Inspection·December 3, 2025

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Based on review of facility policy and staff interviews, it was determined that the facility failed to provide adequate supervision to ensure a safe environment with unrestricted access to the outdoor courtyard area for thirteen of one 168 residents.Findings include: Review of the facility policy Resident Rights dated 7/7/25, indicated 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. During an observation with the Director of Nursing (DON) on 10/7/25 at approximately 9:20 a.m. the facility [NAME] Garden exit door was propped open. This door is located down a corridor next to the family room, out of the view of the nursing units. A resident was observed in the courtyard unattended, an additional resident was attempting to egress out to the courtyard, and visitors processed out the during this observation period. The door has two signs one reads Keep Door Closed the second reads Not an Exit . The DON confirmed the door should not be propped open at the time of the observation. During an interview on 10/7/25, at approximately 2:30 p.m., the Nursing Home Administrator (NHA), DON, and Assistant Director of Nursing (ADON) they confirmed the courtyard is the new smoking location as of 10/6/25, the door is not part of the wander guard or alarm system, any mobile resident could egress through this location with the door propped open as the door locks when properly closed. During an observation on 10/8/25, at approximately 9:30 a.m. The exit door to the courtyard was observed as closed. During an interview on 10/8/25, at approximately 10:00 a.m. the NHA and the DON confirmed that the facility failed to provide adequate supervision to ensure a safe environment with unrestricted access to the outdoor courtyard area for mobile residents, by propping open a secure door. 28 Pa. Code 201.14(a) Responsibility of licensee.28 Pa. Code 201.18(b)(e)(1) Management. 28 Pa. Code 211.10(c)(d) Resident care policies.28 Pa Code 211.12(d)(1)(2)(5) Nursing services. 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: 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 12/03/2025 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)