Deficiency Records for Bradford Square Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Bradford Square Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-12 | 2023-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-02-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-10 | 2023-02-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-10 | 2023-02-14 | 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 | 2021-09-17 | 2021-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-17 | 2021-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-11-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-09-17 | 2021-11-08 | 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 | 2021-09-14 | 2021-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-14 | 2021-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-14 | 2021-11-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-14 | 2021-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-12-05 | N |
| Keep all essential equipment working safely. | Health | 2019-10-18 | 2019-12-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-18 | 2019-12-05 | 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 | 2019-10-15 | 2019-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-15 | 2019-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-15 | 2019-12-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-15 | 2019-12-05 | N |
