Request Senior Care

About the Home

Number of Beds: 213
Number of Residents: 179
Beds Available: 34
Percent Occupancy: 84%
Accepts: Medicare & Medicaid
Councils: Resident
Government - County
Within Hospital: NO

Nursing Home Inspector

BRADLEY HEALTH CARE & REHAB
2910 PEERLESS RD
CLEVELAND, TN 37312
County: Bradley
Phone: 423-472-7116 Provider: 445141
Last Inspection On File: 06/19/2013




(Lower Numbers Are Better)

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.

Deficiency Ratings* By Region

Lower Numbers Are Better
70

Facility
50

County
21

TN
23

USA

Deficiency Ratings* By Inspection Cycle

Lower Numbers Are Better
70

Cycle 1
80

Cycle 2
29

Cycle 3

* The numbers above represent the total DEFICIENCY RATINGS as described below NOT the number of deficiencies reported.

Deficiency Rating = Scope + Level of Harm. Total Deficiencies are the SUM of Deficiency Ratings for all deficiencies reported and reflect how Serious, Widespread, and Frequent the infractions were.


Details by Inspection Date

 
6/19/2013 Inspection
Corrected Scope : LevelOfHarm 1 -- Rating -- 7
7/15/2013 Isolated : Minimal 3
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
7/18/2013 Isolated : Minimal 3
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party.
7/18/2013 Isolated : Minimal 3
Failed To: Try to resolve each resident's complaints quickly.
7/15/2013 Isolated : Minimal 3
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment.
7/15/2013 Isolated : Minimal 3
Failed To: 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.
7/15/2013 Isolated : Minimal 3
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
7/15/2013 Isolated : Minimal 3
Failed To: Conduct initial and periodic assessments of each resident's functional capacity.
7/15/2013 Isolated : Minimal 3
Failed To: Allow residents the right to participate in the planning or revision of care and treatment.
7/8/2013 Isolated : Minimal 3
Failed To: Ensure services provided by the nursing facility meet professional standards of quality.
7/15/2013 Pattern : Immediate 6
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
7/15/2013 Isolated : Minimal 3
Failed To: 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.
7/18/2013 Widespread : Minimal 5
Failed To: Store, cook, and serve food in a safe and clean way.
7/15/2013 Isolated : Minimal 3
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
7/15/2013 Widespread : Minimal 5
Failed To: Have a program that investigates, controls and keeps infection from spreading.
7/15/2013 Pattern : Immediate 6
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
7/15/2013 Pattern : Immediate 6
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
7/15/2013 Isolated : Minimal 3
Failed To: Quickly tell the resident's doctor the results of laboratory tests.
7/15/2013 Pattern : Immediate 6
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
 
10/24/2011 Inspection
Corrected Scope : LevelOfHarm 1 -- Rating -- 7
11/11/2011 Isolated : Minimal 3
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment.
11/11/2011 Isolated : Immediate 5
Failed To: 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.
11/14/2011 Isolated : Minimal 3
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
11/11/2011 Isolated : Minimal 3
Failed To: Reasonably accommodate the needs and preferences of each resident.
11/11/2011 Pattern : Immediate 6
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life.
11/11/2011 Isolated : Minimal 3
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional.
11/11/2011 Pattern : Immediate 6
Failed To: Allow residents the right to participate in the planning or revision of care and treatment.
11/14/2011 Isolated : Minimal 3
Failed To: Provide care by qualified persons according to each resident's written plan of care.
11/14/2011 Isolated : Minimal 3
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
11/14/2011 Isolated : Minimal 3
Failed To: 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.
11/11/2011 Isolated : Minimal 3
Failed To: 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.
11/14/2011 Isolated : Minimal 3
Failed To: 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.
11/11/2011 Isolated : Minimal 3
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
11/14/2011 Widespread : Minimal 5
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
11/14/2011 Isolated : Minimal 3
Failed To: Have a program that investigates, controls and keeps infection from spreading.
11/13/2011 Pattern : Immediate 6
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
11/20/2011 Pattern : Minimal 4
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
11/11/2011 Isolated : Minimal 3
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards.
11/13/2011 Pattern : Immediate 6
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
 
8/18/2010 Inspection
Corrected Scope : LevelOfHarm 1 -- Rating -- 7
9/8/2010 Isolated : Minimal 3
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment.
9/8/2010 Isolated : Minimal 3
Failed To: Review or revise the resident's care plan after any major change in physical or mental health.
9/8/2010 Isolated : Minimal 3
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional.
9/8/2010 Isolated : Minimal 3
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
9/8/2010 Isolated : Minimal 3
Failed To: Ensure services provided by the nursing facility meet professional standards of quality.
9/8/2010 Isolated : Minimal 3
Failed To: Provide care by qualified persons according to each resident's written plan of care.
9/8/2010 Isolated : Minimal 3
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
8/26/2010 Widespread : Minimal 5
Failed To: Store, cook, and serve food in a safe and clean way.
9/8/2010 Isolated : Minimal 3
Failed To: Have a program that investigates, controls and keeps infection from spreading.

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 
10/24/2011 Investigation
Corrected Scope : LevelOfHarm 1 -- Rating -- 7
11/13/2011 Pattern : Immediate 6
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.


(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TN State Avg
Number of Residents 179 123.00 94.75
Registered Nurses 0.25 0.75 0.64
Licensed Practical / Vocational Nurses 1.15 1.22 0.99
Certified Nursing Assistants 2.37 2.50 2.21
Total Staff Hours 3.78 4.47 3.83

Total Staffing Hours/Day/Resident
3.78

Facility
4.47

County
3.83

TN
4.0

USA

EXAMPLE ONLY


(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TN State Avg%
High Risk Long Stay Residents With Pressure Ulcers 3 5 5
Long Stay Residents Experiencing One or More Falls with Major Injury 9 4 3
Long Stay Residents Who Have Depressive Symptoms 1 5 3
Long Stay Residents Who Lose Too Much Weight 9 10 8
Long Stay Residents Who Received an Antipsychotic Medication 18 17 24
Long Stay Residents Who Self Report Moderate to Severe Pain 10 10 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 3 4 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 5 4
Long Stay Residents Who Were Physically Restrained 6 3 2
Long Stay Residents Whose Need for Help with ADLs has Increased 15 15 15
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 4 3 3
Long Stay Residents With a Urinary Tract Infection 9 13 8
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 31 46 44
Short Stay Residents Who Newly Received an Antipsychotic Medication 5 3 3
Short Stay Residents Who Self Report Moderate to Severe Pain 25 16 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 10 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 5 10 13
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 1 0


Residents With Specified Conditions
9%

Facility
9%

County
9%

TN
9%

USA

EXAMPLE ONLY