Bridgeport Medical Lodge

Inspectors wroteBased on observation, interview and record review, the facility failed to provide safe and secured storage of drugs and biologicals by not keeping medication in locked compartments, for 2 of 8 carts reviewed for medication storage. The facility also failed to label drugs and biologicals in accordance with currently accepted professional principle by not labeling opened dates on 22 of 25 insulin pens reviewed for medication labeling. _LVN A failed to lock medication cart when the cart was not in use. _Treatment cart was left unlocked when not in use._22 of 25 insulin pens were not labeled with an open date. These failures could result in drug diversion, medication ineffectiveness, adverse reactions to residents, and overdosing to residents.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, and exploitation for one (Resident #1) of 3 residents reviewed for abuse. The facility failed to protect Resident #1 from being abused by CNA A, who, through video-footage, was observed to be physically rough with Resident #1 during incontinent care, was verbally aggressive, and had struck Resident #1 across the forehead. The noncompliance was identified as PNC. The PNC began on [DATE] and ended on [DATE]. The facility had corrected the noncompliance before the investigation began. This failure could result in resident abuse, psychosocial harm, and physical injuries.

Inspectors wroteBased on interviews and record reviews, the facility failed to keep the environment as free from accident hazards for 1 (Resident #1) of 4 residents reviewed for accidents. The facility failed to ensure Resident #1's environment was free from accidents and hazards when being pushed by another resident, with her permission, from a smoke break. While going up the ramps towards the entrance to the door, Resident#1's wheelchair got stuck on the ramp on 300 hall, as the ramp does not cover the length of the doorway, and she fell face first on 10/27/25. On 10/29/2025 at 5:22pm an Immediate Jeopardy (IJ) was identified. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 5 (Resident #39 and #29) reviewed for infection control. 1. The facility failed to ensure LVN A wore gloves before opening capsule medication Depakote and administering it to Resident #39 via g-tube (a g-tube is a feeding tube that is placed through the abdominal cavity area into the stomach for nutritional purpose and medication for individual who have difficulty swallowing). 2. [...]

Inspectors wroteBased on observations, interviews, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights for 2 of 15 residents reviewed for clinical records (Resident #23 and Resident #36) in that: The facility failed to ensure Resident #23's and #36's use of bed rails/grab bars were documented in their care plans. The facility's failure placed residents requiring care at risk of not having their individual needs met, not receiving necessary care and services, and a failure to ensure continuity of care.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to accommodate residents' food preferences and allergies for 2 of 6 (Residents #1 and Resident#2) residents reviewed for food preferences and allergies. 1. The facility failed to provide Resident #1 with a strawberry (preference) or vanilla house shake, when she had listed that she disliked the chocolate house shake. 2. The facility failed to ensure Resident #2 did not receive a chocolate house shake, which was listed as a food allergy in her medical record. These failures could cause an allergic reaction, a decrease in resident choices, a diminished interest in meals, placing them at risk for contributing to poor intake and/or weight loss.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that respiratory care was provided, consistent with professional standards of practice for 2 of 2 residents (Resident #1 and Resident #2) reviewed for respiratory care and services. The facility failed to ensure Resident #1's oxygen tubing was dated. The facility failed to ensure Resident #2's oxygen tubing was dated and properly stored when not in use. These failures could place residents at risk for respiratory infections.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests in 4 (Hall 100, 300, 500, and 600) of 4 halls reviewed for pests, and the main dining room. The facility failed to ensure an effective pest control program was implemented to prevent the presence of flies and water bugs within the facility. This failure placed residents at risk for foodborne illness and/or disease spread by pests.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, functional, sanitary, and comfortable environment for four (Residents #12, #59, #76, and #81) of twenty-one residents reviewed for resident rights. 1. The facility failed to ensure Residents #81 and #76's room did not have stained and soiled carpeting and multiple flies. 2. The facility failed to ensure Resident #59's room did not have six various sized holes in her bathroom door, multiple flies and a water bug in her room. 3. The facility failed to ensure Resident #12's room did not have a large hole in the window screen and multiple flies in his room. These deficient practices could place residents at risk of a diminished quality of life due to an unsafe and unmaintained environment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the facility's only kitchen. The facility failed to ensure foods were dated and stored properly. These failures could place residents at risk for food borne illness.

Inspectors wroteBased on interview and record review, the facility failed conduct an initial Comprehensive Assessment within 14 calendar days after admission for 2 of 22 residents (Resident #254 and Resident #255) reviewed for Comprehensive Assessments and timing. The facility failed to ensure Comprehensive MDS Assessments for Resident #254 and Resident #255 were completed within 14 days after their admissions to the facility. This failure could place residents at risk for improper or incorrect care and services necessary for their physical, mental, and psychosocial well-being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received adequate supervision and assistance devices were put into place to prevent accidents for one (Resident #81) of eight residents reviewed for quality of care. The facility failed ensure Resident #81's call light was placed where the resident could reach it, to prevent potential fall and injury. This failure could place the resident who require supervision assistance due at risk for falls with injuries, hospitalization, and a decreased quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate of less than 5 percent. There were 2 errors out of 34 opportunities, resulting in an 5% percent medication error rate involving 1 (Resident #31) of 3 residents reviewed for pharmaceutical services. The facility failed to ensure LVN B did not crush and attempt to administer two medications, Metoprolol Succinate ER (extended-release, given for blood pressure) and potassium chloride ER (extended-release potassium supplement), which should not have been crushed. This failure could place the resident at risk for not receiving the therapeutic effect of their medication or cause a drug intended for slow release to be absorbed all at once resulting in potentially harmful side-effects.