Deficiency Records for Bradley Estates Nursing and Rehab LLC
Updated as of February 01, 2017
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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-09-01 | 2016-09-23 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-09-01 | 2016-09-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-09-01 | 2016-09-23 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-09-01 | 2016-09-23 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-01 | 2016-09-23 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-09-01 | 2016-09-23 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-09-01 | 2016-09-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-01 | 2016-09-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-01 | 2016-09-23 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2016-09-01 | 2016-09-23 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-09-01 | 2016-09-23 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-01 | 2016-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-01 | 2016-09-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-01 | 2016-09-23 | 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 | 2016-05-04 | 2016-05-19 | Y |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2016-05-04 | 2016-05-19 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-04 | 2016-05-19 | Y |
| 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 |
| Keep residents' personal and medical records private and confidential. | Health | 2015-08-26 | 2015-10-21 | N |
| 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 |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 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 |
| 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 |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 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 |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-06-15 | 2015-07-13 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 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 |
| 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 |
