Pennsylvania Department of Health
BRIDGEVILLE REHABILITATION & CARE CENTER
Patient Care Inspection Results

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BRIDGEVILLE REHABILITATION & CARE CENTER
Inspection Results For:

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BRIDGEVILLE REHABILITATION & CARE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on an Abbreviated Survey in response to two complaints, completed on September 9, 2025, it was determined that Bridgeville Rehabilitation and Care Center was not in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 Pa. Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.
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 Plan of Correction:


483.10(i)(1)-(7) REQUIREMENT Safe/Clean/Comfortable/Homelike Environment:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
§483.10(i) Safe Environment.
The resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

The facility must provide-
§483.10(i)(1) A safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible.
(i) This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk.
(ii) The facility shall exercise reasonable care for the protection of the resident's property from loss or theft.

§483.10(i)(2) Housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior;

§483.10(i)(3) Clean bed and bath linens that are in good condition;

§483.10(i)(4) Private closet space in each resident room, as specified in §483.90 (e)(2)(iv);

§483.10(i)(5) Adequate and comfortable lighting levels in all areas;

§483.10(i)(6) Comfortable and safe temperature levels. Facilities initially certified after October 1, 1990 must maintain a temperature range of 71 to 81°F; and

§483.10(i)(7) For the maintenance of comfortable sound levels.
Observations:
Based on observations, facility documents, resident, and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment on seven of seven nursing units (Leader Unit, C Hall, B Hall, E Hall, G Hall, I Hall and K Hall).


Findings included:

Review of the facility grievances and review of a complaint indicated that there are not enough clean and available linens, wash cloths and towels available throughout the whole day.

During an observation on 9/5/25, from 8:40 a.m., through 11:10 a.m., of linen carts throughout the facility there were approximately six sheets, both bottom and top, seven towels and two or three wash cloths on each linen cart, the census is 168 currently.

During an observation on 9/5/25, at approximately 10:56 a.m., the laundry staff employee E1 stated that she has not had a second clothes machine for three to four months and cannot keep up with the linens, wash cloths and towels. Laundry Employee E1 stated she is the only staff doing laundry and due to only having one machine. linens are not done after she leaves and there is not enough.

During an interview on 9/5/25, at 12:10 p.m., the Nursing Home Administrator confirmed that the wash machine has been down for a while that the facility failed to provide a safe, clean, comfortable, and homelike environment on seven of seven nursing units (Leader Unit, C Hall, B Hall, E Hall, G Hall, I Hall and K Hall).

28 Pa. Code: 207.2(a) Administrator's responsibility.

28 Pa. Code: 201.29(k) Resident rights.




 Plan of Correction - To be completed: 09/23/2025

Facility residents on each unit have access to clean linens, washcloths, and towels through the facility emergency linen supply and additional linens, washcloths and towels have been purchased from vendor to ensure adequate supply is available. The broken washer has been removed from service.

The broken washer is located on the 700unit/memory unit laundry room. The 700/memory unit has one large functional washer and two dryers. The facility's main laundry unit has three large washers and three large dryers. Unit laundry in the event that it needs to be washed in main laundry would be taken via a covered soiled linen cart to the main laundry area. Laundry dept staffing has been adjusted to provide coverage on alternate shifts to ensure that laundry is maintained/continued flow at all times resulting in no back up or issues getting laundry caught up.

Maintenance staff and Environmental services staff provided with re-education on the Homelike environment policy. Laundry staff have been re-educated to use the three washers in the main laundry room if necessary.

The Environmental Services Director and/or Designee will conduct par level audits of linen 3 times a week for 8 weeks, then monthly for 3 months to ensure that there is adequate supply available and to determine if there are concerns. Results of the audits will be presented during facility QAPI for review and accuracy.

483.90(d)(2) REQUIREMENT Essential Equipment, Safe Operating Condition:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
§483.90(d)(2) Maintain all mechanical, electrical, and patient care equipment in safe operating condition.
Observations:
Based on observation, review of facility documentation, and staff interviews, it was determined that the facility failed to make certain that equipment was in safe operating condition for one of two wash machines.

Findings include:

Review of the facility grievances dated 8/22/25, from two separate residents and also related to another resident indicated the lack of clean linens and wash cloths and towels not being available.

During an observation on 9/5/25, at approximately 10:56 a.m., the laundry staff employee E1 stated that she has not had a second clothes machine for three to four months and cannot keep up with the linens, wash cloths and towels. Laundry Employee E1 stated she is the only staff doing laundry and due to only having one machine. linens are not done after she leaves and there is not enough.

During an interview on 9/5/25, at 12:10 p.m., the Nursing Home Administrator confirmed that the wash machine has been down for a while the facility failed to make certain that equipment was in safe operating condition for one of two wash machines.

28 Pa. Code: 201.14(a) Responsibility of licensee.




 Plan of Correction - To be completed: 09/23/2025

The out of service washer was assessed by regional senior maintenance director and call placed to contractor requesting service/repair to machine. Facility determined that the washer does not need to be replaced. Facility has four functional washing machines available for utilization to produce proper linen pars per the facility need.

The administrative team has reviewed the laundry process and implemented a plan to prevent shortages, ensuring a consistent flow. The 700/memory unit has one large functional washer and two dryers. The facility's main laundry unit has three large washers and three large dryers.

Facility laundry staff have been re-educated that laundry can be also taken to main laundry room to utilize one of the three washers in that location if needed. Laundry dept staffing has been adjusted to provide coverage on alternate shifts to ensure that laundry is maintained/continued flow at all times resulting in no back up or issues getting laundry caught up.

Unit laundry in the event that it needs to be washed in main laundry would be taken via a covered soiled linen cart to the main laundry area. Staffing in the laundry department has been adjusted across different shifts to ensure continuous flow and prevent any backlog or delays in laundry processing.

Facility NHA (Nursing Home Administrator),Maintenance Staff, and Environmental Services staff re-educated on making certain that equipment is in safe operating condition for washing machines, as well as the process for promptly reporting equipment malfunction through the TELS system. Should equipment be deemed irreparable, an alternative solution will be communicated to the staff.

Facility maintenance director and/or Designee will complete a weekly audit of all laundry equipment once a week for 12 weeks, then monthly for 3 months. Results of the audits will be presented during facility QAPI for review and accuracy.



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