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Bridgewater Rehabilitation Centre

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About Bridgewater Rehabilitation Centre

General Information

Legal Business NameWitham Memorial Hospital
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 19, 2002 (15 years)
Capacity78
Residents41
Percent Occupied53%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bridgewater Rehabilitation Centre

Bridgewater Rehabilitation Centre
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Indiana Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 14, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

March 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.

February 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

May 15, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

March 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bridgewater Rehabilitation Centre require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 45min
2hr 25min
ReportedExpected
CNA
1hr 50min
45min
ReportedExpected
LPN
1hr 5min
1hr 15min
ReportedExpected
RN
5hr 45min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 60min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.6%
97.7%
97.7%
94.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.6%
97.1%
93.5%
93.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.7%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.8%
19.4%
-
17.4%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
26.7%
-
-
16.6%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
7.1%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
12.2%
20.6%
13.3%
8.0%
Q1 2015Q2 2015Q3 2015IN
Lose Too Much Weight
13.3%
-
-
6.5%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
13.9%
-
-
6.5%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
4.9%
5.9%
3.3%
4.8%
Q1 2015Q2 2015Q3 2015IN
With a Urinary Tract Infection
9.8%
11.8%
9.7%
3.5%
Q1 2015Q2 2015Q3 2015IN
Experiencing One or More Falls with Major Injury
3.7%
6.1%
-
2.9%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
4.9%
5.9%
3.2%
0.7%
Q1 2015Q2 2015Q3 2015IN
Were Physically Restrained

Quality Measures for Short Stay Residents

81.2%
84.6%
85.0%
81.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
90.3%
87.5%
87.5%
82.3%
Q1 2015Q2 2015Q3 2015IN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
50.0%
57.1%
60.0%
16.7%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
4.0%
7.4%
6.5%
2.4%
Q1 2015Q2 2015Q3 2015IN
Newly Received an Antipsychotic Medication
3.6%
2.2%
1.9%
1.6%
Q1 2015Q2 2015Q3 2015IN
With Pressure Ulcers That Are New or Worsened