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Complaint Investigation

West Woods Of Bridgman

August 20, 2025 · Bridgman, MI · 9935 Red Arrow Hwy
Citations 14
CMS Rating 2/5
Beds 92
Provider ID 235625
Healthcare Facility
West Woods Of Bridgman
Bridgman, MI  ·  View full profile →
Inspection Summary

West Woods of Bridgman in Bridgman, MI — inspection on August 20, 2025.

Found 14 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of “Call Lights” received on 08/20/25 from employee orientation, revealed, “…Response to Call Lights: If you see an activated red light in the hall, you are expected to answer the call light…Assist with the need if it is within your scope or to advise the resident you will get assistance, do not turn off the call light unless you have met the resident’s need…”

Facility ID:

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-08-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

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Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0680 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure the activities program is directed by a qualified professional.

Scope/Severity Level E: pattern, 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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-20.

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-25.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

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Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-08-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

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Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-20.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, 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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited West Woods of Bridgman in Bridgman, MI for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-08-20.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Scope/Severity Level E: pattern, 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 14 deficiencies cited during this inspection of West Woods of Bridgman.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

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 Bridgman, MI, (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 West Woods of Bridgman or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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