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 United Methodist Communities At Bristol Glen during CMS and state inspections, most recent first.
Two residents experienced falls when staff failed to follow care plan interventions requiring two-person assistance for transfers. In one case, a resident with severe cognitive and mobility impairments was transferred alone with a mechanical lift and without a neck collar, resulting in a head injury and hospitalization. In another case, a resident requiring maximum assistance was transferred by a single CNA, leading to a fall to the floor.
The facility failed to follow a physician's order for wound treatment and did not complete required neuro checks for a resident who had a fall and bumped their head. The deficiencies were confirmed through observation, interviews, and record reviews.
The facility failed to clarify a Physician's Order for oxygen administration for a resident, leading to inconsistent oxygen therapy. The order specified a range of 2-4 LPM, but staff confirmed that orders should specify a precise rate. The resident had diagnoses including Chronic Respiratory Failure and received continuous oxygen therapy.
Failure to Follow Care Plan Transfer Interventions Results in Resident Falls
Penalty
Summary
The facility failed to provide a safe environment and did not follow fall prevention interventions as outlined in the individual comprehensive care plans for two residents. In one instance, a resident with a history of severe cognitive impairment, traumatic brain injury, and a cervical vertebra fracture required two-person assistance and a neck collar for all transfers. Despite this, a CNA attempted to transfer the resident alone using a mechanical lift, without the neck collar in place. The resident fell, sustained a head laceration requiring emergency hospital transfer, and was admitted for eight days with three staples placed in the occipital area. In another case, a resident with impaired mobility and chronic medical conditions required maximum assistance for transfers, specifically with two staff members and the use of a gait belt and walker. A CNA attempted to transfer the resident alone, resulting in the resident sitting/falling onto the floor. The resident denied injury, but the incident demonstrated that the care plan interventions for safe transfer were not followed. Both incidents were confirmed through review of medical records, care plans, staff interviews, and facility documentation. The facility's own policies required adherence to care plan recommendations and the presence of two staff members for mechanical lift transfers, which was not followed in these cases.
Failure to Follow Physician's Orders and Complete Neuro Checks
Penalty
Summary
The facility failed to consistently follow standards of clinical practice in two specific instances. Firstly, a registered nurse did not follow a physician's order for wound treatment for a resident with pressure ulcers. The nurse did not apply the Dakin's moistened gauze to the wound bed with the crushed metronidazole as prescribed. This was confirmed through observation and interview with the nurse, who acknowledged the deviation from the physician's order. The facility's policy on wound treatment did not explicitly address the need to follow written physician's orders, which contributed to the deficiency. Secondly, the facility failed to complete and document neuro checks for a resident who had a fall and bumped their head. The resident, who had severe cognitive impairment, fell while attempting to assist another resident and hit the right side of their head. Although initial neuro checks were documented, there was no further documentation to indicate that the required neuro checks were completed according to the facility's protocol. The Director of Nursing and the assigned nurse could not provide additional documentation or explain the lack of follow-up neuro checks. The facility's policies on fall prevention and management, as well as wound treatment, were not adequately followed. The failure to adhere to these policies and physician's orders resulted in deficiencies in the care provided to the residents. The Director of Nursing and other staff members acknowledged the lapses in following the established protocols and the need for proper documentation and adherence to physician's orders.
Failure to Clarify Physician's Order for Oxygen Administration
Penalty
Summary
The facility failed to clarify a Physician's Order (PO) for oxygen administration in accordance with professional standards of practice for one resident. The surveyor observed the resident receiving oxygen via nasal cannula at 3 Liters Per Minute (LPM), while the PO indicated a range of 2-4 LPM to keep oxygen saturation above 90%. Interviews with the Licensed Practical Nurse (LPN), Registered Nurse/Nurse Mentor (RN/NM), and Respiratory Therapist confirmed that oxygen orders should not be written with a range but should specify a precise rate. The facility's policy on oxygen management did not address the issue of specifying the O2 rate in orders. The resident involved had diagnoses including Human Metapneumovirus Pneumonia, Chronic Respiratory Failure, and Chronic Obstructive Pulmonary Disease. The Minimum Data Set Assessment indicated that the resident was cognitively intact and received continuous oxygen therapy. Despite the facility's policy and professional standards, the PO for the resident's oxygen rate was not clarified to a specific rate, leading to inconsistent administration of oxygen therapy. The Director of Nursing (DON) acknowledged the need for clearer orders but no further information was provided by the facility.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Nursing homes near Newton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley View Rehabilitation And Healthcare Ctr | 0.8 mi | ★★★★★ | 0 | 0 |
| Complete Care At Barn Hill | 0.8 mi | ★★★★★ | 12 | 0 |
| Mohawk Meadows | 3.5 mi | ★★★★★ | 3 | 0 |
| Homestead Rehabilitation & Health Care Center | 5.4 mi | ★★★★★ | 5 | 2 |
| Forest Manor Hcc | 11.9 mi | ★★★★★ | 0 | 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.