Bridgewood Health Care Center
BRIDGEWOOD HEALTH CARE CENTER in KANSAS CITY, MO — inspection on November 25, 2025.
Found 2 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.
Inspection Findings
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], 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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Bridgewood Health Care Center
11515 Troost Kansas City, MO 64131
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on [DATE] 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].-If CNA A said he/she did not receive CPI training, then he/she did not get trained.
During an interview on [DATE] 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] 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] at 12:40 P.M., the Administrator said:-He/She completed CPI training on [DATE].-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] 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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