Bridgewater Home , Inc.
302 North Second Street, Bridgewater, VA 22812 · Rockingham County · (540) 828-2531
127 certified beds, about 120 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495370 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 26 health citations since October 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.63 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
31.9% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
710/19
901/22
1001/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
6E
1F
Potential for minimal harm
0A
0B
0C
January 22, 2026Standard inspection · 10 citations
- F Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to develop comprehensive care plans (CCPs) that included the residents current code status for all residents in the survey sample.
- E Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on resident interview, staff interview, and facility document review, the facility staff failed to recognize and respect the residents' right to exercise their rights as a resident/citizen of the United States to send/receive mail.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to maintain a comfortable homelike environment for 1 of 28 residents in the survey sample, Resident #105.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide written notification of the reason(s) for transfer/discharge to the resident's representative and/or failed to provide the resident and/or the resident's representative with the facility bed-hold policy upon transfer/discharge for (2) two of (28) twenty-eight sampled residents, Resident #121 and Resident #2.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to ensure accurate minimum data set (MDS) assessments for two of twenty-eight residents in the survey sample (Residents #3 and #13).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interviews and clinical record review, the facility staff failed to review and revise a care plan for one of twenty-eight residents in a survey sample. The Findings Include:Resident #56 (R56) care plan was not updated to include hearing aids. R56 diagnoses included communication deficit related to hard of hearing, depression, and pulmonary embolism. The most current MDS (Minimal Data Set) was a quarterly with an ARD (Assessment Reference Date) of 11/10/25. R56 was assessed with a cognitive score of 13 indicating cognitively intact. Review of R56's admission assessment dated [DATE] and section B (hearing and vision) of the MDS documented R56 used hearing aids. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review and facility policy review, the facility staff failed to follow physician's orders for 1 of 28 residents, Resident #11.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to maintain a safe room environment for one of twenty-eight residents in the survey sample (Resident #99).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for 2 of 28 residents in the survey sample, Residents #10 and #84.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to follow infection control practices during tracheostomy care for one of twenty-eight residents in the survey sample (Resident #13).
January 13, 2022Standard inspection · 9 citations
- E Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on staff interview, clinical record review and complaint investigation, the facility staff failed to employ a qualified activity professional for the facility. For two years, the facility had no qualified therapeutic recreation specialist or activities professional providing direction/supervision of the activity programs for residents.
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to ensure 2 of 26 residents in the survey sample were free from unnecessary psychotropic medications, Resident #45 and Resident #37. Resident #45 had physician orders for as needed (PRN) antianxiety medication Xanax that extended more than 14 days without a stop date. Resident #37 had physician orders for as needed (PRN) antipsychotic medication Zyprexa and the antianxiety medication Lorazepam that extended for more than 14 days without a stop date; and an as needed (PRN) dose of Zyprexa was administered to Resident #37 without an indication for use or documented prior attempts of non-drug interventions.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interview, clinical record review, and in the course of a complaint investigation, the facility staff failed to develop a comprehensive plan of care for two of 26 residents in the survey sample. Resident #37 had no care plan developed regarding hydration and behaviors. Resident #60 had no care plan about behaviors.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to perform quality control checks for a glucometer (a device to measure blood sugar) on one of 6 units, [NAME] unit. A glucometer located in the medication cart had not had a quality control check since October 2021.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on family interview, staff interview and clinical record review, the facility staff failed to perform routine skin assessments prior to development of a pressure ulcer for one of 26 residents in the survey sample, Resident #79. Resident #79 developed a stage 2 pressure ulcer on her sacrum after going over four months without a documented skin assessment for pressure ulcer prevention.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide appropriate catheter care for one of 26 residents in the survey sample, Resident #60. Resident #60 had a urinary catheter in use without the tubing secured to prevent pulling/tugging at the insertion site.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, staff interview, and review of facility documents, the facility failed to maintain acceptable parameters of nutrition for one of 26 residents in the survey sample, Resident # 81. Upon the identification of a significant weight loss of 19.2 pounds (13.8% loss) in 30 days, the facility failed to initiate measures to prevent further unplanned weight loss. No interventions were implemented until a month after the initial significant weight loss occurred and the resident continued to lose weight.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to ensure an open bottle of liquid Ativan (an anti-anxiety medication) was dated when opened, on one of 6 units, [NAME] unit.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to maintain a complete and accurate clinical record for two of 26 residents, Resident #76 and #103. Resident #76's pharmacy review for December was altered. Resident #103's code status was not correctly identified in the clinical record.
October 17, 2019Standard inspection · 7 citations
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, facility document review, staff interview and clinical record review, the facility staff failed to attempt appropriate alternatives and assess for entrapment risks prior to use of bed rails for four of 28 residents in the survey sample (Residents #10, #23, #37 and #105). Residents #10 and #23 used special mattresses with bed rails without a prior assessment for bed safety.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review and staff interview, the facility's consultant pharmacist failed, for six of 28 residents in the survey sample, to identify and report medication irregularities to the Nurse Practitioner/attending physician/Medical Director. The consultant pharmacist failed to identify Residents # 69, 86, 60, 25, 32, and 3 as having physician orders for as needed (PRN) psychotropic medications that extended for more than 14 days without a stop date.
