Deficiency Records for Bradley Estates Nursing and Rehab LLC
Updated as of March 01, 2018
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? |
---|---|---|---|---|
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2017-10-26 | 2017-11-26 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-26 | 2017-11-26 | 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 | 2017-10-26 | 2017-11-26 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-26 | 2017-11-26 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2017-10-26 | 2017-11-26 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-10-26 | 2017-11-26 | N |
Provide clean bed and bath linens that are in good condition. | Health | 2017-10-26 | 2017-11-26 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-26 | 2017-11-26 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-26 | 2017-11-26 | N |
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-10-26 | 2017-11-26 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-11-26 | N |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-10-26 | 2017-11-26 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-26 | 2017-11-26 | N |
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 | 2017-10-26 | 2017-11-26 | N |
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 | 2017-10-26 | 2017-11-26 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-26 | 2017-11-26 | 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 | 2017-10-26 | 2017-11-26 | N |
Ensure that residents are safe from serious medication errors. | Health | 2017-10-26 | 2017-11-26 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-26 | 2017-11-26 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-26 | 2017-11-26 | N |
Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-10-26 | 2017-11-26 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-26 | 2017-11-26 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-26 | 2017-11-26 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-26 | 2017-11-26 | 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 | 2017-10-17 | 2017-11-13 | N |
Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-10-17 | 2017-11-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-10-17 | 2017-11-13 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-17 | 2017-11-13 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-04-26 | 2017-05-12 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-26 | 2017-05-12 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-26 | 2017-05-12 | Y |
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-03-07 | 2017-03-31 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-07 | 2017-03-31 | Y |
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-03-07 | 2017-03-31 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-07 | 2017-03-31 | Y |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-03-07 | 2017-03-31 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-07 | 2017-03-31 | Y |
A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-08-30 | 2016-09-23 | N |
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 |
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 |
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 |