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Deficiency Records for Bradley Creek Health Center
View the most recent health deficiencies and inspection results for Bradley Creek Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bradley Creek Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-30 | 2025-07-30 | 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 | 2024-04-11 | 2024-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-11 | 2024-05-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-11 | 2024-05-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-11 | 2024-05-02 | 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 | 2024-04-11 | 2024-05-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-22 | 2023-03-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-12-22 | 2023-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-22 | 2023-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-22 | 2023-03-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-22 | 2023-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-22 | 2023-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-22 | 2023-03-18 | 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 | 2022-12-22 | 2023-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-22 | 2023-01-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-22 | 2023-01-31 | N |