Deficiency Records for Bradford House Nursing and Rehab, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Bradford House Nursing and Rehab, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-17 | 2022-12-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-11-17 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-17 | 2022-12-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-17 | 2022-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-09-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-30 | 2021-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-30 | 2021-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-30 | 2021-08-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-07-30 | 2021-08-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-07-30 | 2021-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-08-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-16 | 2020-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-17 | 2020-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-17 | 2020-02-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-01-17 | 2020-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-17 | 2020-02-14 | N |
| Dispose of garbage and refuse properly. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-16 | 2020-02-14 | N |
