Bridgeway Care And Rehab Center At Hillsborough
BRIDGEWAY CARE AND REHAB CENTER AT HILLSBOROUGH in HILLSBOROUGH, NJ — inspection on August 19, 2024.
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
According to the form, the corrective action taken to rectify the concern indicated that Education provided to CNAs regarding: abuse prevention, resident's rights, customer service and was signed by the Director of Nursing (DON).
The form had a Final Review by Grievance Official: Nature of Concern/Grievance: CNA interaction signed by the LNHA and DOSW/GO and dated 5/28/24.
Further review, revealed an attached Investigation Statement Form revealed that the date of the incident was 5/18-5/19 (reported 5/23/24) and the type of investigation was issues with CNA #1 and CNA #2.
The SW documented follow up interviews with two alert and oriented residents under the care of CNA #1 and CNA #2.
The SW spoke with two unsampled Residents #25 and #54 on 5/23/24.
The SW indicated that the unsampled Resident #54 made a statement that CNA #2 is just not compassionate. He/She doesn't want CNA #2 on his/her assignment as he/she does not feel good with CNA #2.
The unsampled Resident #54 made a statement that the CNA #2 took soda and chips from the resident's tray and the resident had to ask for them back. In addition, the Investigation Statement Form revealed a follow up interview with unsampled Resident #25 who according to the statement indicated that CNA #1 made him/her feel humiliated by being exposed during care.
The form reflected that the unsampled Resident #25 had requested that CNA #1 not be on their assignment.
Additionally, attached with the form was another Investigation Statement Form, dated 5/25/24, completed by CNA #2 which indicated that whenever CNA #2 was assigned to Resident #6 they were rude and cursed at CNA #2.
The CNA #2 included that the resident had accused her of not paying attention to them.
Also attached to the Grievance/Complaint Form was an In-service: Customer Service/Resident Dignity and an In-Service: Abuse Prevention dated 5/25/24 and signed by both CNA#1 and CNA #2.
315510
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 315510 B.
Wing 08/19/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Bridgeway Care and Rehab Center at Hillsborough 395 Amwell Road Hillsborough, NJ 08844
The surveyor reviewed the medical record for Resident #6.
According to the quarterly Minimum Data Set (MDS) (an assessment tool) dated 5/8/24, reflected that the resident had diagnoses which included but not limited to; depression, morbid obesity and heart failure.
The MDS assessment reflected that the resident had a Brief Interview of Mental Status (BIMS) score of 14 out of 15, which indicated an intact cognition.
On 8/6/24 at 10:06 AM, the surveyor reviewed a Complaint/Grievance Form, dated 5/23/24, provided by the Licensed Nursing Home Administrator (LNHA).
The form was completed by the Social Worker (SW) and revealed that Resident #6 reported issues and concerns with two CNAs, (CNA#1 and CNA#2).
The form indicated Resident does not feel safe when CNA#1 and CNA#2 were caring for him/her and does not want them on his/her assignment.
Resident stated they are mean and rude.
The form was referred to nursing and signed by the Director of Social Work (DOS), who was the Grievance Official (GO), on 5/24/24.
According to the form, the corrective action taken to rectify the concern, indicated that Education provided to CNAs regarding: abuse prevention, resident's rights, customer service and reassignment. It was signed by the Director of Nursing (DON).
The form had a Final Review by Grievance Official: Nature of Concern/Grievance: CNA interaction signed by the LNHA and GO and dated 5/28/24.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
315510
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 315510 B.
Wing 08/19/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Bridgeway Care and Rehab Center at Hillsborough 395 Amwell Road Hillsborough, NJ 08844