Bridgeway Senior Living
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based in
interview and record review the facility failed to follow its policy to notify resident representative of a change
in condition.This applies to 1 of 3 residents (Resident R5) reviewed for notification of change in the sample of 7.The findings include:Resident R5's EMR (Electronic Medical Record) showed Resident R5 was admitted to the facility on [DATE REDACTED], with multiple diagnoses including type 2 diabetes, diastolic congestive heart failure, gout, chronic kidney disease stage 3, and morbid obesity. Resident R5's MDS (Minimum Data Set) dated July 29, 2025, showed Resident R5 was cognitively intact and required assistance with ADLs including set up assistance with eating and oral hygiene, supervision with personal hygiene, partial assistance with bed mobility, transfer and upper body dressing, substantial assistance with lower body dressing, toileting, and bathing and dependent on staff assistance with footwear.On September 11, 2025, at 3:12 PM, V15 (LPN) stated she was Resident R5's nurse on September 6, 2025, during the night shift. V15 stated at 10:40 PM, Resident R5 was sitting in the chair and requested to go to bed. V15 stated Resident R5 was transferred to the bed with 4 staff assist and once in the bed Resident R5 was short of breath and V15 assessed Resident R5's oxygen saturation at 87% and stated she applied oxygen via nasal cannula at 2L (Liters). V15 stated she did not notify Resident R5's family representative, V17, of the change in condition.Resident R5's progress note effective date September 6, 2025, by V15, had a created date of September 10, 2025, at 1:31 PM, showed there was no documentation of notification of change in condition to Resident R5's representative and when the physician did not respond, no call placed to the Medical Director or Director of Nursing.On September 11, 2025, at 11:26 AM, V2 (Director of Nursing) stated she had received a complaint from Resident R5's family, V17, on September 7, 2025, regarding not being informed of Resident R5's change in condition. V2 stated she spoke to V15 who stated it did not occur to her to notify V17 of Resident R5's change in condition. V2 stated V15 could have notified V17 of Resident R5's change in condition.The facility's policy titled Notification of Resident Change in Condition Policy undated, showed Standards.11. Resident representative notifications and attempts will be made promptly and documented in the nurses' notes. In
the event the licensed nurse is unable to contact the resident's representative, after a reasonable time period the Director of Nursing will be notified.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/14/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Bridgeway Senior Living
111 East Washington Bensenville, IL 60106
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
Federal health inspectors cited BRIDGEWAY SENIOR LIVING in BENSENVILLE, IL for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-09-14.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of BRIDGEWAY SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.
BRIDGEWAY SENIOR LIVING in BENSENVILLE, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BENSENVILLE, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRIDGEWAY SENIOR LIVING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.