BRIDGEWATER HOME , INC.
Address
302 NORTH SECOND STREET
BRIDGEWATER, VA 22812
(540) 828-2531
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 126
- Certified Beds: 139
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Bridgewater Home , Inc.. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
High Rehabilitation Plus Extensive Services
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-10 | 1.3% |
Total Percent: | 1.3% |
Medium Rehabilitation Plus Extensive Services
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-16 | 0.9% |
ADL Index Range: 2-10 | 1.4% |
Total Percent: | 2.4% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 2.1% |
ADL Index Range: 6-10 | 0.4% |
ADL Index Range: 0-5 | 5.7% |
Total Percent: | 8.2% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 5.5% |
ADL Index Range: 6-10 | 9.1% |
ADL Index Range: 0-5 | 22.1% |
Total Percent: | 36.7% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 5.5% |
ADL Index Range: 6-10 | 4.2% |
ADL Index Range: 0-5 | 17.6% |
Total Percent: | 27.3% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 7.2% |
ADL Index Range: 6-10 | 1.3% |
ADL Index Range: 0-5 | 7.5% |
Total Percent: | 16.0% |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16 - Isolation for active infectious disease | 1.5% |
Total Percent: | 1.5% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5 - No Signs of depression | 0.8% |
Total Percent: | 0.8% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5 - No Signs of depression | 1.3% |
ADL Index Range: 0-1 - No Signs of depression | 2.9% |
Total Percent: | 4.3% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
ADL Index Range: 6-10 - Less restorative nursing | 0.2% |
ADL Index Range: 2-5 - Less restorative nursing | 1.2% |
ADL Index Range: 0-1 - Less restorative nursing | 0.2% |
Total Percent: | 1.6% |
Rating Details For Bridgewater Home , Inc.
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 1 Hour and 5 Minutes | 57 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 57 Minutes | 37 Minutes |
Certified Nursing Assistant (CNA) Hours | 3 Hours and 25 Minutes | 2 Hours and 32 Minutes |
Total Licensed Nurse Hours | 2 Hours and 2 Minutes | 1 Hour and 34 Minutes |
Total Nurse Hours | 5 Hours and 27 Minutes | 4 Hours and 6 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Virginia Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
Long-Term Stay Deficiencies
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 4% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 15% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 3% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 2% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 3% | 10% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 72% | 59% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 13% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 18% | 17% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 6% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 11% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 12% | 9% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 83% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 82% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 19% | 16% |
Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
Percent of Short-Stay Residents Who Have Pressure Sores | 6% | 12% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/25/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Give or Get Lab Tests to Meet the Needs of Residents.
| ||
Keep Accurate and Appropriate Medical Records.
|
Environmental
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|
Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
|
Pharmacy Service
Properly Mark Drugs and Other Similar Products.
|
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
|
Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| ||
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
|
Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
|
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Bridgewater Home , Inc., as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Formal Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|
Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
|
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Bridgewater Home , Inc. had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/02/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| ||
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
|
Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
| ||
A Two-Hour-Resistant Firewall in Common Walls.
|
Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
| ||
Properly Installed Electrical Wiring and Equipment.
|
Exits and Egress
Exits That Are Accessible at All Times.
| ||
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
|
Furnishings and Decorations
Restrictions on the Use of Highly Flammable Materials.
|
Medical Gases and Anesthetizing Areas
No-Smoking Signs Where Oxygen is Used.
|
Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
|
Vertical Openings
Protected Exits That Allow the Resident to Escape the Building.
|