Below 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 August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bridgewater Center For Rehab & Nursing L L C during CMS and state inspections, most recent first.
A resident’s wheelchair was observed dirty and broken, another resident was found covering themselves with trash bags because a ceiling leaked liquid onto the bed, and a third resident reported a labeled clothing item never came back and was later seen on another resident. In a resident group meeting, most residents said clothing was mislabeled, not returned from laundry, or given to other residents, and staff described a backlog in the labeling process.
Unsafe and Unclean Resident Unit Environment: Multiple resident units had sticky floors, odors, debris, broken fixtures, peeling wallpaper, ceiling leaks, and other disrepair. Staff described housekeeping and maintenance responsibilities, but observations showed repeated environmental problems in resident rooms, hallways, the dining area, and the kitchenette, including missing handwashing supplies, a broken outlet, and water intrusion.
Food and drink were not consistently palatable or served at safe temperatures. A mobile refrigerator on the unit was found with torn gaskets and temperatures above the safe range, and test trays showed hot items served cold and cold items served warm. Residents reported cold, flavorless food, spoiled milk, brown lettuce, missing items, and shortages of food and cups, while staff confirmed ongoing complaints about meal quality and temperature.
The facility failed to maintain infection control precautions for two residents with suspected or confirmed C. difficile. A CNA entered a resident’s room without the required gown and gloves, used hand sanitizer instead of soap and water, and an HSKP used a quaternary sanitizer on C. difficile rooms despite the facility’s bleach-based cleaning procedure. Another resident with a stool order for C. difficile had no contact precaution sign posted, even though staff said the sign determined the PPE required.
A resident with diabetes, anxiety, and intact cognition repeatedly received meal trays missing ordered items and containing foods they had requested not to receive. Trays were missing items such as toast, salad, condiments, jelly, coffee, and a sandwich, and some trays included gravy or ranch dressing despite no-gravy or specific dressing instructions. Staff reported that tray accuracy checks were performed, but items were often still missing or unavailable, and the resident frequently complained that preferences were not being honored.
The facility failed to maintain a clean and homelike environment in three units, with issues such as strong urine odors, unclean floors, and food debris on surfaces. Observations revealed that cleaning policies were not consistently followed, and staff interviews indicated a lack of clarity in cleaning responsibilities. Residents and family members reported dissatisfaction with the facility's cleanliness, further highlighting the deficiency.
Two residents in an LTC facility did not receive scheduled showers, impacting their personal hygiene. One resident with COPD and muscle weakness missed three weeks of showers due to staffing issues, while another with cerebral palsy and muscular dystrophy missed a shower due to equipment unavailability. Staff failed to communicate these issues, leading to a deficiency in care.
Two residents in an LTC facility did not receive care according to their care plans. An LPN administered medications outside acceptable time frames and failed to document tube feedings for a resident with complex medical needs. Another resident did not receive their prescribed medicated shampoo as ordered, with CNAs administering it instead of licensed staff. The facility failed to notify providers of missed or late treatments, leading to deficiencies in care.
Unclean wheelchair, leaking ceiling, and missing clothing
Penalty
Summary
The facility failed to ensure residents had a dignified existence and a homelike environment when a resident’s wheelchair was observed unclean and in disrepair. Resident #19 had Alzheimer’s disease, severely impaired cognition, and required supervision or touching assistance with chair transfers. The resident was observed in a geriatric chair with a broken arm rest and dried white debris drips on the chair base air on two separate occasions. Facility staff stated certified nurse aides were responsible for cleaning wheelchairs and maintenance was responsible for repairs, but the chair remained dirty and broken during the observations. The facility also failed to maintain a safe, clean, comfortable, and homelike environment for Resident #41 when the ceiling in the resident’s room leaked liquid onto the resident and their bed. Resident #41 had sepsis and lower leg cellulitis and required supervision for bed mobility. During observation, the resident was in bed covered with a clear trash bag and stated they were protecting themselves because the ceiling leaked at times and they did not want to get wet. The ceiling showed white tape running from the window to the wall with puckering and large brown stains along the tape line. The resident stated staff had previously brought trash bags so they could cover their body and stay dry, and later showed trash bags stored in their shoe on the windowsill for use as a tarp when the ceiling leaked. The facility further failed to ensure residents’ clothing was properly labeled, returned, and not given to other residents. Resident #72 stated a zippered top given by their church was sent to be labeled, never returned, and later seen on another resident. During a resident group meeting, 10 of 12 anonymous residents reported their clothes were taken to laundry and given to other people, labeled with another resident’s name, or not returned after laundering. The 2025 and 2026 Missing Items Logs documented multiple reports of clothing or blankets going to laundry to be labeled and not returning. Staff interviews described a labeling process involving inventory sheets, reception, laundry, and a backlog of items due to a broken labeler, with some unlabeled items going to a donation area if ownership could not be determined.
