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Deficiency Records for Bradbury Commons

View the most recent health deficiencies and inspection results for Bradbury Commons. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Bradbury Commons. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-07-03 2024-08-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-03 2024-08-02 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 2024-07-03 2024-08-02 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 2023-05-25 2023-08-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-25 2023-08-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-25 2023-08-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-05-25 2023-08-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-25 2023-08-31 N
Provide and implement an infection prevention and control program. Health 2019-07-11 2019-08-13 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 2019-07-11 2019-08-13 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-07-11 2019-08-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-07-11 2019-08-13 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2019-07-11 2019-08-13 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2019-07-11 2019-08-13 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 2019-07-11 2019-08-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-07-11 2019-07-15 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 2019-07-11 2019-07-15 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 2019-07-11 2019-07-15 N

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