Bridgewood Health Care Center

During an interview on 2/13/16 at 3:40 P.M, Psychiatric

all of the resident's to be free from abuse and live in a safe environment.

During an interview on 2/26/26 at 1:08 P.M., Administrator said the incident that occurred on 2/1/26 between Resident #1 and Resident #2 was abuse. 2.

Review of Resident #9's undated facesheet showed he/she admitted [DATE] with the following diagnosis: -Cerebral Infarction.-Bi-Polar Disorder.-Major Depressive Disorder.-Schizoaffective Disorder.

Review of Resident #9's quarterly MDS, dated [DATE], showed he/she was cognitively intact.

Review of Resident #10's undated facesheet showed he/she admitted [DATE] with the following diagnosis: -Schizoaffective Disorder.-Major Depressive Disorder. -Bipolar Disorder.-Hallucinations-Personal History of other Mental and Behavioral Disorders Review of Resident #10's quarterly MDS, dated [DATE], showed he/she was cognitively intact.

Review of Resident #9's progress note, dated 2/13/26 at 6:40 P.M., showed: -He/She was in the hallway when Resident #10 had come up to Resident #9, punched Resident #9 and Resident #9's wheelchair fell over. -Staff intervened and separated when Resident #10 then kicked Resident #9 in the back of the head. -Resident #9 complained of pain to the left shoulder and was sent to the hospital.

Review of Resident #10's progress notes, dated 2/13/26 at 6:59 P.M., showed:-He/She hit Resident #9 while Resident #9 was sitting in hallway. -Resident #10 hit and kicked Resident #9 in the back of Resident #9's head. Resident #9's wheelchair fell over.

Review of the facility RNI, dated 2/13/26, showed: -Physical Aggression not involving the head between Resident #9 and Resident #10. -Responded to code green on medical unit. Resident #9 was lying on the floor in front of his/her wheelchair.

Staff surrounded Resident #9 and completed an assessment. Resident #9 wanted off the floor and to press charges against Resident #10. -The event was a behavior based on Resident #10's poor impulse control, poor communication, and not being able to link consequences to actions. Resident #10 did not intend to harm Resident #9. Resident #10 said he/she pulled Resident #9 out of his/her wheelchair because Resident #10 was mad. -Resident #9 was sent to the hospital. -The incident was not the result of abuse and not reportable.

Review of Resident #9's hospital after visit summary, dated 2/13/26, showed: -He/she was seen for neck pain. -He/she had a shoulder contusion. -He/she was provided a lidocaine (a fast acting pain relief) for pain.

During an interview on 2/23/26 at 9 A.M., Resident #10 said: -Resident #9 had stolen from him/her and flipped him/her off. -He/She pushed Resident #9 from behind and knocked Resident #9 out of his/her wheelchair to the floor. -He/She did not remember who held him/her back. -He/She kicked Resident #9 once in the shoulder.

During an interview on 2/23/26 at 10:24 A.M., Resident #9 said: -Resident #10 had run him/her down and tackled him/her. -He/she had left side paralysis which was why Resident #10 tackled him/her out of his/her wheelchair. Resident #10 kicked him/her in the shoulder and kicked him/her in the head. -He/she said the wheelchair flipped over on the side and bent the spokes on the foot pedal causing him/her to have a loaner wheelchair. -His/Her left shoulder hurt. -He/She went to the hospital. -He/She was mad his/her wheelchair was broke.

During an interview on 2/23/26 at 10:58 A.M., LPN C said: -He/she was on the front hall and hall and heard commotion.

When he/she responded Resident #9 was on the ground and Resident #10 had kicked Resident #9 in the head.

During an interview on 2/23/26 at 11:15 A.M., CMT C said: -He/she was at the medication cart by the nursing station when he/she saw Resident #10 come from the [NAME] hall heading toward Resident #9. Resident

265822 02/26/2026

Bridgewood Health Care Center 11515 Troost Kansas City, MO 64131

Review of Resident #1's incident note, dated 1/27/26 at 10:00 P.M., showed:-Resident #1 stated that CNA E was being a bitch so he/she ran and kicked open door and ran out into dining room then attempted to go out into hangout.-CNA E followed Resident #1 into the dining room asked him/her to come back to the unit.-Resident #1 started cursing and yelling at CNA E then began to angrily run towards CNA E. -Resident #6 stepped in front of CNA E and asked Resident #1 to stop.-Resident #1 then went and kicked open the door to the hangout area.-CNA E and Resident #6 followed Resident #1 out to the hangout area. -Resident #1 then picked up a mop stick and struck Resident #6 on top of the head. -Resident #6 in turn pushed Resident #1 to the floor then struck him/her several times in the face and head. -Staff after several attempts were able to break up the altercation. -Resident #1 had superficial scratches and red marks on his/her face, neck, and head.-Resident #6 had a bruise and raised area on the left side if his/her forehead. Resident #1 had scratches and red marks on his/her face. Resident #6 was upset CNA E had asked for his/her assistance and wanted this to stop.

