Inspection·December 2, 2024

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure residents received medications as ordered by physician for 1 of 3 residents reviewed, Resident #2. Residents Affected - Few Findings include: Review of Resident #2's admission record showed the resident was admitted on [DATE] with the diagnoses including muscle weakness, abnormalities of gait and mobility, and need for assistance with personal care. Review of Resident #2's physician order dated 7/11/2024 read, Milk of Magnesia [MOM] Suspension 400 MG [milligram]/5 ML [milliliter], Give 30 ml by mouth every 12 hours as needed for constipation daily if no BM [Bowel Movement] for 2 days. Review of Resident #2's Medication Administration Record (MAR) for July 2024 showed no entries documented on 7/11/2024 through 7/18/2024 for administration of Milk of Magnesia with the start date of 7/11/2024 and discontinuation date of 7/18/2024. Review of Resident #2's physician order dated 7/11/2024 read, Bisacodyl Suppository 10 mg (Bisacodyl), Insert 1 suppository rectally every 24 hours as needed for constipation daily if MOM is not effective. Review of Resident #2's MAR for July 2024 showed no entries documented on 7/11/2024 through 7/15/2024 and on 7/17/2024 and 7/18/2024 for administration of Bisacodyl Suppository with the start date of 7/11/2024 and discontinuation date of 7/18/2024. Review of Resident #2's physician order dated 7/11/2024 read, Disposable Enema Enema 19-7 GM [gram]/118 ml (Sodium Phosphates), Insert 1 application rectally every 24 hours as needed for constipation daily if MOM is not effective. Review of Resident #2's MAR for July 2024 showed no entries documented on 7/11/2024 through 7/18/2024 for administration od Disposable Enema with the start date of 7/11/2024 and discontinuation date of 7/18/2024. Review of Resident #2's nursing progress note dated 7/16/2024 at 4:39 AM authored by Staff A, Licensed Practical Nurse (LPN), showed the resident called 911 around 2 AM and stated she needed enema and she had yet to receive it. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 106115 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 106115 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/02/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bridgewater Park Health & Rehabilitation Center 9280 South West 81st CT Ocala, FL 34481 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)