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Deficiency Records for Bradford Heights Nursing and Rehabilitation
A list of the most recent deficiencies for Bradford Heights Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Bradford Heights Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-09-20 | 2024-10-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-09-20 | 2024-10-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-20 | 2024-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-20 | 2024-10-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-20 | 2024-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-20 | 2024-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-20 | 2024-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-20 | 2024-10-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-02 | 2020-01-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-02 | 2020-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-27 | 2020-01-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-27 | 2020-01-02 | 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 | 2019-11-27 | 2020-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-27 | 2020-01-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-27 | 2020-01-02 | 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 | 2019-11-27 | 2020-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-27 | 2020-01-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-06 | 2018-10-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-09-06 | 2018-10-15 | 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 | 2018-09-06 | 2018-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-08-02 | N |
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