CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bradford Hills Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Bradford Hills Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bradford Hills Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-02-10 | 2026-02-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-12-12 | 2026-01-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-12 | 2026-01-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-12 | 2026-01-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-12-12 | 2026-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-12 | 2026-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-12 | 2026-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-12 | 2026-01-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-12-12 | 2026-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-12 | 2026-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-12 | 2026-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-12-12 | 2026-01-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-12-12 | 2026-01-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-12 | 2026-01-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-06-20 | 2025-07-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-13 | 2025-06-10 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-02-25 | 2025-04-01 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-03-14 | 2025-04-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-18 | 2025-03-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-18 | 2025-03-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-22 | 2024-12-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-22 | 2024-12-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-22 | 2024-12-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-22 | 2024-12-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-11-22 | 2024-12-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-11-22 | 2024-12-23 | 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 | 2024-11-22 | 2024-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2024-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-22 | 2024-12-23 | 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 | 2024-10-31 | 2024-12-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-22 | 2024-12-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-22 | 2024-12-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-22 | 2024-12-23 | Y |
| 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 | 2024-11-22 | 2024-12-23 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-11-22 | 2024-12-23 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-11-22 | 2024-12-23 | 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 | 2024-11-22 | 2024-12-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-22 | 2024-12-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-22 | 2024-12-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-22 | 2024-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-22 | 2024-12-23 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-22 | 2024-12-12 | 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 | 2024-11-22 | 2024-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-22 | 2024-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-22 | 2024-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-22 | 2024-12-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-22 | 2024-12-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-10-31 | 2024-11-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-03 | 2024-06-27 | 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 | 2024-06-03 | 2024-06-27 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-08 | 2024-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-08 | 2024-02-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-08 | 2024-02-06 | 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 | 2023-12-08 | 2024-02-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-08 | 2024-02-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-08 | 2024-02-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-08 | 2024-01-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-08 | 2024-01-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-08 | 2024-01-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-08 | 2024-01-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-08 | 2024-01-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-08 | 2024-01-30 | 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 | 2023-12-08 | 2024-01-30 | N |
| 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 | 2023-12-08 | 2024-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-08 | 2024-01-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-08 | 2024-01-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-08 | 2024-01-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-08 | 2024-01-30 | 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 | 2023-12-08 | 2024-01-30 | N |