Bradford Oaks Center

7520 Surratts Road
Clinton, MD 20735
Prince Georges County
Phone: 301-856-1660
Provider Number: 215165
Last Inspection: 11/06/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
180
Number of Residents
Number of
Residents
164
Number of Beds Available
Beds Available
16
Percent Occupancy
Percent Occupancy
91%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

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 what is a deficiency rating?
By Region


  • Facility
  • County
  • MD
  • USA
  • 54
  • 25
  • 26
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 54
  • 43
  • 73
Lower Numbers are Better

Details by Inspection Date

 

11/6/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 12/18/2014
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Minimal 4 12/18/2014
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 12/18/2014
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 12/18/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 12/18/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 12/18/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/18/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 12/18/2014
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. Isolated : Minimal 3 12/18/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 12/18/2014
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Minimal 4 12/18/2014
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/18/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/18/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/18/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/18/2014
 

9/9/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 11/21/2013
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 11/21/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 11/21/2013
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 11/21/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 11/21/2013
Failed To: Hire sufficient dietary support personnel. Pattern : Minimal 4 11/21/2013
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 11/21/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/21/2013
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 11/21/2013
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated : Minimal 3 11/21/2013
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Isolated : Minimal 3 11/21/2013
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 11/21/2013
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Isolated : Minimal 3 11/21/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/21/2013
 

7/20/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Widespread : Potential 4 8/31/2012
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. Isolated : Minimal 3 8/31/2012
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Widespread : Potential 4 8/31/2012
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 8/31/2012
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 8/31/2012
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/31/2012
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/31/2012
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 8/31/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/31/2012
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/31/2012
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 8/31/2012
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. Isolated : Minimal 3 8/31/2012
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/31/2012
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 8/31/2012
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 8/31/2012
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 8/31/2012
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. Isolated : Minimal 3 8/31/2012
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 8/31/2012
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/31/2012
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 8/31/2012
Failed To: Put firmly secured handrails on each side of hallways. Isolated : Minimal 3 8/31/2012
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated : Minimal 3 8/31/2012
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 8/31/2012


 

Complaint Investigation Deficiencies

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

 

6/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 8/7/2015
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. Isolated : Minimal 3 8/7/2015
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 8/7/2015
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 8/7/2015
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/7/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 8/7/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/7/2015
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. Isolated : Minimal 3 8/7/2015
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated : Minimal 3 8/7/2015
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 8/7/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 8/7/2015
 

8/26/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 10/10/2014
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Minimal 4 10/10/2014
 

8/12/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Pattern : Potential 3 9/26/2014
 

6/2/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/18/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/18/2014
Failed To: Hire sufficient dietary support personnel. Isolated : Minimal 3 7/18/2014
 

5/7/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 6/24/2014
 

3/25/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/21/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 4/21/2014
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 4/21/2014
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 4/21/2014
 

1/22/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Potential 3 3/8/2014
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 3/8/2014
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. Isolated : Minimal 3 3/8/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/8/2014
 

8/28/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 9/19/2013
 

5/10/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/14/2013
 

4/17/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Potential 3 5/15/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/15/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 164 128.00 107.79
Registered Nurses 0.50 0.87 0.98
Licensed Practical / Vocational Nurses 0.96 1.10 0.85
Certified Nursing Assistants 2.27 2.40 2.37
Total Staff Hours 3.73 4.36 4.20

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MD State Avg%
High Risk Long Stay Residents With Pressure Ulcers 8 8 6
Long Stay Residents Experiencing One or More Falls with Major Injury 1 1 2
Long Stay Residents Who Have Depressive Symptoms 6 3 4
Long Stay Residents Who Lose Too Much Weight 8 5 6
Long Stay Residents Who Received an Antipsychotic Medication 6 9 14
Long Stay Residents Who Self Report Moderate to Severe Pain 4 2 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 5 2 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 4 2 4
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 35 18 18
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 2
Long Stay Residents With a Urinary Tract Infection 3 3 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 72 59 57
Short Stay Residents Who Newly Received an Antipsychotic Medication 1 1 2
Short Stay Residents Who Self Report Moderate to Severe Pain 10 11 13
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 13 7 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 18 10 16
Short Stay Residents With Pressure Ulcers That Are New or Worsened 2 0 0