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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525325

Bradley Estates Nursing And Rehab Llc

159 federal citations on record , including 3 at the Immediate Jeopardy level, and 9 federal enforcement actions totaling $387,126.

Abuse Icon Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
159
Total citations
155
Last 3 years
14
Actual harm+
9
Federal penalties
$387,126
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care41 Resident Rights37 Abuse & Neglect21 Medication & Pharmacy19 Care Planning13

Most common F-tags at this facility

F6898 F8808 F6107 F6777 F5856

Citation history

159 on record
SurveyF-TagViolationSeveritySource
Dec 30, 2025F610Respond appropriately to all alleged violations.DComplaint
Dec 30, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 30, 2025F584Honor 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.EComplaint
Dec 30, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint
Sep 17, 2025F880Provide and implement an infection prevention and control program.EStandard
Sep 17, 2025F761Ensure 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.EStandard
Sep 17, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Sep 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 17, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Sep 17, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Sep 17, 2025F641Ensure each resident receives an accurate assessment.EStandard
Sep 17, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Sep 17, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard
Sep 17, 2025F585Honor 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.DStandard
Sep 17, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Sep 17, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Sep 17, 2025F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Aug 20, 2025F610Respond appropriately to all alleged violations.DComplaint
Aug 20, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 20, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 11, 2025F610Respond appropriately to all alleged violations.DComplaint
Jul 11, 2025F584Honor 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.EComplaint
Jun 10, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jun 10, 2025F761Ensure 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.DComplaint
Jun 10, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 10, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
Apr 1, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 1, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Apr 1, 2025F803Ensure 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.EComplaint
Apr 1, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Apr 1, 2025F761Ensure 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.EComplaint
Apr 1, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Apr 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 1, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Feb 6, 2025F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Feb 6, 2025F625Notify 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.DComplaint
Feb 6, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 7, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Jan 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 7, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Jan 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 28, 2024F880Provide and implement an infection prevention and control program.DComplaint
Oct 28, 2024F685Assist a resident in gaining access to vision and hearing services.DComplaint
Oct 28, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Sep 19, 2024F917Make 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.DComplaint
Sep 19, 2024F760Ensure that residents are free from significant medication errors.GComplaint
Sep 19, 2024F758Implement 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.DComplaint
Sep 19, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Sep 19, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 19, 2024F610Respond appropriately to all alleged violations.DComplaint
Sep 19, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 19, 2024F585Honor 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.DComplaint
Sep 19, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 19, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Jul 1, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.JComplaint
Jul 1, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Jul 1, 2024F625Notify 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.EComplaint
Jul 1, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Jul 1, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Jul 1, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 1, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Jul 1, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Jul 1, 2024F946Provide training in compliance and ethics.FStandard
Jul 1, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard
Jul 1, 2024F908Keep all essential equipment working safely.FStandard
Jul 1, 2024F880Provide and implement an infection prevention and control program.FStandard
Jul 1, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jul 1, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jul 1, 2024F700Try 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.DStandard
Jul 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jul 1, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jul 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 1, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Jul 1, 2024F610Respond appropriately to all alleged violations.EStandard
Jul 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 7, 2024F881Implement a program that monitors antibiotic use.DComplaint
Mar 7, 2024F880Provide and implement an infection prevention and control program.FComplaint
Mar 7, 2024F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Mar 7, 2024F760Ensure that residents are free from significant medication errors.GComplaint
Mar 7, 2024F758Implement 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.DComplaint
Mar 7, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Mar 7, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Mar 7, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Mar 7, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Mar 7, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Mar 7, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Mar 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 7, 2024F688Provide 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.GComplaint
Mar 7, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Mar 7, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 7, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Mar 7, 2024F585Honor 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.DComplaint
Mar 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 7, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jan 17, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint

Federal enforcement history

Federal regulators have imposed 9 enforcement actions against this facility, including 5 civil money penalties totaling $387,126 and 4 payment-denial actions spanning 187 days.

DateTypeFinePayment denial
Jan 7, 2025Payment Denial—Feb 6, 2025 · 1 days
Jan 7, 2025Fine$122,110—
Jul 1, 2024Fine$167,635—
Jul 1, 2024Payment Denial—Aug 10, 2024 · 117 days
Jan 17, 2024Fine$17,101—
Jan 17, 2024Fine$41,266—
Jan 17, 2024Payment Denial—Feb 16, 2024 · 49 days
Apr 26, 2023Payment Denial—May 25, 2023 · 20 days
Apr 26, 2023Fine$39,014—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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