United Methodist Communities At Bristol Glen
Inspection Findings
F-Tag F0689
F 0689
failure).
Level of Harm - Actual harm
A review of the most recent Minimum Data Set (MDS), an assessment tool dated 7/02/25, reflected that Resident #5 had a Brief Interview for Mental Status (BIMS) score of 13 out of 15, which indicated that the resident was cognitively intact. A review of Section GG assessed that the resident required maximum assistance for transfers.
Residents Affected - Few
A review of Resident #5’s Care Plan Report reflected a care plan with a focus area that indicated that the resident required assistance with bathing, hygiene, dressing, and grooming related to impaired mobility, which was initiated on 6/24/25. Interventions included “transfer with moderate assist of 2 and use of a rolling walker and/or grab bar. Gait belt should be used for safety.”
A review of the nurse’s note dated 8/25/25 at 4:29 AM, titled as “Incident Note, reflected… a Certified Nursing Assistant (CNA #2) reported that while attempting to transfer a resident out of bed that the resident sat/fell on their buttocks. The nurse wrote that when she saw the resident, they were sitting on the floor with legs out in front. The note continued that the resident denied injury and was successfully lifted by three staff members including a CNA #3 from another unit. Interventions were put in place to assure that the resident had the proper shoes and socks, and that the CNA #2 was in-serviced that
the resident required two staff members for transfers, and that the CNA #2 needed to ask for assistance
before transferring resident out of bed.
A review of the “Daily Assignment Sheet” dated 08/26/25, revealed that Resident #5 was a transfer x 2 with Roller walker and gait belt.
On 08/26/25 at 10:00 AM, the surveyor interviewed the Licensed Nursing Home Administrator (LNHA) who was aware of the incident and stated that the resident was a 2 person assist for transfers from bed or chair and that CNA #2 should have asked for help before trying to transferring the resident by herself. The LNHA acknowledged that CNA #2 was previously educated on transferring residents and that she was re-educated after the incident.
On 8/26/25 at 12:40 PM, the surveyor interviewed CNA #2 who stated that she was aware that the resident was a 2-person transfer and that she should have requested help from another staff member. CNA #2 further stated that she was previously in-serviced on properly transferring residents and that she was re-educated after the incident.
On 8/26/25 at 12:55 PM, the surveyor discussed the above concern with the LNHA and the Director of Nursing.
No further information was provided.
NJAC 8:39-27.1 (a)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
UNITED METHODIST COMMUNITIES AT BRISTOL GLEN in NEWTON, NJ 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 NEWTON, NJ, (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 UNITED METHODIST COMMUNITIES AT BRISTOL GLEN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.