Bridgeway Care and Rehab Center at Bridgewater

Inspectors wroteC#: 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: [...]

Inspectors wroteC#: 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). [...]

Inspectors wroteComplaint #: 2648621 Based on interviews, medical record review, and review of other pertinent facility documentation on 10/23/2025, it was determined that the facility failed to implement their abuse policy to ensure all residents were protected from abuse, when Resident #2 alleged the Certified Nursing Assistant (CNA #1) physically abused them, and CNA #1 was taken off the resident's assignment, but remained on that nursing unit assisting other residents as well as having access to Resident #2. This deficient practice was identified for 1 of 3 residents reviewed for abuse (Resident #2) and had the potential to affect all residents. On 10/19/2025 at approximately 6:00 PM, Resident #2 reported to the facility's Nursing Supervisor (NS#1) that CNA #1 pulled their arms and punched them. NS #1 removed CNA #1 from Resident #2's care and reassigned another CNA. [...]

Inspectors wroteBased 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. [...]

Inspectors wroteComplaint #: 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. [...]

Inspectors wroteComplaint #: NJ00153370 Based on interview, medical record review, and review of other pertinent facility documentation on 09/19/23 and 09/20/23, it was determined that the facility failed to: a.) complete daily weights in accordance with a physician's order and b.) follow care plan (CP) interventions for a resident with congestive heart failure (CHF). The resident gained 31 pounds (Lbs.) of fluid in 10 days and was transferred to the hospital in respiratory distress where they were admitted to the intermediate care unit. The deficient practice was identifed for Resident #1, 1 of 5 residents reviewed for quality of care and was evidenced by the following: The surveyor reviewed the closed medical record for Resident #1: [...]

Inspectors wroteComplaint #: 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. [...]

Inspectors wroteComplaint # 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: [...]

Inspectors wroteBased 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. [...]

Inspectors wroteBased 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: [...]

Inspectors wroteBased 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. [...]