Inspection·November 21, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility provided policies and documentation, clinical records, and resident and staff interviews, it was determined that the facility failed to protect residents from staff-initiated abuse. This failure resulted in a staff member physically abusing a resident and multiple staff neglecting care of one of four residents reviewed (Resident R9).Findings include:Review of the Resident Assessment Instrument 3.0 User's Manual effective [DATE], indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aids in detecting cognitive impairment. The BIMS total score suggests the following distributions: 13-15: cognitively intact8-12: moderately impaired0-7: severe impairmentThe facility's policy Abuse Prohibition dated [DATE], indicated it is the facility's policy that it prohibits abuse, neglect, mistreatment, etc., for all residents.Review of the clinical record indicated Resident R9 was admitted to the facility on [DATE]. Review of the Minimum Data Set (MDS - federally mandated assessment of a resident's abilities and care needs) dated [DATE], included diagnoses of neurogenic bladder (bladder problems due to disease or injury of the nervous system involved in the control of urination) and multiple sclerosis (a disease that affects central nervous system). Review of Section C: Cognitive Patterns revealed a BIMS score of 15. Review of a nurse practitioner note dated [DATE], at 2:30 p.m. indicated, pt (patient) seen per nursing request. Pt had complaint of abuse by a NA (nurse aide) today. Pt states that there was no physical abuse, it was verbal. Pt reports that NA gave her a hard time and accused her of having an attitude. Review of facility submitted information dated [DATE], indicated that on [DATE], [Resident R9] had her son call this writer to voice a concern that the CNA [Nurse Aide (NA) Employee E1], assigned to this resident for the 7-3 shift on [DATE] was verbally abusive to the resident and left his mother naked in the bed and would not get her dressed. The son also stated that the CNA called the resident a profanity.Review of an interview competed with Resident R3 on [DATE], indicated, [Resident R9] stated that she was assigned to an agency CNA whose name she could not remember. The CNA was waiting for the nurse to come in to do a dressing and said 'he doesn't want to come and do it because you're so much work and he doesn't care if he comes in or not.' The CNA then sort of dressed me, she took off all my clothes at once and I got cold. I asked her to just do top or bottom first and she said 'no, we will do the bottom first.' She told me I was such a bitch. I asked her to get me dressed and into my other chair, since my electric chair isn't working right now and she told me 'no, I'm not taking care of you.' She walked out, came in and handed me a nursing gown, and left. Review of an employee statement written by NA Employee E1 dated [DATE], indicated Around 11:15 I went to do [Resident R9]. Everything was ok after I got done washing her about to get her dressed when she received a phone call from her power chair company. They told her that have to get something approved and so on. [Resident R9] then hung the phone up on them. I asked what she would like to wear and she started cussing calling me bitches to and that I need to get her dressed right now. I tried to give her something to (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 3 Event ID: 395596 Printed: 05/15/2026 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 395596 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bridgeville Rehabilitation & Care Center 3590 Washington Pike Bridgeville, PA 15017 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)