Review of Resident #6's Quarterly MDS, dated [DATE], showed he/she was cognitively intact.

During an interview on 2/26/26 at 11:52 A.M., Resident #6 said: -He/She was hit in the head with a mop stick by Resident #1 and then he/she and Resident #1 began to fight and fell to the ground. -The fight occurred because he/she attempted to help CNA E calm Resident #1 down and it made Resident #1 mad at him/her.-CNA E asked him/her to help calm down Resident #1 because CNA E feared the resident. -He/She felt like staff asked him/her a lot to help calm other residents down and it put him/her in danger. -He/She has asked staff not to use him/her to calm other residents down because he/she felt like it made him/her a target with the other residents. -He/She did not like being out in the middle of staff and Resident #1's problems.-There was not enough sta

265822 02/26/2026

Bridgewood Health Care Center 11515 Troost Kansas City, MO 64131

Observation of 200 hall bathhouse #1 on 2/9/26 at 2:00 P.M. showed:-No out of order sign was on the bathhouse door.-The bathhouse door was unlocked and able to be accessed.-The sink was missing, and poles were sticking out of the wall.-Tile was ripped from the wall behind the bathtub.-Bathtub plumbing was exposed behind the ripped out tile.-There was black substance on the back side of some of the broken tile.-The bathtub faucet was running. 3.

Observation of 200 hall bathhouse #2 on 2/9/26 at 2:30 P.M., showed:-No out of order sign was on the bathhouse door.-The bathhouse door was unlocked and able to be accessed.-The toilet was filled with brown water and had a bad odor.

During an interview on 2/9/26 at 11:30A.M., Certified Medication Technician (CMT) B said:-He/She is not aware of any bathtubs that were not properly working in the facility. -He/She was unaware of constant running bathtub water or toilets overflowing in the 200 bath houses.

During an interview on 2/9/26 at 12:00 P.M., Certified Nurse Assistant (CNA) F said:-He/She has never witnessed continuous running of water in any bathtub, sink, or toilet.-It was the housekeeper's responsibility to keep the resident's rooms clean but they did not keep them clean like they should. -The housekeepers only deep cleaned the resident's rooms when state was in the building. -The residents did not have a clean-living environment in the facility.-He/She has witnessed resident's sinks overflowing and not draining.

During an interview on 2/9/26 at 1:00 P.M., Licensed Practical Nurse (LPN) A said:-He/She was not aware of any sinks missing in the 200 hall bath houses. -He/She has not witnessed a continuous flow of water in the 200-hall bathtub.-He/She was not aware of any toilets in the 200 hall bath houses overflowing.-Housekeeping could be better about keeping the resident's rooms and bathroom cleaned.

During an interview on 2/9/26 at 1:30 P.M.

Administrator Assistant said:-He/She was not aware of any bath houses that do not have sinks or have continuous running baths or toilets. -Some of the residents will turn water on in the shower houses and leave the water running but other than that.-Housekeeping staff was responsible for keeping the resident's rooms cleaned.-Staff should be better about keeping the resident's rooms clean.-Maintenance was responsible for maintaining the heater units in the resident's rooms.-He/She was not aware of any resident's sinks being plugged up.

During an interview on 2/13/26 at 2:40 P.M., Administrator said:-There was one shower on the women's unit that didn't work, and they were waiting on a part coming in the mail to fix it.- All the residents on the women's unit had an alternative shower to use.-He/She was not aware of any bathroom not having a sink.-He/She was not aware of any continuous running water in any of the bathtubs in the bath houses. -He/She was not aware of any toilets that have problems with overflowing.

During an interview on 2/13/25 at 2:55 P.M., Housekeeping A said:-All resident's rooms were cleaned daily.-When resident rooms are cleaned, housekeepers also clean the resident's bathrooms.-When they cleaned the resident's rooms, that included sweeping and mopping the floors.-The floor techs were the ones responsible for stripping and waxing the floors. -When they did a deep cleaning, that was when the windows and base boards were cleaned. 4.

Observation on 2/26/26 at 9:00 A.M. during a Life Safety Code (LSC) walk-through inspection with the DOM showed:-The top control panel of an HVAC (heating, ventilation, and air conditioning) unit in the Main Dining Room showed a rectangular panel opening at the north end of the unit was approximately (app.) 7 inches ( ) by 10 inches and had no cover on it exposing the metal edges around the opening's sides that were bent up causing sharp edge.

Complaint Number: 2736619