A list of the most recent deficiencies for Bradley Court. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-08-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-16 | 2023-07-17 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-06-16 | 2023-07-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-21 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-21 | 2023-07-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-21 | 2023-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-21 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-07-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-17 | 2022-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-10-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-10-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-13 | 2022-02-10 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-30 | 2019-10-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-30 | 2019-10-23 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-08-30 | 2019-10-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-30 | 2019-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-10-23 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-08-30 | 2019-10-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-30 | 2019-10-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-30 | 2019-10-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-30 | 2019-10-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-08-10 | 2018-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-10 | 2018-10-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-10 | 2018-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-10 | 2018-10-10 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2018-08-10 | 2018-10-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-08-10 | 2018-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-08 | Not Fixed | N |
