BRIDGEWATER CENTER FOR REHAB & NURSING L L C

Nursing Home Inspector

159 163 FRONT STREET - BOX 765
BINGHAMTON, NY 13902
Broome County
Phone: 607-722-7225
Provider Number: 335228
Last Inspection: 06/12/2017

About the Nursing Home

Number of Beds: 356
Number of Residents: 310
Beds Available: 46
Percent Occupancy: 87%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

52

Facility
23

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

52

2017
27

2016
52

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

6/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Isolated : Minimal 3 7/31/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/31/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/31/2017
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 7/31/2017
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 7/31/2017
 
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 7/31/2017
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 7/31/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 7/31/2017
 
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 7/31/2017
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Minimal 4 7/31/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/31/2017
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 7/31/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 7/31/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 7/31/2017
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 7/31/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/31/2017
 

2/23/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 4/8/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 4/8/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 4/8/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/8/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 4/8/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/8/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/8/2016
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 4/8/2016
 

1/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 3/25/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/25/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/25/2015
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 3/25/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/25/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/25/2015
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 3/25/2015
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 3/25/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/25/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 3/25/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 3/25/2015
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 3/25/2015
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 3/25/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/25/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 3/25/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 3/25/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 310 134.09 167.28
Registered Nurses 0.48 1.24 0.74
Licensed Practical / Vocational Nurses 0.84 0.99 0.84
Certified Nursing Assistants 2.04 2.60 2.30
Total Staff Hours 3.35 4.83 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 6 4 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 94 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 96 96
of long-stay residents experiencing one or more falls with major injury 2 4 2
of long-stay residents who have depressive symptoms 2 2 8
of long-stay residents who lose too much weight 7 8 6
of long-stay residents who received an antianxiety or hypnotic medication 22 20 15
of long-stay residents who received an antipsychotic medication 15 11 13
of long-stay residents who self-report moderate to severe pain 6 9 3
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 25 20 16
of long-stay residents whose need for help with daily activities has increased 21 16 13
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 5 3 3
of low risk long-stay residents who lose control of their bowels or bladder 40 61 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 77 84 81
of short-stay residents who had an outpatient emergency department visit 11 9 9
of short-stay residents who made improvements in function 75 76 68
of short-stay residents who newly received an antipsychotic medication 1 0 1
of short-stay residents who self-report moderate to severe pain 12 15 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78 85 82
of short-stay residents who were rehospitalized after a nursing home admission 30 17 21
of short-stay residents who were successfully discharged to the community 40 56 48
of short-stay residents with pressure ulcers that are new or worsened 1 1 0