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Deficiency Records for Bradford Manor Nursing and Rehab

View the most recent health deficiencies and inspection results for Bradford Manor Nursing and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Bradford Manor Nursing and Rehab. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have power receptacles that are properly grounded. Fire Safety 2025-07-31 2025-09-30 N
Have proper medical gas storage and administration areas. Fire Safety 2025-07-31 2025-09-30 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2025-07-31 2025-09-30 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2025-07-31 2025-09-29 N
Provide and implement an infection prevention and control program. Health 2025-07-31 2025-09-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-07-31 2025-09-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-07-31 2025-09-29 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-07-31 2025-09-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-30 2024-11-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-08-30 2024-11-15 N
Provide and implement an infection prevention and control program. Health 2024-08-30 2024-10-29 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 2024-08-30 2024-10-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-08-30 2024-10-29 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 2024-08-30 2024-10-29 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 2024-08-30 2024-10-29 N
Ensure each resident receives an accurate assessment. Health 2024-08-30 2024-09-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-08-30 2024-09-05 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 2024-08-30 2024-09-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-30 2024-09-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-30 2024-09-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-30 2024-09-05 N
Have power receptacles that are properly grounded. Fire Safety 2024-08-30 2024-09-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-08-30 2024-09-05 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2023-09-22 2023-11-10 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-09-22 2023-11-10 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-09-22 2023-11-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-22 2023-11-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-22 2023-11-10 N
Provide and implement an infection prevention and control program. Health 2023-09-22 2023-11-10 N

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