Carepathways

Nursing Homes

Pop-up Descriptions and Related Information
Key Indicators
BRADLEY HEALTH CARE & REHAB
2910 PEERLESS RD
CLEVELAND, TN 37312
County: Bradley
Phone: 423-472-7116 Provider: 445141
Last Inspection On File: 10/24/2011


General Information
Beds:213  Residents:187  Available:26  Occupancy:88%
Accepts: Both Councils: RESIDENT
Type of Ownership: Government - County
Within-Hospital: NO Multi-Home: NO




(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
74

Facility
35

County
19

TN
19

USA
Deficiency Ratings* By Inspection Date
Lower Numbers Are Better
74

10/11
29

08/10
18

07/09

EXAMPLE ONLY

* 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

EXAMPLE ONLY

10/24/2011 Inspection
Category Corrected Scope : LevelOfHarm 1 -- Rating -- 7
Administration 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.
Administration 11/13/2011 Pattern : Immediate 6
Failed To: Be administered in an acceptable way that maintains the well-being of each resident .
Administration 11/11/2011 Isolated : Minimal 3
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Administration 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.
Environmental 11/14/2011 Isolated : Minimal 3
Failed To: Have a program that investigates, controls and keeps infection from spreading.
Mistreatment 11/11/2011 Isolated : Minimal 3
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment.
Mistreatment 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.
Pharmacy Service 11/14/2011 Isolated : Minimal 3
Failed To: 1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being.
Pharmacy Service 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.
Pharmacy Service 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.
Quality Care 11/14/2011 Isolated : Minimal 3
Failed To: Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene.
Quality Care 11/11/2011 Isolated : Minimal 3
Failed To: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
Quality Care 11/14/2011 Isolated : Minimal 3
Failed To: Provide care by qualified persons according to each resident's written plan of care.
Quality Care 11/11/2011 Pattern : Immediate 6
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality Care 11/14/2011 Isolated : Minimal 3
Failed To: Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function.
Resident Assessment 11/11/2011 Isolated : Minimal 3
Failed To: Make sure each resident receives an accurate assessment by a qualified health professional.
Resident Assessment 11/11/2011 Pattern : Immediate 6
Failed To: Allow the resident the right to participate in the planning or revision of the resident's care plan.
Resident Rights 11/11/2011 Isolated : Minimal 3
Failed To: Reasonably accommodate the needs and preferences of each resident.
Resident Rights 11/14/2011 Isolated : Minimal 3
Failed To: Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality.
8/18/2010 Inspection
Category Corrected Scope : LevelOfHarm 1 -- Rating -- 7
Environmental 9/8/2010 Isolated : Minimal 3
Failed To: Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents.
Environmental 9/8/2010 Isolated : Minimal 3
Failed To: Have a program that investigates, controls and keeps infection from spreading.
Mistreatment 9/8/2010 Isolated : Minimal 3
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment.
Nutrition and Dietary 8/26/2010 Widespread : Minimal 5
Failed To: Store, cook, and serve food in a safe and clean way.
Quality Care 9/8/2010 Isolated : Minimal 3
Failed To: Provide care by qualified persons according to each resident's written plan of care.
Quality Care 9/8/2010 Isolated : Minimal 3
Failed To: Make sure services provided by the nursing facility meet professional standards of quality.
Resident Assessment 9/8/2010 Isolated : Minimal 3
Failed To: Review or revise the resident's care plan after any major change in a resident's physical or mental health.
Resident Assessment 9/8/2010 Isolated : Minimal 3
Failed To: Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Resident Assessment 9/8/2010 Isolated : Minimal 3
Failed To: Make sure each resident receives an accurate assessment by a qualified health professional.
7/8/2009 Inspection
Category Corrected Scope : LevelOfHarm 1 -- Rating -- 7
Environmental 8/10/2009 Isolated : Minimal 3
Failed To: Keep all essential equipment working safely.
Environmental 8/10/2009 Isolated : Minimal 3
Failed To: Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents.
Quality Care 8/10/2009 Isolated : Minimal 3
Failed To: Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so.
Quality Care 8/10/2009 Isolated : Minimal 3
Failed To: Make sure services provided by the nursing facility meet professional standards of quality.
Quality Care 8/10/2009 Isolated : Minimal 3
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Resident Assessment 8/10/2009 Isolated : Minimal 3
Failed To: Allow the resident the right to participate in the planning or revision of the resident's care plan.

Complaint Investigation Deficiencies

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

EXAMPLE ONLY

10/24/2011 Investigation
Category Corrected Scope : LevelOfHarm 1 -- Rating -- 7
Environmental 11/13/2011 Pattern : Immediate 6
Failed To: Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents.
8/20/2009 Investigation
Category Corrected Scope : LevelOfHarm 1 -- Rating -- 7
Quality Care 9/8/2009 Isolated : Minimal 3
Failed To: Make sure services provided by the nursing facility meet professional standards of quality.


(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TN State Avg
Number of Residents 187 135 97
RNs (Registered Nurses) 0.42 0.72 0.63
LPNs/LVNs (Licensed Practical/Vocational Nurses) 0.98 1.07 0.96
CNAs (Certified Nursing Assistants) 2.47 2.38 2.15
Total Staff Hours 3.87 4.16 3.74

Total Staffing Hours/Day/Resident
3.9

Facility
4.2

County
3.7

TN
3.9

USA

EXAMPLE ONLY


(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TN State Avg%
high-risk long-stay residents who have pressure sores 5 12 25
long-stay residents who are more depressed or anxious 8 11 26
long-stay residents who had a urinary tract infection 9 13 24
long-stay residents who have moderate to severe pain 3 5 19
long-stay residents who have/had a catheter inserted and left in their bladder 6 6 21
long-stay residents who lose too much weight 9 11 24
long-stay residents who spend most of their time in bed or in a chair 11 12 21
long-stay residents who were NOT assessed and given pneumococcal vaccination 10 10 29
long-stay residents who were NOT given influenza vaccination during the flu season 10 10 27
long-stay residents who were physically restrained 23 11 20
long-stay residents whose ability to move about in and around their room got worse 11 15 27
long-stay residents whose need for help with daily activities has increased 14 15 28
low-risk long-stay residents who have pressure sores 0 2 32
low-risk long-stay residents who lose control of their bowels or bladder 48 55 61
short-stay residents who had moderate to severe pain 18 25 29
short-stay residents who have delirium 3 1 19
short-stay residents who have pressure sores 3 10 30
short-stay residents who were NOT assessed and given pneumococcal vaccination 10 18 37
short-stay residents who were NOT given influenza vaccination during the flu season 10 14 35


Residents With Specified Conditions
11%

Facility
14%

County
11%

TN
12%

USA

EXAMPLE ONLY

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