Unsafe and Unclean Resident Unit Environment
Penalty
Summary
The facility did not ensure a safe, clean, comfortable, and homelike environment for four of seven resident units reviewed, with Units 2A, 3A, 4A, and 5A observed to be unclean and in disrepair. The facility policy stated residents were to be provided a safe, clean, comfortable, and homelike environment and encouraged to use personal belongings to the extent possible. On Unit 2A, the floors were very sticky throughout the unit and staff shoes were heard squeaking during the observation. On Unit 3B, a resident room had peeling wallpaper and a broken toilet paper holder, and a visitor stated the condition had been present for a long time and had been reported months earlier without repair. Work orders showed wallpaper issues dating back to 08/19/2025 and another entry on 06/09/2026 noting the wallpaper was peeling. On Unit 4A, multiple observations identified spoiled and stale odors, a strong urine odor, sticky floors in several resident rooms and common areas, a broken wall outlet prong in the dining room, liquid on the floor in front of a bathroom, a white powdery substance and straw under a urinary catheter bag, water on the floor at the base of a bed, wet towels on the floor, visible ceiling leaking, and the Administrator moving a trash can to catch the leak. A Dietary Aide stated there was no soap or paper towels in the kitchenette for handwashing before or after meal preparation, and work orders documented clogged pantry sinks months earlier. On Unit 5A, observations showed sticky floors at the nursing station and in resident rooms, crumbs and debris in hallways and around beds, dried liquid spills and smears, dirty and sticky pantry drawers, a hole in the hallway flooring, black spots and stuck-on debris near the nursing station, and ceiling damage including bubbling tiles and a large water stain. A bucket was placed under a ceiling leak while the DON and Maintenance observed the area. Staff interviews stated housekeeping was responsible for cleaning and mopping, maintenance handled repairs, and sticky floors, odors, leaks, and other environmental issues were repeatedly noted on the units.
Food and drink served at improper temperatures and not palatable
Penalty
Summary
The facility failed to ensure food and drink were palatable and served at safe, appetizing temperatures for two test trays and for residents who reported ongoing meal quality concerns. During observation, the 2-door mobile refrigerator on 2B was found plugged in in the hallway outside the dining room with a thermometer reading 56 degrees Fahrenheit, torn door gaskets, and a door clipped closed with S-hooks that did not securely seal the unit. Dietary staff stated the unit had been brought to the floor around 10:00 AM, but the internal thermometer could not initially be located and later read 52 degrees Fahrenheit. The lunch tray tested for Resident #379 included creamy Maryland chicken with mushroom at 128.7 degrees Fahrenheit, mandarin oranges at 58.1 degrees Fahrenheit, milk at 55.8 degrees Fahrenheit, and water at 72 degrees Fahrenheit, and the beverages tasted warm. At the resident council meeting, 10 anonymous residents stated the hot food was cold and flavorless, milk was often spoiled, lettuce was often brown, meals were not on time, and the facility frequently ran out of food and cups. On the breakfast tray tested for Resident #9, scrambled eggs were 120.9 degrees Fahrenheit, milk was 50 degrees Fahrenheit, yogurt was 49.5 degrees Fahrenheit, and oatmeal was 172.4 degrees Fahrenheit and burned the surveyor's mouth. Staff interviews confirmed residents often complained that hot food was cold, items were missing from trays, and the food did not look or taste appealing. The Food Service Director stated the dietary aide was responsible for recording temperatures, that cold items should be held at 41 degrees Fahrenheit or lower and hot items at 135 degrees Fahrenheit or higher, and that residents had recently complained about spoiled and out-of-date milk.
