Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bridgeway Care And Rehab Center At Bridgewater during CMS and state inspections, most recent first.
A resident with dementia, heart failure, and major depression, and with moderately impaired cognition requiring ADL assistance, had a care instruction that the responsible party (RP) be called before any blood work. An RN documented that the RP was contacted and refused a proposed blood test, yet a lab test was performed the next day. Interviews with an RN and the DON confirmed that, under facility policy granting residents and their representatives the right to request or refuse treatment, the blood test should have been canceled, but it was carried out despite the documented refusal.
The facility failed to follow its grievance policy after a resident’s responsible party filed a written complaint about the resident’s pain medication administration. The resident had dementia, heart failure, and major depression with moderately impaired cognition and required ADL assistance. The grievance form lacked a summary of findings, corrective actions, resident/family response, and signatures or dates from the grievance official, administrator, and DON. Staff interviews confirmed the grievance was not properly completed or communicated in writing to the complainant as required by facility policy.
A resident with multiple medical and mental health conditions reported being physically abused by a CNA. After the allegation, the Nursing Supervisor reassigned the CNA from the resident's care but did not remove the CNA from the unit, allowing continued access to the resident and others. The DON confirmed this action was not in line with facility policy, which required immediate removal of staff accused of abuse pending investigation.
Failure to Honor Resident Representative’s Refusal of Laboratory Testing
Penalty
Summary
The deficiency involves the facility’s failure to honor a resident representative’s right to refuse treatment and to follow its own policy on requesting, refusing, and/or discontinuing care or treatment. The resident had diagnoses including unspecified dementia, heart failure, and major depression, and an MDS assessment showed a BIMs score of 9/15, indicating moderately impaired cognition and a need for assistance with ADLs. The resident’s Care Profile Report under Special Instructions directed staff to call the responsible party (RP) before any blood work. On one occasion, a progress note documented that an RN spoke with the resident’s RP regarding blood tests and that the RP refused the blood test for the resident. Despite the documented refusal, the medical record showed that a laboratory test was completed on the resident the following day. Interviews with RN #2 and the DON confirmed that, in accordance with facility policy, the blood test should not have been performed once the RP had declined it and that the test should have been canceled. The facility’s written policy, revised February 2021, states that residents and resident representatives have the right to request, refuse, and/or discontinue treatment, which includes medical and nursing care and interventions. The performance of the blood draw after the RP’s refusal and contrary to the special instruction to call the RP before any blood work constituted the identified failure to honor the resident representative’s decision and to follow facility policy.
Failure to Complete and Communicate Grievance Investigation Outcome
Penalty
Summary
The facility failed to follow its grievance policy by not completing and communicating the outcome of a grievance filed by a resident’s responsible party (RP) regarding pain medication administration. The resident involved had diagnoses including unspecified dementia, heart failure, and major depression, and had a BIMs score of 9/15 indicating moderately impaired cognition, with a need for assistance with ADLs. A Grievance/Complaint Form dated 08/29/2025, with an occurrence date of 08/25/2025, documented that the RP reported concerns about the resident’s pain medication administration. Review of this grievance form showed that the Summary of Pertinent Findings/Conclusion section was left blank, with no documentation of corrective action taken or to be taken, no information on the resident/family response to the outcome, and no signatures or dates from the grievance official, administrator, or DON. During interviews, the social worker acknowledged the form was incomplete and that the family should have been notified in writing of the outcome, consistent with facility policy. The LNHA also stated that the family member or resident who filed a grievance should be informed of the resolution and that it should be documented on the grievance form, but confirmed that this grievance was not addressed properly and that the facility’s written grievance/complaint policy, which requires written responses and a written investigative report to the administrator, was not followed.
Failure to Remove Accused CNA After Abuse Allegation
Penalty
Summary
The facility failed to implement its abuse policy to protect all residents from abuse when a resident alleged that a CNA physically abused them. After the resident reported to the Nursing Supervisor (NS) that the CNA pulled their arms and punched them, the NS reassigned another CNA to care for the resident but did not remove the accused CNA from the unit. The CNA continued to provide care to other residents and had access to the resident who made the allegation until the end of the shift. The resident involved had multiple diagnoses, including heart failure, bipolar disorder, depression, anxiety disorder, and a pelvic fracture. The resident was assessed as cognitively intact and able to communicate clearly. The incident was reported to the NS, who obtained statements from the involved staff and reassigned the CNA but did not send the CNA home or remove them from the unit, contrary to facility policy. The DON later confirmed that the expectation was for the accused staff member to be sent home pending investigation, which was not done in this case. Documentation and interviews confirmed that the CNA remained on the unit and continued to care for other residents after the abuse allegation was made. The facility's policy required immediate removal of staff accused of abuse to protect residents from further harm during investigations. The failure to follow this policy resulted in the accused CNA maintaining access to the resident and others, which was identified as a deficiency and resulted in an Immediate Jeopardy situation.
Removal Plan
- Assessment of Resident #2
- Completion of the investigation
- Resident #2's care plan was updated for two-person care
- Re-education provided to CNA #1
- Re-education provided to NS #1
- Education was provided to all staff on the facility abuse policy and procedures for resident protection
- Alert and oriented residents on CNA #1's assignment were interviewed to rule out unreported allegations
- All residents with a Brief Interview for Mental Status (BIMS) score of 9 or above were interviewed
- Non-alert and oriented residents on CNA #1's assignment and throughout the facility had skin assessments completed
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bridgewater
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waterfront Rehabilitation And Healthcare Center | 0 mi | ★★★★★ | 13 | 0 |
| Complete Care At Green Knoll | 1.2 mi | ★★★★★ | 16 | 0 |
| The Arbor At Laurel Circle | 2.2 mi | ★★★★★ | 8 | 0 |
| N J Eastern Star Home | 3 mi | ★★★★★ | 16 | 0 |
| Bridgeway Care And Rehab Center At Hillsborough | 5.3 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.