Bridgeway Senior Living: Hip Fracture After Fall - IL
That's what inspectors found when they arrived at Bridgeway Senior Living on August 15, 2025.
The resident, identified in inspection records as R12, fell on August 12. A hospital X-ray taken that day confirmed she had sustained a mildly comminuted displaced right femoral intertrochanteric fracture, a broken hip. Her physician told inspectors that afternoon that the fall was the likely cause.
The nursing aide, identified as V16, told inspectors she works across all units in the facility. When asked about R12's care plan, she said she wasn't sure what fall-prevention interventions had been put in place for her. She also confirmed that, as of the afternoon of August 15, no one at the facility had interviewed her about how R12 fell.
Nobody had.
The charge nurse, identified as V2, told inspectors at 4:12 PM that she had not spoken to V16 about the fall. She said she wasn't sure whether the restorative nurse had spoken to V16 either.
Bridgeway's own fall evaluation policy, dated August 2008, states that residents must be evaluated for potential causes of falls immediately, that environmental issues must be addressed immediately, and that nursing staff must begin identifying possible causes within 24 hours. The policy lists specific factors staff are supposed to examine: what the resident was doing at the time, whether she was responding to an urge to use the bathroom, whether anything in the environment contributed, such as a slippery floor, poor lighting, or furniture in the way. The policy says staff should keep collecting information until they either find a cause or determine one cannot be found.
Three days in, they hadn't started.
R12's physician raised an additional concern when inspectors spoke with him on the afternoon of August 15. He said that having bed barriers on both sides of R12's bed would be an unsafe situation, given that she is cognitively impaired. The inspection report does not detail what barrier configuration was in place at the time of the fall, but the physician's comment suggests the question of how her bed was set up was relevant to understanding what happened.
That question, like the others, remained unanswered.
The inspection cited the facility under F0689, the federal tag covering protection from accident hazards and supervision, at a level of actual harm affecting a few residents.
What the record shows is a woman who broke her hip, a witness who saw it happen, and a facility that spent 72 hours not connecting those two facts. The aide knew something. The managers knew the aide was there. The policy on the wall said talk to her within 24 hours.
R12's physician confirmed the fall caused the fracture. A broken hip at her age, with her cognitive condition, is not a minor event. Recovery from a femoral intertrochanteric fracture typically involves surgery, hospitalization, and extended rehabilitation, with serious risks at every stage.
Whether anything about that fall could have been prevented, or whether a faster investigation might have changed anything for R12 or for other residents at risk, inspectors couldn't determine. The facility hadn't gathered enough information to answer either question.
The aide was still waiting to be asked.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bridgeway Senior Living from 2025-08-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 18, 2026 · Our methodology
BRIDGEWAY SENIOR LIVING in BENSENVILLE, IL was cited for violations during a health inspection on August 15, 2025.
That's what inspectors found when they arrived at Bridgeway Senior Living on August 15, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.