Infection Control Failures With C. difficile Precautions and Cleaning
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The deficiency involved two residents and two staff observations related to clostridioides difficile precautions, room signage, and environmental cleaning practices. Resident #13 had diagnoses including recurring clostridioides difficile, frequent bowel incontinence, and staff supervision with toileting. The resident’s care card documented contact precautions for clostridioides difficile, and the facility’s purple contact precautions sign required staff to wear a gown and gloves before entering the room and to wash hands with soap and water when exiting. During observation, a CNA entered the resident’s room without a gown or gloves to retrieve a breakfast tray, then used hand sanitizer and entered another resident’s room. The CNA stated they believed gown and gloves were only needed for direct care and that hand sanitizer was effective after leaving the room, while RNs stated gown and gloves were required any time the room was entered and handwashing with soap and water was required on exit. Housekeeper #64 also stated they used a quaternary sanitizer on sinks and floors in all resident rooms, including rooms on contact precautions for clostridioides difficile, even though the facility procedure called for sodium hypochlorite disinfectant for those rooms and the Infection Preventionist stated quaternary sanitizer would not kill clostridioides difficile. Resident #376 had diagnoses including osteomyelitis, urinary tract infection, and diarrhea, was cognitively intact, frequently incontinent of bowel, taking an antibiotic, and receiving intravenous medications. The resident had a stool specimen order for clostridioides difficile due to diarrhea, and staff interviews showed they relied on the sign outside the room to determine PPE requirements. However, the room was observed multiple times without contact precaution signage outside the door. Staff stated the sign should have been placed when the clostridioides difficile specimen was ordered, and the Infection Preventionist stated they were responsible for initiating and maintaining isolation precautions and that clostridioides difficile precautions should begin as soon as a specimen was ordered.
Meal trays did not match resident preferences or diet instructions
Penalty
Summary
The facility failed to ensure that a resident received food that matched documented preferences and meal ticket instructions. The resident had diagnoses including anxiety and diabetes, intact cognition, required set-up assistance with eating, and was on a therapeutic diet. The care plan documented nutritional concerns related to multiple chronic conditions and included interventions to maintain weight, follow the prescribed diet, and provide food preferences, including a sandwich with lunch and dinner. During multiple meal observations, the resident’s trays were repeatedly missing items listed on the meal ticket or included items the resident had requested not to receive. The lunch tray was missing margarine, tossed salad, and a grilled cheese sandwich, and pork chop was served with gravy despite the ticket stating no gravy. The resident stated they repeatedly asked for no gravy but received it often, and that missing margarine prevented them from eating noodles. On another occasion, the dinner tray did not include the grilled cheese sandwich, and the resident sent the tray back without eating and was not brought a replacement tray or offered the sandwich. Additional observations showed the breakfast tray missing toast, with a replacement tray also missing toast, and another lunch tray missing tossed salad and the requested condiments while containing gravy despite the no-gravy instruction. Other trays were missing wheat toast, diet jelly, coffee, and Italian dressing, and one tray contained ranch dressing instead of Italian dressing. Staff interviews indicated that kitchen staff and CNAs were responsible for tray accuracy, but they also reported that items were often missing, sometimes unavailable, or not placed on trays, and that residents frequently complained about missing food items.
Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for residents in three of the eight units reviewed during the survey. Specifically, Unit 2 A was found to have a strong smell of urine, unclean bedroom floors, and bathrooms with brown splatter on the toilets. Additionally, over bed tables were covered with food debris. Unit 3 A's dining room floor was sticky and unclean, with debris on the base of food carts and brown material on a raised toilet seat in a resident room. Unit 4 A had a continuously running sink in a resident room, unclean floors in multiple resident rooms, and food splatter on the floors and walls. The facility's policy on resident room cleaning, revised in March 2020, required daily cleaning to ensure cleanliness and sanitation, prevent infection, and maintain the facility's appearance. However, observations revealed that the policy was not consistently followed, as evidenced by the presence of food debris, dried splatter, and brown stains in various rooms. Interviews with staff, including housekeepers and nursing staff, indicated that there was a lack of clarity and consistency in cleaning responsibilities, particularly regarding the handling of bodily fluids and deep cleaning procedures. Interviews with residents and their family members further highlighted the facility's failure to provide a homelike environment. A family member reported that the facility was consistently unclean during their visits, with stool on the toilet and bathroom floor. The resident expressed dissatisfaction with the cleanliness of their room, stating it was never cleaned and did not feel homelike. Staff interviews confirmed that the presence of sticky floors, debris, and unclean surfaces was not acceptable and did not align with the facility's standards for a homelike environment.
Failure to Provide Scheduled Showers for Residents
Penalty
Summary
The facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good personal hygiene, specifically showering, for two residents. Resident #46, who had chronic obstructive pulmonary disease and muscle weakness, required substantial assistance with showering. Despite being cognitively intact and expressing a preference for showers, the resident did not receive scheduled showers for three consecutive weeks. The certified nurse aide responsible for Resident #46's care did not provide the showers due to staffing issues and did not report the missed showers to the nursing staff, resulting in the resident going without a shower for an extended period. Resident #99, diagnosed with cerebral palsy and muscular dystrophy, also required substantial assistance with showering. The resident expressed a preference for showers twice a week but was scheduled for only one shower per week. On a scheduled shower day, the resident did not receive a shower due to the unavailability of a mechanical lift pad and the certified nurse aide's inability to return to assist them. The failure to provide the shower was not communicated to the nursing staff, and the resident went without a shower for two weeks. Interviews with facility staff, including certified nurse aides, licensed practical nurses, and the Director of Nursing, revealed a lack of communication and adherence to the shower schedule. The staff acknowledged the importance of providing showers for resident dignity and hygiene but failed to ensure that the residents received their scheduled showers. The facility's policies on activities of daily living and bathing were not followed, leading to the deficiency in care for these residents.
Deficiencies in Medication Administration and Resident Care
Penalty
Summary
The facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. For Resident #236, Licensed Practical Nurses administered medications outside of acceptable time parameters, failed to administer and document tube feedings, and signed off on treatments and medications that were not completed. Observations revealed that the resident's tube feeding was not connected, and medications were documented as given without the nurse entering the resident's room. The nurse practitioner was not notified of missed or late medications and treatments, which were critical for the resident's nutrition and health. Resident #99, who had diagnoses including atopic and seborrheic dermatitis, did not receive their prescribed medicated shampoo as ordered. The shampoo was left at the resident's bedside, and certified nurse aides administered it instead of licensed staff. The resident reported not always receiving their weekly shower, which was necessary for the treatment of their scalp condition. The facility's staff failed to communicate effectively, and the nurse practitioner was not informed of missed doses of the medicated shampoo, which could exacerbate the resident's condition. Interviews with staff, including Licensed Practical Nurses, Registered Nurse Unit Manager, and the Director of Nursing, highlighted a lack of adherence to medication administration policies and inadequate communication regarding missed treatments. The facility's policies required that medications be administered by licensed nurses and documented accurately, with providers notified of any deviations. However, these protocols were not followed, leading to deficiencies in the care provided to the residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 17 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Binghamton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Shepherd-fairview Home Inc | 0.5 mi | ★★★★★ | 0 | 0 |
| Elizabeth Church Manor Nursing Home | 2.2 mi | ★★★★★ | 0 | 0 |
| Susquehanna Nursing & Rehabilitation Center, L L C | 4.7 mi | ★★★★★ | 1 | 0 |
| James G Johnston Memorial Nursing Home | 5.3 mi | — | 0 | 0 |
| Willow Point Rehabilitation And Nursing Center | 5.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Bridgewater Center For Rehab & Nursing L L C.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.