Bridgeville Rehabilitation & Care Center
BRIDGEVILLE REHABILITATION & CARE CENTER in BRIDGEVILLE, PA — inspection on November 21, 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
cover up with and she throw it at me and was still cussing. I left out the room and went and let the nurse know what was going on.Review of a facility submitted Report Form for Investigation of Alleged Abuse, Neglect, Misappropriation of Property dated [DATE], indicated that the facility investigation substantiated the abuse investigation.
During an interview on [DATE], at 6:53 p.m.
Resident R9 stated that NA Employee E1 left her unclothed after Resident R9 had asked her for a cover.
Resident R9 stated that she did not lay naked, and NA Employee E1 told her she had to wait.
She kept yelling at me, telling me, you are the one with the attitude.
You are the one being a bitch because you are mad the nurse wasn't here yet.
You are the one that's miserable.
You can't tell me what, I'll tell you what to do.
Resident R9 stated she responded by saying, Maybe we will just not talk, to which Resident R0 stated NA Employee E1 responded, No, I'll talk and you listen.
Resident R9 stated she has never been treated like that before while residing at the facility.
Resident R9 stated, I was so upset, I have not cried that hard since my husband died.
During an interview on [DATE], at approximately 7:15 p.m. the Nursing Home Administrator confirmed that the facility failed to protect residents from staff-initiated abuse.
This failure resulted in a staff member physically abusing a resident and multiple staff neglecting care of one of four residents.28 Pa.
Code 201.18(e)(1) Management.28 Pa.
Code 201.20(a)(b) Staff development.28 Pa.
Code 201.29(a)(c)(d) Resident rights.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Bridgeville Rehabilitation & Care Center
3590 Washington Pike Bridgeville, PA 15017
SUMMARY STATEMENT OF DEFICIENCIES
Based on review of resident and staff interviews, Resident Council minutes review, and grievance review, it was determined that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of eight of eleven residents (Residents R1, R2, R3, R4, R5, R6, R7, and R8).Findings include:
During an interview on 11/5/25, at 5:00 p.m. when asked if he felt the facility maintained enough staff to care for resident needs, Resident R1 stated, No.
Resident R1 stated that call light response usually takes a long time.
Resident R1 further stated that he receives late medications and is not assisted in and out of bed timely.
During an interview on 11/5/25, at 5:03 p.m. when asked if she felt the facility maintained enough staff to care for resident needs, Resident R2 stated, There could be more.
During an interview on 11/5/25, at 5:09 p.m. when asked if he felt the facility maintained enough staff to care for resident needs, Resident R3 stated, At times not.
During an observation on 11/5/25, at 6:18 p.m., Resident R4 and Resident R5's room smelled overpoweringly of urine.Review of Resident R4's toileting record indicated Resident R4 was incontinent of urine, and incontinence care was documented on 11/5/25, at 2:25 p.m. and not documented as completed again until 11/6/25, at 12:32 a.m.
During an interview on 11/5/25, at 2:56 p.m., Resident R6, when asked if she felt the facility maintained sufficient staff to care for resident needs, stated, At times I be sitting in piss for two to three hours.
People don't want to help. I had to call my family at 2:00 a.m. to have them call (the nurses).
When I call the nurse's station, they hang up on me.
Resident R6 stated that he waited from 3:00 a.m. until 11:00 a.m. before receiving assistance.
Resident R6 stated he has been told, You aren't the only one here and stated, You are lucky to see them one time a shift.
Observation at this time revealed large amounts of a brown substance under Resident R6's fingernails and for Resident R6 to be malodorous.
During an interview on 11/5/25, at 6:35 p.m., Resident R7, when asked if she felt the facility maintained sufficient staff to care for resident needs, stated, No, all I hear is complaints that they only have three aides, and I have to wait.
One time the night shift aide found out she had the whole floor and told me I will have to wait.
Resident R7 stated she has waited up to three hours for assistance after activating her call light.
Resident R7 stated that she was told on Monday (11/3/25) that she could not have a shower due to insufficient staffing, and that she would get it on Tuesday, But I didn't end up getting a shower at all. I'm completely dependent on aides. I've laid as much as 12 hours in my own body fluids.
Sunday is the worst.Review of Resident R7's shower record revealed that on her scheduled shower day of Monday, 11/3/25, or Tuesday 11/4/25, she did not receive a shower. No shower refusals were documented.
Review of Resident Council meeting minutes for 8/22/25, included concerns about staff not assisting to change soiled sheets.
Review of Resident Council meeting minutes for 9/24/25, included concerns about from two residents about not getting showers when scheduled.
Review of a grievance filed on behalf of Resident R8, dated 8/20/25, revealed concerns that Resident R8 was still in bed at 11:30 a.m. and had not been provided bathing assistance.
During an interview on 11/5/25, at approximately 7:15 p.m. the Nursing Home Administrator and confirmed that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of eight of eleven residents. 28 Pa.
Code: 201.14(a) Responsibility of licensee.28 Pa.
Code 201.18(e)(6) Management.28 Pa.
Code: 201.20(a) Staff development.28 Pa.
Code: 211.12(a)(c)(d)(1)(2)(3)(4) Nursing services.
Facility ID: