Below average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Bridgeport Medical Lodge during CMS and state inspections, most recent first.
Medication carts were observed unattended and unlocked, including a cart at the nurses’ station and a treatment cart left out of view behind the nurses’ station. Surveyors also found multiple insulin pens in several carts without open dates, even though the pens were labeled to be discarded after 28 days of opening. An LVN and other nurses stated carts should remain locked when not in use and acknowledged they had not checked the insulin pens for open dates.
A resident with dementia and significant care needs was physically and verbally abused by an agency CNA during incontinent care, as captured on in-room video footage. The CNA was rough, made aggressive remarks, and struck the resident on the forehead. The incident was discovered by the resident's family through camera review, and the CNA admitted to the actions, citing frustration and burnout. The resident sustained bruising and swelling, and the CNA did not seek help from other staff.
A resident with bilateral below-knee amputations, morbid obesity, hemiplegia, and moderate cognitive impairment was allowed to be pushed in her wheelchair by another resident after a smoke break. While being pushed up a ramp that did not cover the full doorway, the wheelchair became stuck, causing the resident to fall and sustain a traumatic subdural hemorrhage. Staff were aware of the practice of residents pushing each other, and the ramp was found to be improperly installed, creating a hazard that contributed to the incident.
Two residents with feeding tubes were at risk due to infection control lapses by LVNs during medication administration. One LVN handled medication without gloves, while another failed to use PPE and mixed medications with her finger. Both incidents violated facility protocols, risking cross-contamination and infection.
Two residents in an LTC facility had bed rails and grab bars on their beds, but these were not documented in their care plans. One resident had multiple health issues, including traumatic brain injury and diabetes, while the other had mild dementia and Parkinson's disease. Facility staff acknowledged the oversight, noting the importance of documenting such devices to ensure resident safety and independence.
The facility failed to accommodate the food preferences and allergies of two residents, leading to potential health risks. A resident with GERD was not provided with her preferred shakes, while another resident with a chocolate allergy was served a chocolate shake. Staff admitted to being rushed and not adhering to dietary restrictions, highlighting a lack of proper communication and implementation of the facility's food preference policy.
The facility failed to provide proper respiratory care for two residents by not dating or properly storing oxygen tubing, contrary to professional standards and facility policy. Both residents had significant medical histories requiring oxygen therapy, but the facility did not adhere to physician orders for weekly equipment changes. Staff interviews confirmed the expectation for dating and proper storage to prevent contamination, which was not followed.
Unlocked Medication Carts and Undated Insulin Pens
Penalty
Summary
Drugs and biologicals were not stored in a secure manner when surveyors observed the 200 hall medication cart unattended and unlocked at the nurses’ station, and a treatment cart was also left unattended and unlocked behind the nurses’ station. Three residents were sitting by the nurses’ station at the time of the observation. The LVN responsible for the 200 hall cart stated he had briefly left to change the trash bag of another cart and acknowledged that medication carts should remain locked when not in use and out of sight. He also stated that leaving carts unlocked created a risk that residents could get medications, which could lead to adverse reactions or overdosing. Drugs and biologicals were also not labeled in accordance with accepted professional principles because insulin pens were found without open dates. Surveyors observed 7 insulin pens in the 200 hall cart, 9 in the 500 hall cart, 4 in the 600 hall cart, and 2 of 3 in the 100 hall cart that were not labeled with an open date, even though the pen caps instructed that they be discarded after 28 days. The nurses interviewed stated they had used some of the pens to administer insulin and had not checked for open dates. The DON stated staff were expected to label insulin pens with an opened date when in use and that the daily checklist included dating insulin pens; the facility’s checklist and pharmacy in-service also referenced dating insulin pens when opened.
Failure to Protect Resident from Physical and Verbal Abuse by Agency CNA
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA), employed through an agency, physically and verbally abused a resident during the provision of incontinent care. Video footage captured the CNA being physically rough, verbally aggressive, and striking the resident across the forehead. The CNA was also heard making inappropriate comments and was observed unplugging and then plugging back in the in-room camera after the incident. The incident was discovered when the resident's family, who managed the in-room camera, reviewed the footage and notified facility leadership. The resident involved was an 82-year-old female with a history of Alzheimer's disease, anxiety disorder, a femur fracture, and significant self-care deficits requiring maximal assistance with activities of daily living. At the time of the incident, the resident was unable to participate in interviews due to cognitive impairment and later expired from unrelated causes. Physical findings after the incident included bruising and mild swelling, with imaging studies showing no acute fractures. The resident's care plan included the use of electronic monitoring in the room at the family's request, and signage was posted to indicate camera use. Interviews and record reviews confirmed that the CNA had received abuse and neglect training from both the agency and the facility, and background checks showed no prior disqualifying history. Other staff members and agency personnel reported no previous concerns regarding the CNA's conduct. The CNA admitted to being frustrated, burnt out, and not feeling well on the day of the incident, and acknowledged striking the resident. The incident was not witnessed by other staff, and the CNA did not seek assistance from colleagues or supervisors during the episode.
Deficiency Due to Inadequate Supervision and Unsafe Ramp Leading to Resident Fall
Penalty
Summary
A deficiency occurred when a resident with significant mobility impairments, including bilateral below-knee amputations, morbid obesity, hemiplegia, and moderate cognitive impairment, was allowed to be pushed in her wheelchair by another resident after a smoke break. The resident's care plan identified her as being at risk for falls due to her medical conditions and specified that she required extensive assistance for transfers and mobility. Despite these documented risks and interventions, the resident was pushed by another resident, with her permission, up a ramp that did not cover the full length of the doorway, resulting in her wheelchair becoming stuck and causing her to fall face-first. Interviews and record reviews revealed that it was common practice for the resident to be pushed by another resident, and staff, including the DON, were aware of this arrangement, citing the resident's right to allow it. The ramp in question was installed by the facility's Maintenance Director at the request of residents, but it did not meet the full width of the doorway, creating a hazard. Staff and other residents reported that the resident was difficult to push due to her weight and that the ramp presented challenges in maneuvering wheelchairs safely. The incident resulted in the resident sustaining a traumatic subdural hemorrhage and requiring hospital transfer. Observations and interviews confirmed that the ramp was a contributing factor to the fall, as it did not provide a safe transition between surfaces. The facility's Life Safety Director later acknowledged that the ramp was improperly installed and created a hazard. Prior to the incident, there was no evidence that the facility had adequately assessed the environmental risks posed by the ramp or enforced supervision and transport protocols to prevent such accidents.
Infection Control Lapses in Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by two separate incidents involving improper handling of medications for residents with feeding tubes. In the first incident, a Licensed Vocational Nurse (LVN A) administered Depakote to a resident via a gastrostomy tube without wearing gloves. The nurse picked up the medication capsule with bare hands, opened it, and sprinkled the contents into a medication cup. This action was contrary to the facility's infection control policy, which requires wearing gloves when handling medications to prevent contamination and exposure. In the second incident, another Licensed Vocational Nurse (LVN B) failed to adhere to Enhanced Barrier Precautions while administering medications to a resident with a gastrostomy tube. LVN B did not wear the required gown and gloves, and used her finger to mix crushed medications with water before administering them through the resident's feeding tube. This practice was not only unsanitary but also increased the risk of cross-contamination and infection. The nurse admitted to being aware of the proper procedures but failed to follow them due to nervousness and oversight. Both residents involved had complex medical histories, including conditions such as Parkinson's disease, bipolar disorder, vascular dementia, and chronic kidney disease, which necessitated the use of feeding tubes for medication administration. The facility's failure to ensure adherence to infection control protocols during these procedures posed a significant risk of healthcare-associated infections to the residents.
Failure to Document Bed Rails and Grab Bars in Care Plans
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for two residents, specifically regarding the use of bed rails and grab bars. Resident #23, a male with multiple diagnoses including traumatic brain injury, muscle weakness, and diabetes, was observed to have grab bars on his bed in a raised position. However, his care plan, last updated in August 2024, did not document the use of these bed rails or grab bars. Despite attempts to interview Resident #23, he declined, leaving the reason for the grab bars' presence undocumented in his care plan. Similarly, Resident #36, a female with conditions such as mild dementia, Parkinson's disease, and a history of falling, was observed with a half-length bed rail and a grab bar on her bed. Her care plan, updated in October 2024, also lacked documentation of these devices. During an interview, Resident #36 expressed feeling well cared for but could not recall being evaluated for the bed rails or grab bars, nor could she remember their purpose or frequency of use. Interviews with facility staff, including the ADON, ADM, and DON, revealed that the facility's procedure required bed rails and grab bars to be included in the care plan, with assessments and consents documented. The ADON and ADM acknowledged the oversight, noting that the devices were intended to promote independence and mobility but posed risks if not properly care planned. The facility's policy emphasized the importance of updating care plans to reflect the use of such devices, yet this was not adhered to for Residents #23 and #36.
Failure to Accommodate Food Preferences and Allergies
Penalty
Summary
The facility failed to accommodate the food preferences and allergies of two residents, leading to potential health risks. Resident #1, who has a moderate cognitive impairment and a diagnosis of GERD, was not provided with her preferred strawberry or vanilla house shakes, despite her documented dislike and adverse reaction to chocolate shakes. Observations and interviews revealed that the facility only had chocolate shakes available, and Resident #1 had not received her house shakes for several days, which could contribute to her malnutrition and discomfort. Resident #2, who is cognitively intact and has a documented allergy to chocolate, was served a chocolate house shake, which she had to give away to avoid an allergic reaction. The dietary staff failed to adhere to the resident's dietary restrictions, as noted in her medical records and tray ticket. The dietary aide admitted to being rushed and only having chocolate shakes available, leading to the oversight. Interviews with the Dietary Manager and other staff members highlighted a lack of proper communication and adherence to residents' dietary needs. The Dietary Manager acknowledged the errors and indicated that the dietary aides were responsible for tray setups. The facility's policy on food preferences, which requires assessment and communication of individual preferences, was not effectively implemented, resulting in these deficiencies.
Failure to Ensure Proper Respiratory Care
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards for two residents. For the first resident, the oxygen tubing was not dated, and there was no storage bag for the tubing, which was observed in use with a nasal cannula. The resident had a history of heart failure, shortness of breath, obstructive sleep apnea, and chronic obstructive pulmonary disease. The care plan indicated the need for oxygen therapy and CPAP use, but the facility did not adhere to the physician's orders to change and date the oxygen equipment weekly. For the second resident, the oxygen tubing was also undated and improperly stored on the floor without a bag, despite the resident's diagnoses of Alzheimer's Disease, heart failure, and chronic obstructive pulmonary disease. The facility's policy required weekly changes and dating of the oxygen equipment, but this was not followed. Interviews with staff confirmed the expectation for dating and proper storage of the tubing to prevent contamination, yet these procedures were not implemented, potentially exposing residents to respiratory infections.
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 56 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 Bridgeport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Decatur Medical Lodge | 9 mi | ★★★★★ | 15 | 0 |
| Heritage Place Of Decatur | 9.4 mi | ★★★★★ | 10 | 0 |
| The Hills Nursing & Rehabilitation | 9.5 mi | ★★★★★ | 13 | 0 |
| Springtown Park Rehabilitation And Care Center | 18.3 mi | ★★★★★ | 4 | 0 |
| Avir At Jacksboro | 23.4 mi | ★★★★★ | 12 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Bridgeport Medical Lodge.
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 July 2026) and official state health department websites.