Deficiency Records for Aperion Care Bradley
Updated as of May 01, 2021
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? |
---|---|---|---|---|
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-12-15 | 2020-12-28 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-04 | 2020-12-21 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-16 | 2020-10-30 | 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 | 2020-10-16 | 2020-10-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-16 | 2020-10-30 | 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 | 2020-10-16 | 2020-10-30 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-10-16 | 2020-10-30 | 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 | 2020-10-16 | 2020-10-30 | 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 | 2020-10-16 | 2020-10-30 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-10-16 | 2020-10-30 | 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 | 2020-10-15 | 2020-10-27 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2020-10-15 | 2020-10-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-15 | 2020-10-19 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-15 | 2020-10-19 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-15 | 2020-10-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-15 | 2020-10-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-15 | 2020-10-16 | N |
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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-16 | 2020-01-22 | N |
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 treatment and care according to orders, resident?s preferences and goals. | 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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-29 | 2019-07-24 | N |
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 |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-07 | 2018-08-31 | 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 | 2018-06-15 | 2018-08-31 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-25 | 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 |
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 |