The Bridges at Warwick.

“A bathroom in a resident bedroom did not have an operable window or ventilation fan; the ventilation fan was inoperable and there was no window in the bathroom.”

“The home's current weekly menu was not posted in advance in a conspicuous and public place, as required by regulation.”

“Hospice residents' records and empty medication packs with resident information were unlocked, unattended, and accessible in the medication station of the Memory Care unit, violating confidentiality requirements.”

“Resident 1 pushed call bell for assistance at 12:36 a.m.; Staff B did not respond to multiple requests for help over 17 minutes while resident's condition deteriorated. Staff B initially refused to call 911 and did not administer CPR until questioned. Resident died; this constitutes neglect and abuse.”

“The enabler (bed safety bar) in bedroom 122 is not secured to the bedframe, creating a hazard. This is a repeat violation from 10/23/2024.”

“Colgate toothpaste with a Poison Control warning label was unlocked, unattended, and accessible to residents in bedrooms 138 and 143 in the Memory Care unit. Not all residents have been assessed as capable of safely using or avoiding poisons.”

“During a medication pass observation, staff member C did not handwash between medication passes, violating sanitary conditions requirements.”

“Bathroom A in the Memory Care Unit lacks both an operable outside window and an exhaust ventilation fan. The bathroom in bedroom 143 has an inoperable vent and no windows.”

“Staff member E held a resident's hands together in a prayer position to stop the resident from hitting them during a combative incident, which constitutes a prohibited restraint technique applied to control behavior.”

“Staff members C and D failed to initial or record the date and time of administration for PRN anxiety medication given to a resident on multiple occasions (at 8pm, 8pm, and 6pm on one date; at 4pm and 6pm on another date).”

“Staff member E did not implement positive interventions when a resident became combative and refused to go to bed at 5am. Staff member E attempted to de-escalate by holding the resident's hand without calling for help, and the resident struck themselves in the face causing a mark below the right eye.”

“A resident was admitted to the Secure Dementia Care Unit (SDCU) but the resident's initial support plan was not completed within 72 hours of admission.”

“A support plan did not address a resident's aggression towards others, despite the resident becoming combative with staff member E and striking staff on 6/12/2025 at 5am when refusing to go to bed.”

“Direct care staff persons A and B did not receive required annual training on instruction regarding meeting resident needs as described in preadmission screening forms, assessment tools, medical evaluations, and support plans during training year 2023.”

“The home's staff training plan did not include the required topic of instruction on meeting resident needs as described in preadmission screening forms, assessment tools, medical evaluations, and support plans.”

“Resident bedside mobility devices were not secured to bed frames on multiple occasions, creating a safety hazard.”

“Prescription medications were not stored in accordance with manufacturer's instructions. An unopened medication requiring refrigeration was stored in the medication cart, and an opened medication without a dating label was stored improperly.”

“As-needed medication was not available in the home for a resident. Multiple blood sugar readings were not checked and documented as prescribed (7 instances of missing bedtime readings and 2 instances of missing afternoon/evening readings), though documentation was recorded on the medication administration record without actual readings.”

“Personal Care medication carts #1, #2, and Memory Care medication cart laptop monitors were unlocked, unattended, and accessible. Narcotic medication administration record books and empty medication packs with resident information were left unlocked and accessible.”

“Video cameras were pointing towards residents' rooms throughout the facility, violating resident privacy rights.”

“Two staff members (Staff Member A and Staff Member B) were hired before their criminal background checks were completed, violating the requirement that criminal history checks be completed in accordance with the Older Adult Protective Services Act.”

“Direct care staff person C did not receive required annual training in 2022 in medication self-administration, meeting resident needs, care for residents with dementia and cognitive impairments, infection control, hygiene, prevention of decubitus ulcers, incontinence, malnutrition and dehydration, personal care service needs, safe management techniques, and care for residents with mental illness or intellectual disability.”

“Staff person C did not receive required annual training in 2022 in fire safety completed by a fire safety expert, emergency preparedness procedures, resident rights, the Older Adult Protective Services Act, falls and accident prevention, and new population groups being served.”