Bradford Manor Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Bradford Manor Nursing and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Aug 30, 2024

  Based on review of facility policy, observations, and staff interview, it was determined that the facility failed to implement infection control practices regarding Enhanced Barrier Precautions (EBPs-additional infection control precautions put in place during high contact care activities for individuals who have an increased risk of multi-drug resident organisms [MDROs] or who are colonized/infected with MDROs) for residents with a gastric feeding tube (a medical device used to provide nutrition and/or medications when a person cannot swallow or take anything by mouth) and for residents with indwelling urinary catheters (tubing inserted into the bladder to drain urine into a bag) for six of six residents reviewed (Residents R170, R59, R37, R41, R19, and R58). […]

• No harm, potential for more than minimal, patternF740Sep 22, 2023

  Based on review of clinical records and facility documents, and resident and staff interviews, it was determined that the facility failed to provide appropriate behavioral health services/interventions to address behaviors for one of 17 residents (Resident R2). Findings include: Review of the facility's Skilled Nursing Facility Resident Handbook dated 3/2017, reviewed 12/13/22, Code of Conduct section indicated that all residents, family members and visitors should act and behave in a manner that is both respectful of and courteous towards the other residents living in the home as well as towards the staff members who provide care and services to such residents on a daily basis. […]

• No harm, potential for more than minimal, patternF812Sep 22, 2023

  Based on review of a facility policy, observations, and staff interviews, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety in one of two refrigerators reviewed (Resident Pantry at main nurse's station, B hall). Findings include: Review of the facility policy entitled Food Brought by Family/Visitors dated 12/13/22, indicated all food requiring refrigeration must be dated and labeled with the resident's name. Review of the facility policy entitled Infection Control/Food Safety dated 12/13/22, indicated only resident food items are stored in nutrition services refrigerators. Observation on 9/19/23, at 5:56 p.m. […]

• No harm, potential for more than minimal, patternF689Nov 19, 2021

  Based on review of clinical records, observations, and staff interviews, it was determined that the facility failed to ensure that potential safety hazards were secured in kitchen cupboards and drawers and not present in resident rooms for one of four units (dementia unit) and one of 22 residents reviewed (Resident R41). Findings include: Observations on 11/16/21, at 2:45 p.m. in the dementia unit's multi-purpose room where residents sit and wait for their meals, eat their meals, play games, color pictures, sit and relax, etc. revealed that two kitchen cupboards and one kitchen drawer were not locked. […]

• No harm, potential for more than minimal, patternF804Nov 19, 2021

  Based on review of clinical records, observations, and staff and resident interviews, it was determined that the facility failed to serve palatable food at an appetizing temperature for eight of 25 residents reviewed (Residents R13, R14, R38, R48, R34, R47, R65, and R39). Findings include: Review of facility policy entitled, Food Temperatures dated 12/9/20, revealed that cold foods should be served at 41 degrees Fahrenheit (F) or below and hot foods should be served at 135 degrees F or higher. Observations on 11/17/21, at 8:32 a.m. revealed that breakfast was being served on A Hall. […]