Bridge Crest Post Acute
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
dressing on 09/03/2025 and there had been no signs of maggots. Staff E said she remembered a therapist requesting Resident 1's dressing to be changed as it was weeping (wound with excessive fluid discharge).
In an interview on 09/21/2025 at 4:22 PM, Staff G, Nursing Assistant Certified (NAC), said she only worked at the facility two days per week. Staff G stated, When she [Resident 1] admitted the week before she was okay. Alert and a little confused but perky. When I saw her the next Sunday (09/07/2025), I knew something was off. She wasn't perky and there was an odor. Her roommate commented on it, and I checked her to see if she'd had a BM [bowel movement]. She hadn't. I knew something was up. I thought it was her wound. I told the nurse, and she went in and did the treatment and found maggots. In an interview on 09/22/2025 at 1:05 PM, Staff H, Physical Therapist (PT), said she had seen Resident 1 twice on Wednesday 09/03/2025.
In the morning the bandages to Resident 1's heels had been soaked as were the moon boots (therapeutic boots utilized to offload pressure to heels). Staff H requested the bandages be changed by the nurse and sent the moon boots to the laundry. When Staff H went back in the afternoon that bandages had been changed. Staff H said the bandages to bilateral heels were frequently soaked and the odor was very bad. In
an interview on 09/22/2025 at 1:23 PM, Staff I, PT, said she cared for Resident 1 on 09/04/ 2025. Staff I said Resident 1's bandages were always soaked. It was as if the nurse would change them and they immediately became soaked again. When asked what type of dressing covered the wounds, Staff I said gauze was wrapped around the dressings placed on the wounds. Staff I said the smell was terrible. In an
interview on 09/23/2025 at 3:29 PM, Staff D, RN, said she had been at the facility the evening of 09/05/2025 and was doing admissions. She left at approximately 8:00 PM. A nurse had called off and there were three nurses to pass medications and complete treatments. Staff D said she signed for all of the treatments for Cart 4 but did not do them. She informed the three nurses at the facility she had signed off
on them so it was one less thing they had to do but they would need to pitch in together to help get the treatments completed. In an interview on 09/25/2025 at 1:30 PM, Resident 1 said the staff at the facility did not change the dressings on her feet very often. She said there were flies there. In an interview on 09/25/2025 at 1:35 pm, Collateral Contact 2, (CC2) Resident 1's son, said that on 09/01/2025 Resident 1 called him to bring in a fly swatter because there were many flies. CC2 added that on 09/06/2025, the day
before Resident 1 was sent back to the hospital, his sister came and brought an air freshener and applied Mentholatum [ointment with a strong menthol smell] beneath her nose because the odor was so bad. In an
interview on 10/17/2025 at 12:51 pm, Staff C, LPN, said he remembered the evening of 09/06/2025. Staff F had been doing admissions. There had been a nurse who called off sick. Staff F informed Staff C she had signed off for and completed all the treatments on his wing. Staff C said he had been grateful because they were short staffed. Staff C said he did not change the dressings for Resident 1 that evening. Later he learned that Resident 1 was found with maggots in her left heel wound.In an Interview on 11/07/2025 at 12:25 pm, Staff C stated, When [Resident 1] first admitted there was not an odor. This developed over time.In an interview on 10/27/2025 at 3:45 pm, Staff B, RN/Director of Nursing Services, said it was his expectation that when a resident was admitted to the facility, a total body assessment was to be completed, and this would include a skin assessment. The purpose was to know what the resident was coming in with and therefore the needs of the resident so they could be monitored and treated accordingly. Reference WAC 388-97-1060 [3][b]
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BRIDGE CREST POST ACUTE in VANCOUVER, WA 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 VANCOUVER, WA, (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 BRIDGE CREST POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.