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Deficiency Records for Bradford Square Nursing and Rehabilitation Center
A list of the most recent deficiencies for Bradford Square Nursing and Rehabilitation Center. 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 Square Nursing and Rehabilitation Center. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-26 | 2024-07-19 | 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 | 2024-04-26 | 2024-07-19 | 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 | 2024-04-26 | 2024-07-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-26 | 2024-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-26 | 2024-07-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-26 | 2024-07-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-04-26 | 2024-05-31 | 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 | 2024-04-26 | 2024-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-26 | 2024-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-26 | 2024-05-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-04-26 | 2024-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-26 | 2024-05-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-26 | 2024-05-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-26 | 2024-05-31 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-04-26 | 2024-05-31 | Y |
| 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 | 2024-04-24 | 2024-05-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-24 | 2024-05-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-12 | 2023-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-02-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-10 | 2023-02-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-10 | 2023-02-14 | 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 | 2021-09-17 | 2021-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-17 | 2021-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-11-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-09-17 | 2021-11-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-14 | 2021-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-14 | 2021-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-14 | 2021-11-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-14 | 2021-11-08 | N |
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