Cycle 1
Health 2025-03-31 · Fire 2025-03-31
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
16 fire-safety deficiencies
Top issue: Egress (7 deficiencies)
Bridgewater, NJ
Bridgeway Care And Rehab Center At Bridgewater
2-star overall rating with 2-star inspections with abuse icon flag with $7,901 in total fines with 3 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
270 Route 28, Bridgewater, NJ
(908) 722-7022
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
151
Certified beds
Average residents
139
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-07-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.02
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.04
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.08
CMS adjusted RN staffing hours
Adjusted total hours
4.25
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
37%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,935
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.84
Composite VBP score used to determine payment impact.
Payment multiplier
1.0003
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.07
Baseline 19.39% · Performance 18.62% · Measure score 6.07 · Achievement 6.07 · Improvement 2.78
Healthcare-associated infections
4.48
Baseline 5.23% · Performance 6.49% · Measure score 4.48 · Achievement 4.48 · Improvement 0
Total nurse turnover
5.24
Baseline 40.50% · Performance 42.28% · Measure score 5.24 · Achievement 5.24 · Improvement 0
Adjusted total nurse staffing
2.94
Baseline 3.83 hours · Performance 3.92 hours · Measure score 2.94 · Achievement 2.94 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.21% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 387 · Observed rate 8.27% · Lower 95% interval 7.12% |
| Discharge to community | 59.6% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 388 · Observed rate 52.58% · Lower 95% interval 53.93% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 283 · Denominator 283 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 283 |
| Discharge self-care score | 44% |
53.69%
9.7 pts worse
|
Numerator 99 · Denominator 225 |
| Discharge mobility score | 53.33% |
50.94%
2.4 pts better
|
Numerator 120 · Denominator 225 |
| Pressure ulcers or injuries, new or worsened | 1.77% |
2.29%
0.5 pts better
|
Numerator 5 · Denominator 283 · Adjusted rate 1.67% |
| Healthcare-associated infections requiring hospitalization | 6.49% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 261 · Observed rate 5.75% · Lower 95% interval 4.48% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 186 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 51.56% |
56.45%
4.9 pts worse
|
Numerator 116 · Denominator 225 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 56 · Denominator 56 |
| Transfer of health information to patient | 97.4% |
96.28%
1.1 pts better
|
Numerator 150 · Denominator 154 |
| Resident COVID-19 vaccinations up to date | 2.05% |
25.2%
23.1 pts worse
|
Numerator 3 · Denominator 146 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.1
0.7 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.8 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.1
0.2 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
93.0%
4.2 pts better
|
93.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.3% · Q3 95.8% · Q4 96.4% · 4Q avg 97.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
97.2%
0.3 pts worse
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
2.4%
0.2 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 2.5% · Q4 0.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.7% |
11.4%
8.7 pts better
|
11.4%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.2% · Q3 3.5% · Q4 2.8% · 4Q avg 2.7% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
4.6%
4.7 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 11.8% · Q3 8.9% · Q4 6.4% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.5% |
19.0%
5.5 pts worse
|
19.6%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 26.9% · Q3 23.8% · Q4 19.8% · 4Q avg 24.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.2% |
13.5%
3.7 pts worse
|
16.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 16.3% · Q3 15.7% · Q4 15.3% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.9% |
9.8%
6.1 pts worse
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 12.9% · Q3 13.2% · Q4 13.9% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% |
9.7%
6.8 pts worse
|
14.9%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 12.6% · Q3 15.2% · Q4 9.1% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.7%
0.9 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 1.7% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
0.8%
0.1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
15.9%
8.6 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 16.5% · Q3 23.7% · Q4 24.0% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 6.3% |
6.0%
0.3 pts worse
|
5.1%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 5.7% · Q3 4.2% · Q4 7.9% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.1% |
78.7%
6.4 pts better
|
81.7%
3.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.7% · Q2 85.3% · Q3 88.3% · Q4 83.5% · 4Q avg 85.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.7% |
8.2%
0.5 pts better
|
12.0%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 7.1% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.3% · Q3 2.1% · Q4 2.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.9% |
80.1%
7.8 pts better
|
79.7%
8.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
25.4%
1.6 pts better
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 22.3% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-21 · Fire 2023-02-21
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2021-04-15 · Fire 2021-04-15
3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-31
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K233 · Egress Deficiencies
Fire Safety
Install resident room doors of proper design and width.
Corrected 2025-05-31
F · Potential for more than minimal harm
2025-03-31
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K364 · Smoke Deficiencies
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-24
F · Potential for more than minimal harm
2025-03-31
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-24
F · Potential for more than minimal harm
2023-02-21
K241 · Egress Deficiencies
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2023-03-10
F · Potential for more than minimal harm
2023-02-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-24
E · Potential for more than minimal harm
2023-02-21
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-03-27
E · Potential for more than minimal harm
2023-02-21
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-03-10
E · Potential for more than minimal harm
2023-02-21
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-03-16
D · Potential for more than minimal harm
2021-04-15
K241 · Egress Deficiencies
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2021-10-05
Inspection history
Recent health citations
J · Immediate jeopardy
2025-10-30
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-11
E · Potential for more than minimal harm
2025-03-31
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-24
D · Potential for more than minimal harm
2025-03-31
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-15
G · Actual harm
2023-09-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-09
E · Potential for more than minimal harm
2023-09-20
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-09
D · Potential for more than minimal harm
2023-09-20
F626 · Resident Rights Deficiencies
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-10-09
D · Potential for more than minimal harm
2023-02-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-17
D · Potential for more than minimal harm
2023-02-21
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-13
D · Potential for more than minimal harm
2023-02-21
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-17
Penalties and ownership
What sits behind the stars
$7,901
2023-09-20
Fine
Fine · fine $7,901
Fine
Ownership
Pelligrino, Donald
5% Or Greater Direct Ownership Interest · Individual
Manego, Rossana
Operational/Managerial Control · Individual
Pelligrino, Donald
Corporate Officer · Individual
Royer, Scott
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Waterfront Rehabilitation And Healthcare Center
Raritan, NJ
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Complete Care At Green Knoll
Bridgewater, NJ
4-star overall rating with 3-star inspections with $23,430 in total fines with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
The Arbor at Laurel Circle
Bridgewater, NJ
3-star overall rating with 2-star inspections with $25,857 in total fines with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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