Deficiency Records for The Bradley Gardens
Updated as of April 01, 2019
This is not the most recent data for The Bradley Gardens. For the most recent information, click here.
A list of the most recent deficiencies for The Bradley Gardens. 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? |
|---|---|---|---|---|
| Develop a communication plan. | Fire Safety | 2018-10-03 | 2018-10-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-03 | 2018-10-17 | N |
| 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. | Health | 2018-07-12 | 2018-08-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-12 | 2018-08-08 | N |
| 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. | Health | 2018-07-12 | 2018-08-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-07-12 | 2018-08-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-07-12 | 2018-08-08 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2018-07-12 | 2018-08-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-07-12 | 2018-08-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-07-12 | 2018-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-08 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2018-07-12 | 2018-08-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-22 | 2018-04-12 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-29 | 2017-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-29 | 2017-08-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-29 | 2017-08-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-29 | 2017-08-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-29 | 2017-08-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-29 | 2017-08-08 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2017-06-29 | 2017-08-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-07-21 | 2016-09-19 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-21 | 2016-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-21 | 2016-09-19 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-07-21 | 2016-09-19 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-07-21 | 2016-09-19 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-21 | 2016-09-19 | Y |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2016-07-21 | 2016-09-19 | Y |
| A written emergency evacuation plan. | Fire Safety | 2016-08-01 | 2016-08-22 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-01 | 2016-08-22 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-01 | 2016-08-22 | N |
