty and in disrepair, 2) Unit 4 was observed with missing window blind blades, torn wallpaper, and holes in the wall, and 3) Unit 6 was observed with white spackled paint in multiple rooms and radiator covers in disrepair.

Inspectors wroteBased on observation and interview conducted during the recertification survey from 04/27/23 to 05/04/23, the facility did not ensure a safe, functional environment for residents, staff, and the public. This was evident during observations of the facility Elevators #1 and #2 and for 1 (Unit 3) of 5 Units. 1) Specifically, Elevators #1 and #2 were observed with loose metal handrails that were easily moved when touched and 2) the Unit 3 Nursing Station was observed with multiple loose cable wires, a broken desk, heavily faded and discolored chairs, and a loose staff sink.

Inspectors wroteBased on observation and interviews conducted during the recertification survey from 04/27/23 - 05/04/23, the facility did not ensure separately locked, permanently affixed compartments were provided for storage of controlled drugs and other drugs subject to abuse. This was evident for 1 (Unit 5) of 5 Medication Rooms reviewed for Medication Storage. Specifically, the Unit 5 Medication Room was observed with a broken narcotics box lock preventing the door from being locked with a key.

Inspectors wroteBased on observation, interview, and record review conducted during the recertification survey from 4/27/23 to 5/4/23, the facility did not ensure full visual privacy for each resident. This was evident for 1 (Unit 5) of 5 Units. Specifically, there were multiple resident rooms without privacy curtains.

Inspectors wroteBased on record review and staff interview conducted during the Recertification survey from 4/27/23 to 5/4/23, the facility did not ensure that the Minimum Data Set (MDS) 3.0 Assessments were electronically transmitted to the Centers of Medicare/Medicaid Services (CMS) within 14 days of completion. This was evident for 31 of 31 residents reviewed for Resident Assessment (Resident #24, #25, #26, #162, #170, #3, #4, #6, #12, #19, #20, #32, #33, #39, #44, #67, #76, #85, #90, #107, #113, #118, #125, #130, #141, #142, #153, #164, #165, #171, and #178) Specifically, MDS submissions for Resident #24, #25, #26, and others were submitted to CMS more than 14 days after the completion date.

Inspectors wroteBased on observation, record review and interviews conducted during a Recertification survey, the facility did not ensure that they had a policy regarding the use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. Specifically, the facility did not provide accommodations for heating and storage of food brought to residents from outside the facility. This was evident for all residents in the facility. The finding is: The facility admission Packet contains a welcome document containing information about the services provided by the facility. The Welcome to Bridge View Nursing Home packet documented the following under the topic of Food: The facility is a Kosher facility. The facility recognizes that the involvement of a resident family member can be very beneficial to the resident's nutritional status. [...]

Inspectors wroteBased on observation, and staff interviews during the recertification survey, the facility did not ensure that personnel transported linens so as to prevent the spread of infection. Specifically, housekeeping staff was observed transporting linens in uncovered carts throughout the basement and in elevators used by the public. This deficient practice had the potential to affect the entire facility. The Policy and Procedures on Laundry and linens dated on January 2018 documents, Policy: An adequate supply of clean linen shall be maintained for the facility through safe and sanitary laundry procedures. The laundry service processes soiled linen so that the risk of disease to residents and to employees who handle these linens is minimal. Procedures: The Director of laundry services will work closely with the infection control committee to establish and maintain consistently high standards. [...]

Inspectors wroteBased on record review and staff interviews conducted during the Recertification survey, the facility did not ensure care plans were reviewed and revised after each assessment. Specifically, the facility did not ensure that a resident's care plan was updated on the resident's readmission to include a new diagnosis of pneumonia. This was evident for 1 resident out of a total investigation sample of 36 residents. (Resident #113) The finding is: Resident #113 is a resident, readmitted [DATE], with a diagnosis of Pneumonia. The Minimum Data Set (MDS) 3.0 dated 7/03/18 documented the resident had moderately impaired cognition. The MDS further documented that resident is able to express wants and needs and has the ability to understand others. [...]

