Deficiency Records for Bradley Estates Nursing and Rehab LLC
Updated as of August 01, 2016
This is not the most recent data for Bradley Estates Nursing and Rehab LLC. For the most recent information, click here.
A list of the most recent deficiencies for Bradley Estates Nursing and Rehab LLC. 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? |
---|---|---|---|---|
Keep residents' personal and medical records private and confidential. | Health | 2016-02-11 | 2016-03-02 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-11 | 2016-03-02 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-11 | 2016-03-02 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-11 | 2016-03-02 | Y |
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-02-11 | 2016-03-02 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-10-08 | 2015-10-21 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-26 | 2015-10-21 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-08-26 | 2015-10-21 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-26 | 2015-10-21 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-08-26 | 2015-10-21 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-26 | 2015-10-21 | Y |
Try to resolve each resident's complaints quickly. | Health | 2015-08-26 | 2015-10-08 | Y |
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2015-08-26 | 2015-10-08 | Y |
Give residents a notice of rights, rules, services and charges. | Health | 2015-08-26 | 2015-10-08 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-08-26 | 2015-10-08 | N |
Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2015-08-26 | 2015-10-08 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-26 | 2015-10-08 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-08-26 | 2015-10-08 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-26 | 2015-10-08 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-26 | 2015-10-08 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-08-26 | 2015-10-08 | N |
Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2015-08-26 | 2015-10-08 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-08-26 | 2015-10-08 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-26 | 2015-10-08 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-20 | 2015-09-15 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-08-20 | 2015-09-15 | N |
Protected exits that allow the resident to escape the building. | Fire Safety | 2015-08-20 | 2015-09-15 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-08-20 | 2015-09-15 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-08-20 | 2015-09-15 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-20 | 2015-09-15 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-13 | 2015-07-27 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-13 | 2015-07-27 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-15 | 2015-07-27 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-15 | 2015-07-27 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-06-15 | 2015-07-13 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-06-15 | 2015-07-13 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-06-15 | 2015-07-13 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-15 | 2015-07-13 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2015-01-08 | 2015-02-08 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-01-08 | 2015-02-08 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-08 | 2015-02-08 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-01-08 | 2015-02-08 | Y |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-09-17 | 2014-11-09 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-17 | 2014-11-09 | N |
Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-09-17 | 2014-11-09 | N |
Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-09-17 | 2014-10-30 | N |
Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-09-17 | 2014-10-30 | N |
Properly protected cooking facilities. | Fire Safety | 2014-09-17 | 2014-10-30 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2014-09-17 | 2014-10-30 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-30 | 2014-10-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-09-17 | 2014-10-17 | N |
Keep residents' personal and medical records private and confidential. | Health | 2014-09-17 | 2014-10-17 | N |
Try to resolve each resident's complaints quickly. | Health | 2014-09-17 | 2014-10-17 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-09-17 | 2014-10-17 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-09-17 | 2014-10-17 | N |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-09-17 | 2014-10-17 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-09-17 | 2014-10-17 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-17 | 2014-10-17 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-09-17 | 2014-10-17 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-17 | 2014-10-17 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-17 | 2014-10-17 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-17 | 2014-10-17 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2014-09-17 | 2014-10-17 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-09-17 | 2014-10-17 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-09-17 | 2014-10-17 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
Signs that state that exit doors are to be kept closed. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
At least two remote exits on each floor or fire section of the building. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
Portable fire extinguishers. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2013-12-09 | 2014-01-09 | N |
Give the resident's representative the ability to exercise the resident's rights. | Health | 2013-12-09 | 2014-01-09 | N |
Keep residents' personal and medical records private and confidential. | Health | 2013-12-09 | 2014-01-09 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-12-09 | 2014-01-09 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2013-12-09 | 2014-01-09 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2013-12-09 | 2014-01-09 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-12-09 | 2014-01-09 | N |
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2013-12-09 | 2014-01-09 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-12-09 | 2014-01-09 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-12-09 | 2014-01-09 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-12-09 | 2014-01-09 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-12-09 | 2014-01-09 | Y |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2013-12-09 | 2014-01-09 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-12-09 | 2014-01-09 | Y |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-12-09 | 2014-01-09 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-10-16 | 2013-11-16 | Y |