FLORENCE, KY – BRIDGE POINT CENTER

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Based on observation, interview, and review of the facility’s policy, it was determined the facility failed to provide a comfortable homelike environment for four (4) of thirty (30) sampled residents (Residents #84, #88, #108, and #114) and three (3) unsampled residents (Residents #41, #59, and #96).

Observations conducted, on 04/12/2021 through 04/15/2021; 04/22/2021 through 04/28/2021; and 05/11/2021 through 05/14/2021, revealed strong urine and fecal odors were present upon entering the facility and throughout the areas of the facility where residents resided. Interviews with staff and residents revealed concerns had been voiced to Administration related to odors in the facility.

The findings include:
Review of the facility’s policy titled, Resident Rights, dated 03/01/2018, revealed residents had the
fundamental right to considerate care that safeguarded their personal dignity along with respecting cultural, social, and spiritual values. Further review of the policy revealed the facility complied with and communicated those rights to residents in a language and/or by a means of communication that ensured understanding.

On 05/13/2021 at 1:00 PM, a request was made for the facility’s policy related to providing residents with a comfortable homelike environment. The Administrator stated the facility did not have a policy related to providing residents with a comfortable homelike environment.

Observations on 04/12/2021 at 11:45 AM, 12:30 PM, 4:05 PM, and 5:10 PM revealed strong odors on the 200 and 300 Units, with less pronounced odors present in the lobby and on the 100 Unit.

Observations on 04/13/2021 at 9:00 AM, 1:42 PM, and 4:45 PM revealed strong fecal odors on the 200 Unit. Observations on 04/14/2021 at 8:02 AM, 9:37 AM, 11:10 AM, 12:26 AM, and 2:23 PM revealed strong fecal odors on the 200 and 300 Units.

Observations on 04/15/2021 at 7:50 AM and 8:50 AM revealed extremely overpowering urine and fecal odors on the 200 Unit.

Observations on 04/22/2021 at 9:10 AM, 11:30 AM, and 1:50 PM revealed strong odors on the 200 Unit.

Observation on 04/27/2021 at 9:50 AM revealed strong foul odors on the 200 and 300 Units. In addition, observation, on 04/27/2021 at 4:45 PM, revealed strong odors on the 100 Unit.

Observations on 04/28/2021 at 8:00 AM during the tour revealed foul odors on the 200 and 300 Units. In addition, on 04/28/2021 at 9:25 AM, when in the conference room on the 200 Unit, State Survey Agency Surveyors smelled foul odors when the door was opened to the hallway.

1. Observation on 04/14/2021 at 8:35 AM with Resident #59 who resided on the 200 Unit revealed a twelve (12) inch area on the bottom sheet that was stained with dried feces. The top sheet had large dark dried areas.

Interview with Resident #59, on 04/14/2021 at 8:35 AM, revealed there were foul odors all the time. Resident #59 stated the sheets were last changed two (2) days ago. Resident #59 further stated, I don’t like this. It smells and makes me feel dirty. I’m leaving here soon. I just cover it up so I don’t look at it until they change it. When I ask them to change the linen they will if they have linen, but they are out of linen frequently.

2. Observation of Resident #114’s room, on 04/14/2021 at 9:00 AM, revealed a strong odor coming from his/her side of the room.

Interview with Resident #114, on 04/14/2021 at 9:00 AM, revealed he/she did not like the odors, and they made him/her feel dirty.

3. Observation of Resident #84’s room, on 04/13/2021 at 4:50 PM, revealed the resident was calm and clean, but there was a strong odor present in the room.

Interview with Resident #84, on 04/13/2021 at 4:50 PM, who resided on the 100 Unit, revealed he/she had concerns about the shared bathroom and with the continuous daily unpleasant odors.

4. Observation of Resident #88’s room, on 04/12/2021 at 11:14 AM, revealed a strong odor was present in his/her room.

Interview with Resident #88, on 04/12/2021 at 11:14 AM, revealed the resident wore a face mask when going to therapy to help him/her not smell the odors in the hallway.

5. Observation of Resident #108’s room, on 04/12/2021 at 12:45 PM, revealed odor was present in his/her room.

Interview with Resident #108, on 04/12/2021 at 12:45 PM, revealed the resident had to keep his/her door shut due to the unpleasant odors in the hallway.

6. Observation of Resident #41’s room, on 04/14/2021 at 8:40 AM, revealed unpleasant odors were present in his/her room.

Interview with Resident #41, on 04/14/2021 at 8:40 AM, revealed he/she was bothered by the smell.

7. Observation of Resident #96’s room, on 04/14/2021 at 8:45 AM, revealed there was a foul odor in the resident’s room.

Interview with Resident #96, on 04/14/2021 at 8:45 AM, revealed foul odors were present all the time, and he/she was bothered by the smell. Resident #96 stated he/she attempted to keep the door shut to keep the odors out of the room, but the odors were still present.

Interview with an Emergency Medical Services (EMS) worker, on 04/26/2021 at 5:33 PM, revealed he had come to the facility on several occasions and each time there was a foul odor, and the residents looked unkempt.

Interview with the Assistant Director of Nursing (ADON), on 04/13/2021 at 10:49 AM, revealed foul odors were present in the facility. The ADON stated she was not aware of the reason for the odors and did not know how or if the facility was addressing the odors.

Interview with the Director of Nursing (DON), on 05/14/2021 at 10:43 AM, revealed the facility had had several issues with plumbing. She stated on 04/19/2021 maintenance from the facility repaired the toilets in rooms 305 and 307 on the 300 Unit; on 05/12/2021 maintenance from the facility repaired a sink in room 102 on the 100 Unit. Furthermore, she stated an outside plumber replaced eighty (80) feet of drain lines in the basement under the 300 Unit on 05/12/2021. The DON reported housekeeping rounds had been increased.

In addition, she stated nursing staff had included monitoring for appropriate disposal of soiled materials during every two (2) hour rounds.

Interview with the Administrator, on 04/27/2021 at 5:45 PM, revealed she was aware there was a foul odor in the facility, and it could be coming from a toilet that was currently not in use on the 200 Unit.

Additional interview with the Administrator, on 05/12/2021 at 2:25 PM, revealed there was a generalized foul odor in the facility. Moreover, the Administrator stated she took responsibility for it because her position mandated that she had oversight of the facility.