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 23 of 23 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2026).

  15. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of November 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2025).

    The home is disputing this citation.

  16. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  17. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Isolated (one or a few residents). CMS level D.

    Health citation F-0868, Administration Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  18. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0882, Infection Control Deficiencies. Inspection of August 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0576, 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).

  20. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2022).

  21. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2022).

  22. No harm, with potential for more than minimal harm

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2022).

  23. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.