VANCOUVER, WA — Federal health inspectors identified 15 separate deficiencies at Bridge Crest Post Acute during a standard health inspection completed on December 12, 2025, including a citation for failing to provide adequate pharmaceutical services to meet resident needs.
Pharmacy Services Failed to Meet Federal Standards
Among the violations documented, inspectors cited Bridge Crest Post Acute under federal regulatory tag F0755, which requires nursing homes to provide pharmaceutical services that meet the needs of each resident and to employ or obtain the services of a licensed pharmacist.
The pharmacy service deficiency was classified at Scope/Severity Level D, indicating an isolated incident where no actual harm occurred but where there was potential for more than minimal harm to residents. While Level D represents the lower end of the federal severity scale, pharmacy-related citations carry significant weight because medication management is foundational to resident safety in long-term care settings.
Proper pharmaceutical oversight in nursing homes involves multiple critical functions: reviewing each resident's medication regimen for appropriateness, monitoring for drug interactions, ensuring correct dosages are administered on schedule, and flagging potential adverse reactions. When these systems break down — even in isolated instances — residents face real risks including adverse drug events, therapeutic failures, and medication-related complications.
Fifteen Citations Signal Broader Compliance Concerns
The pharmacy service deficiency was just one of 15 total deficiencies identified during the December inspection. A facility receiving 15 citations in a single survey cycle raises questions about the overall compliance environment and quality management systems in place at the facility.
For context, the national average number of deficiencies per nursing home inspection is approximately 7 to 8 citations, according to data from the Centers for Medicare & Medicaid Services (CMS). Bridge Crest Post Acute's 15 deficiencies place it at nearly double the national average, suggesting systemic issues that extend beyond any single department or care area.
What Adequate Pharmacy Services Require
Federal regulations under 42 CFR §483.45 establish clear expectations for nursing home pharmacy services. Facilities must ensure that a licensed pharmacist reviews each resident's medication regimen at least once per month and reports any irregularities to the attending physician and director of nursing. These reviews must assess whether medications remain necessary, whether dosages are appropriate, and whether residents are experiencing side effects.
Additionally, facilities must maintain procedures for accurately ordering, receiving, dispensing, and administering all medications. The entire medication management chain — from the prescribing physician's order to the moment a nurse administers the dose — must be properly documented and supervised.
No Correction Plan Submitted
Perhaps most concerning is the facility's response to the inspection findings. According to the federal survey record, Bridge Crest Post Acute is listed as "Deficient, Provider has no plan of correction" for the pharmacy services citation. Federal regulations require facilities to submit a credible plan of correction within 10 calendar days of receiving the statement of deficiencies, outlining specific steps the facility will take to address each cited violation and prevent recurrence.
The absence of a correction plan means that, as of the latest available records, the facility has not formally committed to specific remedial actions. CMS may impose enforcement remedies — including civil monetary penalties, denial of payment for new admissions, or state monitoring — if a facility fails to correct cited deficiencies within the required timeframe.
What Residents and Families Should Know
Families of current and prospective residents can review Bridge Crest Post Acute's full inspection history on the CMS Care Compare website at medicare.gov. The tool provides detailed information about deficiency citations, staffing levels, quality measures, and overall star ratings for every Medicare- and Medicaid-certified nursing home in the country.
Residents and their families have the right to ask facility administrators directly about the inspection findings and what corrective measures are being implemented. Questions about how the facility ensures proper pharmaceutical oversight, how medication errors are tracked and reported, and what quality improvement initiatives are underway can help families make informed decisions about their loved ones' care.
The full inspection report for Bridge Crest Post Acute's December 2025 survey contains detailed findings for all 15 cited deficiencies and is available through NursingHomeNews.org's facility profile page.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bridge Crest Post Acute from 2025-12-12 including all violations, facility responses, and corrective action plans.
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