Inspectors wroteBased on observations, record review and interviews during the recertification survey, the facility did not ensure that a resident who is unable to carry out activities of daily living receives the necessary services to maintain, grooming, and personal hygiene. Specifically, Resident #25 was not provided assistance with cleaning and maintenance of prosthetic eye as recommended by consultant Optometrist. This was evident for one resident reviewed for Activities of Daily Living out of a sample of 35 residents. The facility's Policy, Procedures and Information entitled: Medical Consultation was reviewed. It documented: Purpose: To ensure continuity of medical needs. Procedure: 9. The Primary Physician will review and document findings and recommendations by the Consulting Physician including follow-up visit. 10. [...]

Inspectors wroteBased on observation, record review, and staff interviews conducted during the Recertification survey, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice. Specifically, a resident with skin tears to bilateral lower legs did not receive proper assessment and treatment. This was evident for 1 out of 3 residents reviewed for Skin Conditions (non-pressure). (Resident #137)

Inspectors wroteBased on record review and interview conducted during the Recertification Survey, the facility did not ensure that the resident's drug regimen was free of unnecessary medications. Specifically, the psychiatrist ordered a dosage reduction in Seroquel and the initiation of Gabapentin for a resident. The medication changes were not given as ordered resulting in the resident receiving extra doses of Seroquel and no Gabapentin. This was evident for 1 of 5 residents reviewed for Unnecessary Medications (Resident #177). The finding is: Resident #177 was admitted to the facility on [DATE] with diagnoses which include Dementia with Behavioral Disturbance and Depressive Disorder. The Minimum Data Set Assessment (MDS) dated [DATE] documented the resident had severely impaired cognition. The MDS further documented the resident received antipsychotic medication. [...]

Inspectors wroteBased on observations and staff interviews during the recertification survey, the facility did not ensure that medications were stored at proper temperatures. Specifically, Lantus Insulin flex pens for two residents were kept on the medication cart unopened and not stored in the refrigerator until ready to use. This was evident for one of five medication carts inspected. The finding is: On 09/21/18 at approximately 12:01 PM the 4th floor medication cart was checked with LPN #6. The following Insulin pens were stored in the medication cart and not stored in refrigerator: 1. One (1) Lantus Insulin pen (RX: 11187276) for Resident #198 which was dispensed on 9/17/18 containing 100 units of insulin. 2. One (1) Lantus Insulin pen (RX: 11154519) for Resident #25 which was dispensed on 9/17/18 containing 100 units of insulin. [...]

Inspectors wroteBased on observation, record review and interviews conducted during the Recertification survey, the facility did not ensure that dental services were provided for a resident. Specifically, a resident who needed dental follow-up for cleaning and three crowns did not receive the necessary follow-up appointments. The two appointments that were scheduled were cancelled by the facility, and the resident was not provided information regarding when the services would be provided. This was evident for 1 out of 9 residents reviewed for Dental (Resident #43). The Finding is: The facility policy on Dental Consultation dated November 15, 2017 documented that all residents requiring specialty medical care, including dental, must be evaluated by a specialty physician in or outside the facility. Routine, emergency, and denture (lost or damaged) referrals will be ordered by the primary physician. [...]

Inspectors wroteBased on observation and interview, during the Recertification survey, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety to prevent foodborne illness. Specifically, 1) employees were observed touching resident food with bare hands during meal service; 2)Beard nets were not used by kitchen staff; 3) food boxes were observed stored on the floor and close to the ceiling; 4)staff were observed touching raw chicken meat in the kitchen and then touching other items without removing gloves and properly sanitizing hands; 5) dented cans were observed being stored among cans stored for use; 6) staff were observed preparing foods to be served from dented cans; and 7) potentially hazardous cold foods were not held at the proper temperatures during tray line. [...]

Inspectors wroteBased on record review and staff interviews conducted during the Recertification survey, the facility did not ensure the pneumococcal immunization was offered to a resident. Specifically, the facility did not ensure that the pneumovax vaccine was offered to a resident. This was evident for 1 out of 5 residents reviewed for Influenza and Pneumococcal Immunizations. (Resident # 137) The finding is: The facility's undated Policy and Procedure for Resident Pneumovax Vaccination Program documented that The Pneumovax vaccine is to be given to all residents who have no prior documented evidence of receiving it. All new admissions are to be assessed for the need for this vaccine as part of the admission medical work-up. Resident #137 is a resident admitted [DATE] with diagnoses which include Dementia, Peripheral Vascular Disease, Schizophrenia and Transient Ischemic Attack. [...]