A list of the most recent deficiencies for Bradley Health Care and Rehab. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-11-02 | 2022-11-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-02 | 2022-11-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-11-02 | 2022-11-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-02 | 2022-11-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-31 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-31 | 2022-11-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-31 | 2022-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-06 | 2021-09-15 | Y |
| 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 | 2019-12-16 | 2020-02-01 | 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 | 2019-12-16 | 2020-02-01 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-12-16 | 2020-02-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-16 | 2020-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2020-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-16 | 2020-02-01 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2018-10-31 | 2018-12-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-31 | 2018-12-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-31 | 2018-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-31 | 2018-12-15 | N |
| Keep all essential equipment working safely. | Health | 2018-10-31 | 2018-12-15 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-30 | 2018-12-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-30 | 2018-12-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-30 | 2018-12-15 | N |
