Bridgewood Health Care Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
around as they fell.-The resident was face down on the floor with the right side of his/her face towards the floor.-He/She was on top of the resident with his/her shoulder was about head high to the resident when
they landed on the floor.-He/She was pushing on the resident because the resident had his/her hair.-He/She denied striking the resident in any way and did not know how anyone saw him/her hit the resident with a closed fist, because the resident was in front of him/her.-He/She encouraged CNA B to write
a statement and to be truthful.-If he/she would have hit the resident in the face, the resident's face would show it.-The nurse and the aides pulled them apart, because the resident still had his/her hair.-They had his/her arms and the resident had his/her hair.-He/She said there is no camera on the hall, it had been ripped out before he/she started.-The resident's face was pressed against the floor and could've hit the rail
on the way down and they were on the floor next to the wall. During an interview on 10/27/25 at 10:25 A.M., LPN A said: -When he/she observed CNA A and the resident on the floor, the resident was laying on his/her back with his/her face up.-CNA A's upper body was on top of the resident's body and they were facing each other. Review of Resident #2's MDS, dated [DATE REDACTED], showed the resident was cognitively intact.
During an interview 10/27/25 at 1:47 P.M., Resident #2 said:-Resident #1 got into it with CNA A, they were going at it bad. -CNA A hit Resident #1 and beat him/her up really bad. -He/She heard a commotion, ran around the corner and saw Resident #1 hit CNA A. -CNA A then threw Resident #1 on the floor and Resident #1 grabbed CNA A's hair.-He/She saw CNA A take his/her elbow and ram it into Resident #1's face. -He/She thought CNA A was trying to break Resident #1's neck at first.-They were fist fighting at first, then CNA A was driving his/her elbow into Resident #1's face.-The other staff finally pulled CNA A off Resident #1.-Resident #1 was on his/her back fighting CNA A.-CNA A charged Resident #1, hit Resident #1 and threw Resident #1 on the floor.-It scared him/her when he/she saw how aggressive CNA A was and was using his/her elbow ramming into Resident #1's face. He/she thought CNA A was going to kill Resident #1. During an interview on 10/27/25 at 4:10 P.M., the Medical Director said: -He/She did recall the assault that occurred a couple of days ago with the resident.-Due to the staff repeatedly hitting the resident, the incident was abuse.-It was inappropriate for CNA A to continue to hit the resident.-He/She confirmed the nasal fracture, but was hesitant to confirm a closed head injury due to the lack of testing. During an
interview on 10/30/25 at 2:20 P.M., the Director of Nursing said the altercation with CNA A and the resident was abuse. NOTE: At the time of the abbreviated survey, the violation was determined to be at the immediate jeopardy level J. Based on observation, interview and record review completed during the onsite visit, it was determined the facility had implemented corrective action to remove the IJ violation at the time.
A final revisit will be conducted to determine if the facility is in substantial compliance with participation requirements. At the time of exit, the severity of the deficiency was lowered to the D level. This statement does not denote that the facility has complied with State law (Section 198.026.1 RSMo.) requiring that prompt remedial action be taken to address Class I violation(s). 2652485
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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
11/25/2025
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-Tag F0949
F 0949 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
supervisor. -He/she had not trained CNA A or had a card on file for CNA A. During an interview on [DATE REDACTED] at 12:29 P.M., the Regional Director of Operations said:-He/She has been helping with the hiring and training of new staff since [DATE REDACTED].-If CNA A said he/she did not receive CPI training, then he/she did not get trained.During an interview on [DATE REDACTED] at 12:30 P.M., the Regional Nursing Consultant (RNC) said he/she was assisting with hiring and training of the new staff since 9/2025, which included setting up the CPI training. During interviews on [DATE REDACTED] at 12:35 P.M. and 2:20 PM, the Director of Nursing (DON) said: -The floor staff need to have both computer and the hands-on training completed.-Staff not certified in CPI may work the medical hall per RNC.-If a staff member was not CPI certified they were not to respond to a Code Green. During an interview on [DATE REDACTED] at 12:40 P.M., the Administrator said:-He/She completed CPI training
on [DATE REDACTED].-He/She worked directly with the residents. -Staff should not use physical interventions with behavioral residents until CPI training is completed. They can engage verbally. (use verbal de-escalation techniques)-There was not an effective system in place prior to [DATE REDACTED] to track CPI training.-All staff, including non-nursing staff, were required to complete training before being allowed to work in the facility.-It was his/her responsibility to ensure all staff were CPI trained.-Administrative staff were reviewing all employee files and CPI training records to determine which staff needed 2652485
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BRIDGEWOOD HEALTH CARE CENTER in KANSAS CITY, MO 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 KANSAS CITY, MO, (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 BRIDGEWOOD HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.