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure six of 28 residents were free of unnecessary psychotropic medications. Residents # 69, 86, 60, 25, 32, and 3 had physician orders for as needed (PRN) psychotropic medications that extended for more than 14 days without a stop date.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to ensure an accurate minimum data set (MDS) regarding dental status for one of 28 residents in the survey sample (Resident #47).
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, staff interview, and clinical record review, facility staff failed to ensure a hand positioning device and an arm positioning device were in place for one of 28 residents, Resident #51.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide routine dental services for one of 28 residents in the survey sample. Resident #47, with obvious decayed/deteriorated teeth, had not been offered or provided dental services since her admission on [DATE].
- D Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspectors wroteBased on observation, facility document review, staff interview and clinical record review, the facility staff failed to perform bed safety inspections with use of specialty mattresses for two of 28 residents in the survey sample. Resident #10 had a wide bed with a concave mattress and bed rails in use without a prior inspection for possible entrapment risks. Resident #23 had an air mattress with bed rails in use without a prior inspection for possible entrapment risks.
Fire safety inspections
6 fire safety citations on file: 6 on October 17, 2019.
Every fire safety citation6 citations
- D Use approved construction type or materials.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have properly installed electrical wiring and gas equipment.
- D Provide a written emergency evacuation plan.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.63 | 3.76 | 3.86 |
| Registered nurses | 0.70 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.04 | 3.29 | 3.42 |
| Nurse aides | 3.11 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 31.9% | 48.1% | 45.8% |
| Registered nurse turnover | 30.4% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.14 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.87 on weekdays and 4.04 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.66 in April to June 2025 to 4.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.63 | 0.70 | 4.87 | 4.04 | 0.0% | 0 of 90 | 120 |
| Oct to Dec 2025 | 4.46 | 0.61 | 4.68 | 3.88 | 0.0% | 0 of 92 | 121 |
| Jul to Sep 2025 | 4.57 | 0.62 | 4.84 | 3.91 | 0.0% | 0 of 92 | 121 |
| Apr to Jun 2025 | 4.66 | 0.62 | 4.93 | 3.96 | 0.0% | 0 of 91 | 121 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Virginia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.1 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.3 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.9 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.2 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.5 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: BRIDGEWATER HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Flint, Anne | Corporate director | Individual | 03/26/2019 | |
| Lambert, Jeffrey | Corporate director | Individual | 10/24/2025 | |
| Alderfer, Rodney D | Corporate officer | Individual | 07/01/2008 | |
| Weaver, James | Corporate officer | Individual | 03/26/2019 | |
| Alderfer, Rodney D | Operational/managerial control | Individual | 07/01/2008 | |
| Weaver, James | Operational/managerial control | Individual | 03/26/2019 | |
| Baroco, Patrick | Adp of the SNF | Individual | 10/24/2025 | |
| Lambert, Jeffrey | Adp of the SNF | Individual | 10/24/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on January 22, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on January 22, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on January 13, 2022: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 22, 2026: "Ensure residents have reasonable access to and privacy in their use of communication methods."
Other nursing homes nearby
- Blue Ridge Rehabilitation and Nursing Harrisonburg, 5.9 mi · 2 of 5 stars · 58 citations
- Sunnyside Presbyterian Retirement Community Harrisonburg, 6.7 mi · 5 of 5 stars · 5 citations
- Harrisonburg Hlth & Rehab Cntr Harrisonburg, 7.4 mi · 1 of 5 stars · 80 citations
- Vmrc, Complete Living Care Harrisonburg, 8.8 mi · 3 of 5 stars · 11 citations
- Kings Daughters Community Health & Rehab Staunton, 16.1 mi · 1 of 5 stars · 83 citations
- Staunton Post Acute & Rehabilitation Staunton, 16.2 mi · 2 of 5 stars · 47 citations
- Shenandoah Nursing Home Fishersville, 19.3 mi · 5 of 5 stars · 15 citations
- Augusta Medical Ctr Skilled Ca Fishersville, 20 mi · 5 of 5 stars · 4 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Bridgewater Home , Inc.'s Medicare star rating?
- CMS rates Bridgewater Home , Inc. 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bridgewater Home , Inc. get at its last inspection?
- 10 health deficiencies at the standard inspection on January 22, 2026. The Virginia average is 14.3.
- Has Bridgewater Home , Inc. been fined?
- CMS lists no fines in the last three years.
- Does Bridgewater Home , Inc. accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bridgewater Home , Inc.?
- CMS lists 8 owners and managers. Legal business name: BRIDGEWATER HOME INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.