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Deficiency Records for Bridgeway Care and Rehab Center at Hillsborough

A list of the most recent deficiencies for Bridgeway Care and Rehab Center at Hillsborough. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Bridgeway Care and Rehab Center at Hillsborough. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-19 2024-09-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-19 2024-09-04 N
Respond appropriately to all alleged violations. Health 2024-08-19 2024-08-30 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-08-19 2024-08-30 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-08-19 2024-08-30 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-19 2024-08-30 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-08-19 2024-08-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-19 2024-08-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-19 2024-08-20 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-07-06 2023-08-17 Y
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-11-07 2023-02-13 N
Install an approved automatic sprinkler system. Fire Safety 2022-11-07 2022-11-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-11-07 2022-11-23 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-11-07 2022-11-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-07 2022-11-23 N
Provide enough food/fluids to maintain a resident's health. Health 2022-11-07 2022-11-23 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-11-07 2022-11-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-07 2022-11-23 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2022-11-07 2022-11-23 N
Install proper backup exit lighting. Fire Safety 2022-11-07 2022-11-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-11-07 2022-11-23 N
Provide properly protected cooking facilities. Fire Safety 2022-11-07 2022-11-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-07 2022-11-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-07 2022-11-23 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2022-11-07 2022-11-23 N
Provide and implement an infection prevention and control program. Health 2020-03-09 2020-03-20 N

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