Bridgewood Health Care Center

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

sure when. 4 During an interview on 8/22/25 at 12:30 P.M. the Corporate Nurse Consultant, Administrator and Director of Nursing (DON) said:-Back when the facility did the Capacity to Consent to Sexual Activity forms, none of the residents spoke with showed any interest in having any sexual activity.-They had spoken about having condoms available for the residents but with no one showing interest, they did not go ahead and make it happen.-They had also discussed a private space for residents to go, but again, with no residents voicing any interest, they did not go ahead with the plan.-He/she felt the residents who were able to consent had the right to have sexual activities with other residents in a safe manner and a private place.-The facility did not pursue further sexual education or providing condoms or a private space for the residents because they were never able to get any residents to say they were interested in those things.

Complaint # 259703

Event ID:

Facility ID:

If continuation sheet

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

08/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bridgewood Health Care Center

11515 Troost Kansas City, MO 64131

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 0561

replaced if missing. Complaint number: 2592490

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

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

08/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bridgewood Health Care Center

11515 Troost Kansas City, MO 64131

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 0563 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

would have liked to have had a visit from Family Member A and his/her friend the night before on 8/21/25.

During an interview on 8/22/25 at 3:15 P.M. resident's guardian said:-He/She has never had a negative interaction with the resident's friend.-He/She would expect that the resident's rights to visitors be granted.-He/She would expect that if staff did not allow a resident's visitors on the unit, then the staff would bring the resident out to the lobby to visit their friends and family. During an interview on 8/22/25 at 4:10 P.M. Certified Medication Technician (CMT) A said:-He/She was familiar with the resident and the resident's friend.-He/She has not had any negative encounters with the resident's friend.-The resident's friend visited

the resident several times per week and was very involved in the resident's care. During an interview on 8/22/25 at 4:18 P.M. Certified Nurse Assistant (CNA) A, said:-He/She has worked on the medical unit for 3-4 months.-He/She was familiar with the resident and the resident's friend.-He/She never had a negative interaction with the resident's friend and the resident's friend was nice. During an interview on 8/22/25 at 4:25 P.M. Licensed Practical Nurse (LPN) A said:-He/She worked on the medical unit as a charge nurse.-He/She was familiar with the resident and the resident's friend.-He/She never had a negative interaction with the resident's friend.-He/She observed the resident's friend visit him/her as late at 10:00 P.M.-11:00 P.M. on occasions.-He/She would expect residents to have a choice to have visitors after 8:00 P.M. During an interview on 8/22/25 at 5:30 P.M., the Administrator said:-The facility did not have a visitor policy.-He/She would expect a resident to be able to have visitors. 2592490

Event ID:

Facility ID:

If continuation sheet

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

08/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bridgewood Health Care Center

11515 Troost Kansas City, MO 64131

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 0600 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

resident was checked, the resident was asleep.-Resident #4 mostly kept to himself/herself.-Resident #4 also lashed out at peers with no warning and for no known reason.-He/she showed no sign of escalation earlier in the evening before going to bed.-The resident was sometimes up at night, but he/she did not see Resident #4 up at all on the night of 8/1/25. -He/she did not recall seeing Resident #3 or Resident #4 after

they both went to their rooms to go to bed around midnight.-He/she understood the incident occurred on

the night shift 7/31/25 into 8/1/25 about 2:00 A.M. During an interview on 8/15/25 at 11:00 A.M., the Corporate Nurse Consultant said:-He/she was the first one to interview both involved residents.-Resident #4 admitted he/she had propositioned a sexual interaction to Resident #3 during the night of 8/1/25. -When he/she interviewed Resident #3, he/she said that he/she clearly said no when Resident #4 propositioned him/her for sex. -Resident #3 stated that after he/she said no, Resident #4 took one to two steps towards

the door, turned back around to the resident, and hit Resident #3 in his/her mouth, knocking out Resident #3's two top teeth out.-Resident #3 admitted he/she told no one and no staff knew what happened until the morning of 8/1/25 when staff saw his/her teeth missing.-He/she knew the incident was abuse as it caused injury and was not at all provoked. During an interview on 8/15/25 at 11:10 A.M., Resident #3 said:-Resident #4 had propositioned him/her for sex.-He/she said no.-After he/she said no, Resident #4 took a step or two towards the door, then turned back around and hit him/her in the mouth.-When asked if Resident #4 hurt him/her, he/she said no. During an interview on 8/15/25 at 4:15 P.M., the DON and Administrator said:-They were not made aware of the incident until the morning hours when LPN C notified them that Resident #3 was missing his/her two top front teeth and stated Resident #4 hit him/her in the mouth causing his/her teeth to come out.-They both would have expected Resident #4 to have not reacted violently to having been told no when he/she asked Resident #3 for sex.-Their goal was to always strive to keep the residents safe.-Both the DON and Administrator recognized this incident was abuse as there was

an injury and there was no provocation. 2578809

Event ID:

Facility ID:

If continuation sheet

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

08/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bridgewood Health Care Center

11515 Troost Kansas City, MO 64131

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 0850 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

to ensure the residents were cared for. During an interview on 9/4/25 at 12:00 P.M. the Ombudsman said:-He/she collaborated with the prior social worker whom would send a list of resident discharges monthly to coordinate services. -He/she had not received the discharges from the administration for the months of July and August. -He/she had reached out and requested logs for May and June to the Administrator after they had not been received for two months, reminding him/her of the regulation and acknowledging that their Social Worker previously sent these and was no longer there. The Administrator had sent May and June logs after requested. -The Ombudsman program is not required to continually remind facilities of delinquent logs and was not responsible to provide education and reminders for facilities when there are staffing changes or a sudden drop off in receiving logs. -It was important to receive the discharge logs timely to help the Ombudsman program support residents in discharge and transfer processes. The Ombudsman program reviews the logs for hospital transfers and confirms readmissions to ensure residents are afforded that opportunity or that the discharge process is followed per regulations.

Skilled nursing facilities were required to provide copies of any discharge letters issued, the logs were another way for the program to cross check and potentially support a resident that may have been improperly discharged as well as affords the opportunity to provide education to facilities that may be trying to do things correctly but might not have a clear understanding of the discharge procedures.

Event ID:

Facility ID:

If continuation sheet