Tag 0851 · Severity F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Deficient, Provider has date of correction 2024-02-22For-profit
Bridgewalk on Harden Health and Rehabilitation, Ll
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 73.8% | Latest inspection | 2024-01-25 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 98.3 points
Total nurse staffing
Facility: 3.48 hours/day
RN staffing
Facility: 0.34 hours/day
Staff turnover
Facility: 63.3%
Latest health deficiencies
Facility: 4 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 98.3 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.48 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.34 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 63.3% | 45.5% | 41.8% |
| Latest health deficiencies | 4 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-01-25
4 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0584 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-22Tag 0657 · Severity D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-02-22Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-222021-12-03
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0641 · Severity E
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-02-19Tag 0759 · Severity E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-02-19Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-01-02Tag 0578 · Severity D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-01-02Tag 0623 · Severity D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-01-02Tag 0625 · Severity D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-01-02Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-02Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-02Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-022020-05-11
4 deficiencies
Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
Staffing composition
2.07 hours/dayNurse aide
1.07 hours/dayLPN
0.34 hours/dayRN
- Total staffing
- 3.48 hours/day
- County median
- 3.52 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.21 hours/day
- Staff turnover
- 63.3%
- RN turnover
- 44.4%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.9 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.5 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
1.1%betterFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
6.6%worseFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
1.9%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
2.2%betterFlorida: 7.0% · County: 5.9%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Polk County
- Certified beds
- 120
- Average daily residents
- 88.5
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2020-05-11
- CCN
- 106138
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.06584 |
| Lpn hours | 1.07303 |
| Rn hours | 0.34463 |
| Reported total hours | 3.4835 |
| Weekend total hours | 3.20895 |
| Weekend rn hours | 0.24181 |
| Adjusted total hours | 3.91857 |
| Total turnover percent | 63.3 |
| Rn turnover percent | 44.4 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$181,400.00Total fines
3Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2023-10-23 | Fine | $4,545.00 |
| 2023-10-11 | Fine | $163,093.00 |
| 2023-10-02 | Fine | $13,762.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
4Health citations
7Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
2
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| GARRARD, LOUIS | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GARRARD, LOUIS | CORPORATE OFFICER | NOT APPLICABLE |
| DEAN, BYRON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GARRARD, LOUIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SPENCER, EVERTON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GARRARD, LOUIS | TRUSTEE OF THE SNF | NOT APPLICABLE |
| DEAN, BYRON | ADP OF THE SNF | NOT APPLICABLE |
| GARRARD, LOUIS | ADP OF THE SNF | NOT APPLICABLE |
| SPENCER, EVERTON | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology