Bradley Estates Nursing & Rehab

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 28, 2026

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 28, 2026

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 28, 2026

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 28, 2026

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 15, 2025

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 16, 2025

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 16, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 16, 2025

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 16, 2025

• Have restrictions on the use of highly flammable decorations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2025

• Have properly installed electrical wiring and gas equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 2, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025

• Give the resident's representative the ability to exercise the resident's rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 10, 2025

• Install properly constructed and protected linen or trash chutes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 20, 2026

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 16, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 14, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 14, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 14, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 8, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2025

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 4, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 4, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 4, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 4, 2025

• Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Apr 10, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 10, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 10, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 10, 2025

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 10, 2025

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2025

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Feb 7, 2025

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 7, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 7, 2025

• Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 7, 2025

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Feb 4, 2025

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 21, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 7, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 21, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 19, 2024

• Assist a resident in gaining access to vision and hearing services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 31, 2024

• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 29, 2024

• Ensure that residents are free from significant medication errors.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Dec 5, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 14, 2024

• Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 14, 2024

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 14, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 17, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 14, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 5, 2024

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 16, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 14, 2024

• Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 17, 2024

• Provide medically-related social services to help each resident achieve the highest possible quality of life.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G of L: actual harm, isolatedCorrected Dec 5, 2024

• Provide training in compliance and ethics.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 17, 2024

• Provide a written emergency evacuation plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 17, 2024

• Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 17, 2024

• Establish policies and procedures including evacuation.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 17, 2024

• Keep all essential equipment working safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 17, 2024

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 17, 2024

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 17, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 17, 2024

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 17, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 17, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 17, 2024

• Respond appropriately to all alleged violations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 17, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 17, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 17, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 17, 2024

• Properly provide smoke detection systems in areas open to corridors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 17, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 17, 2024

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

• Protect each resident from the wrongful use of the resident's belongings or money.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 4, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 17, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Ensure that residents are free from significant medication errors.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Apr 5, 2024

• Provide medically-related social services to help each resident achieve the highest possible quality of life.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide or get specialized rehabilitative services as required for a resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Implement a program that monitors antibiotic use.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Feb 9, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 5, 2024

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 9, 2024

• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 9, 2024

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 5, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 9, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 9, 2024

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 1, 2023

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 1, 2023

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 1, 2023

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Give the resident's representative the ability to exercise the resident's rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G of L: actual harm, isolatedCorrected May 19, 2023

• Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 24, 2023

• Install a fire alarm system that can be heard throughout the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 14, 2023

• Have a battery powered remote alarm panel in a location accessible by operating personnel.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 24, 2023

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 19, 2023

• Have an enclosure around a vertical opening shaft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 24, 2023

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 2023

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 2023

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 2023

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 24, 2023

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 24, 2023

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 24, 2023

• Have restrictions on the use of portable space heaters.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 24, 2023

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 24, 2023

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 24, 2023

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 24, 2023

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 24, 2023

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 24, 2023

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2023

Bradley Estates Nursing & Rehab offers Skilled Nursing / Long Term Care.

Bradley Estates Nursing & Rehab is located at 6735 W BRADLEY RD in MILWAUKEE, Wisconsin.

Families describe Bradley Estates as warm, clean, and staffed by caring, experienced professionals. Reviewers highlight strong medical support, including an in-house dialysis unit and secure dementia care, along with staff who go above and beyond for residents.

Bradley Estates Nursing & Rehab had 15 government inspection visits in the last three years, with 189 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Bradley Estates Nursing & Rehab and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.