Bradford Village Healthcare Center

In the surveyor’s words

From the most serious findings on record at Bradford Village Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Aug 22, 2023

  Based on observation, record review, and interview, the facility failed to ensure the menu was followed for one of one meal service observed. The Resident Census and Conditions of Residents report, dated 08/21/23, documented 93 residents resided in the facility. The DON identified 93 residents received services from the kitchen. Findings: A Dietary Spreadsheet, dated 03/14/23, documented the lunch service was to contain Dsrt of Day. On 08/21/23 at 12:05 p.m., Resident #14 was observed in the dining room eating a salad. There was no observation a dessert had been provided. On 08/21/23 at 12:07 p.m., Resident #5 was observed in the dining room eating a salad. There was no observation a dessert had been provided. On 08/21/23 at 12:22 p.m., Resident #14 was asked how their lunch was. […]

• No harm, potential for more than minimal, patternF755Feb 12, 2025

  Based on observation, record review and interview, the facility failed to: a. ensure expired medications were removed from circulation for three (#8, 46, and #56) of 10 sampled residents reviewed with controlled medications; and b. medications were administered as ordered for one (#24) of five sampled residents reviewed for unnecessary medications. The administrator identified 81 residents resided in the facility. Findings: The MEDICATION ADMINISTRATION-GENERAL GUIDELINES policy, dated 01/2022, read in part, Medications are administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so. 1. […]

• No harm, potential for more than minimal, patternF812Nov 30, 2023

  Based on observation, record review and interview, the facility failed to ensure food items were properly sealed, dated, and labeled during one of one kitchen observations. The DON identified 96 residents resided in the facility and received services from the kitchen. Findings: The facility's Dining Services Policies and Procedures - Food Storage policy, revised 04/30/09, read in part, .Food items will be stored, thawed, and prepared in accordance with approved sanitary practices .Fresh Fruits .Rotate so that oldest produce is used first .Fresh vegetables are to be checked and sorted for ripeness . On 11/27/23 at 1:24 p.m., the following items were observed in the walk in the freezer during the initial kitchen tour: a. […]

• No harm, potential for more than minimal, patternF880Nov 30, 2023

  Based on record review and interview, the facility failed to report a communicable disease to the OSDH for four (#19, 47, 48, and #146) of four residents reviewed for COVID-19. The DON identified 96 residents resided in the facility. Four residents were positive for COVID-19 in the facility. Findings: 1. Resident #146 had diagnoses which included cerebral palsy and diabetes. A nursing note, dated 11/18/23, documented Resident #146 tested positive for COVID-19. 2. Resident #47 had diagnoses which included depression and transient ischemic attack. A nursing note, dated 11/23/23, documented Resident #47 tested positive for COVID-19. 3. […]

• No harm, potential for more than minimal, patternF607Dec 1, 2022

  41318 Based on record review and interview, the facility failed to ensure allegations related to verbal and physical abuse was reported accurately and thoroughly investigated for two (#12 and #184) of three sampled residents reviewed for abuse. The Residents Census and Conditions, report, dated 11/27/22, documented 85 residents resided in the facility. Findings: The facility's Abuse, policy, revised 09/16/16, read in part, .A member of the administrative staff will then conduct a thorough investigation of the incident/allegation to obtain information about the incident . Resident #12 had diagnosis of diabetes mellitus type two, chronic kidney disease, and gout. […]