Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION, LL

LAKELAND, FL · 120 certified beds · Last Life Safety survey January 25, 2024

CMS Certification Number 106138 · first certified May 2020

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Ansley Parke at Oakbridge LLC (3110 Oakbridge Blvd E). Matched by the street address the two records share. The records are separate and are never added together.

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

  • Ownership changed September 10, 2021 (change of ownership)to BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION LLC from 3110 OAKBRIDGE BOULEVARD OPERATIONS LLC
7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within FL

7 citations — more than 50% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2025 to December 2025), and past the point by which nine in ten FL facilities have been surveyed. This facility’s last Life Safety survey was January 2024. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

5 of the 7 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility7FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
02020-0552021-1222024-01
Citations at each Life Safety survey
Survey dateCitations
May 11, 20200
December 3, 20215
January 25, 20242

Most-cited tags

Most-cited tags at this facility
E-00041E-00291K-02221E-00011K-03531E-00391E-00131
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0004Develop and maintain an Emergency Preparedness Program (EP).12021-12-03
E-0029Develop a communication plan.12021-12-03
K-0222Add 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.12024-01-25
E-0001Establish an Emergency Preparedness Program (EP).12021-12-03
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-01-25
E-0039Conduct testing and exercise requirements.12021-12-03
E-0013Develop Emergency Preparedness policies and procedures.12021-12-03

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 5
  • Egress Deficiencies 1
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies5
Egress Deficiencies1
Smoke Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 25, 2024 — 2 citations

Citations issued on January 25, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (February 22, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 22, 2024)

December 3, 2021 — 5 citations

Citations issued on December 3, 2021
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 2, 2022)
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 2, 2022)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (January 2, 2022)
E-0029Develop a communication plan.Deficient, Provider has date of correction (January 2, 2022)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 2, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.