All citations for Bridgeway Care and Rehab Center at Hillsborough

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bridgeway Care and Rehab Center at Hillsborough

Last standard health inspection on record

January 22, 2026

Showing 1 to 25 of 35 citations

Harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Isolated (one or a few residents). CMS level G.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of November 5, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (November 30, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2024).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Widespread (many residents). CMS level F.
Fire safety citation K-0281, Egress Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Widespread (many residents). CMS level F.
Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pattern (more than a few residents). CMS level E.
Health citation F-0628, Resident Rights Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pattern (more than a few residents). CMS level E.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 19, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (August 30, 2024).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Pattern (more than a few residents). CMS level E.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 29, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pattern (more than a few residents). CMS level E.
Health citation F-0550, Resident Rights Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0836, Administration Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 23, 2022).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.
A waiver was granted (February 13, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0550, Resident Rights Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level D.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 22, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Isolated (one or a few residents). CMS level D.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 22, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Isolated (one or a few residents). CMS level D.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.