Deficiency Records for Aperion Care Bradley
Updated as of October 01, 2020
This is not the most recent data for Aperion Care Bradley. For the most recent information, click here.
A list of the most recent deficiencies for Aperion Care Bradley. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-18 | 2020-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-02 | 2020-01-14 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-16 | 2019-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-16 | 2019-11-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-16 | 2019-11-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-16 | 2019-11-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-10-16 | 2019-10-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-16 | 2019-10-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-16 | 2019-10-21 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-10-16 | 2019-10-21 | 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 | 2019-10-16 | 2019-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-16 | 2019-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-16 | 2019-10-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-16 | 2019-10-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-16 | 2019-10-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-10 | 2019-10-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-10 | 2019-10-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-10-10 | 2019-10-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-10 | 2019-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-10-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-10 | 2019-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-16 | 2019-10-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-16 | 2019-10-17 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-10-01 | 2019-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-01 | 2019-10-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-16 | 2019-08-28 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-29 | 2019-06-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-17 | 2019-06-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-17 | 2019-06-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-05-17 | 2019-06-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-17 | 2019-06-07 | N |
| Develop a communication plan. | Fire Safety | 2019-05-17 | 2019-06-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-17 | 2019-06-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-17 | 2019-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-17 | 2019-06-07 | 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 | 2019-05-17 | 2019-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-17 | 2019-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-17 | 2019-06-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-17 | 2019-06-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-17 | 2019-06-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-05-17 | 2019-06-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-17 | 2019-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-17 | 2019-06-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-17 | 2019-06-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-05-17 | 2019-06-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-05-17 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-17 | 2019-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-29 | 2019-06-06 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-05-29 | 2019-06-04 | 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 | 2019-05-29 | 2019-06-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-29 | 2019-06-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-29 | 2019-06-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-29 | 2019-06-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-05-29 | 2019-06-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-30 | 2019-05-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-30 | 2019-05-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-30 | 2019-05-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-10 | 2019-04-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-27 | 2019-03-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-20 | 2019-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-05 | 2019-03-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-05 | 2019-03-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-02-05 | 2019-03-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-11 | 2019-01-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-03 | 2019-01-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-11 | 2019-01-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-24 | 2018-11-08 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-10-24 | 2018-11-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-27 | 2018-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-27 | 2018-08-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-27 | 2018-08-31 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-27 | 2018-08-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-27 | 2018-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-29 | 2018-08-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-25 | 2018-08-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-09 | 2018-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-09 | 2018-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-03 | 2018-08-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-03 | 2018-08-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-06 | 2018-07-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-25 | 2018-06-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-03 | 2018-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-25 | 2018-06-14 | Y |
| Be properly staffed | Fire Safety | 2018-03-27 | 2018-05-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-27 | 2018-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-09 | 2018-05-01 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-03-09 | 2018-05-01 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-03-09 | 2018-05-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-03 | 2018-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-03 | 2018-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-03 | 2018-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-03 | 2018-05-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-03 | 2018-05-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-03 | 2018-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-03 | 2018-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-03 | 2018-05-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-03 | 2018-05-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-03 | 2018-05-01 | Y |
| Provide a bathroom in or located near each resident?s room. | Health | 2018-04-03 | 2018-05-01 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-27 | 2018-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-27 | 2018-04-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-27 | 2018-04-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-03-27 | 2018-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-27 | 2018-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-27 | 2018-04-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-03-27 | 2018-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-27 | 2018-04-02 | 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 | 2018-03-27 | 2018-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-12 | 2017-12-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-03 | 2017-08-04 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-08-03 | 2017-08-04 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-03 | 2017-08-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-11 | 2017-08-04 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-11 | 2017-08-04 | Y |
