Bradley Health Care & Rehab

In the surveyor’s words

From the most serious findings on record at Bradley Health Care & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF744May 28, 2026

  Based on facility policy review, medical record review, video surveillance footage review and interview, the facility failed to provide individualized behavioral interventions, and sufficient supervision to prevent wandering, and exit seeking behaviors, for 1 resident (Resident #1) of 4 residents reviewed for behaviors which resulted in actual Harm to Resident #1. The facility's failure to provide sufficient monitoring, supervision, and adequate care plan interventions in response to wandering and exit seeking behaviors, resulted in Resident #1 sustaining fall related injuries during a wandering episode on 4/28/2026. […]

• Actual harm, isolatedF600Feb 27, 2024

  Based on review of facility policy, medical record review, review of the facility investigation, observation, and interviews, the facility failed to prevent abuse for 1 resident, (Resident #2) of 7 residents reviewed for abuse or neglect. The facility's failure to prevent abuse with subsequent injuries of Resident #2 after an assault by Resident #3, resulted in actual Harm of Resident #2. F 600 was cited at a Harm as past non-compliance. The facility is not required to submit additional corrective actions. […]

• Actual harm, isolatedF689Aug 6, 2021

  Based on facility policy review, review of the facility Fall Checklist, medical record review, and interview, the facility failed to follow their Fall Checklist to complete neurological checks, failed to complete an accurate falls risk assessment, failed to implement a new falls intervention to prevent further falls, and failed to supervise a resident after a fall for 1 resident (#1) of 4 residents reviewed for falls. The facility's failure resulted in Resident #1 sustaining fractures and a laceration to the left side of the forehead, resulting in Harm to Resident #1. […]

• No harm, potential for more than minimal, patternF550May 28, 2026

  Based on review of the facility policy, observation, and interview, the facility failed to remove resident plates and utensils from serving trays, to promote a dignified dining experience for 8 of 8 residents observed in the [NAME] 1 dining room and delayed assistance to 1 dependent resident (Resident #13) for 20 minutes who was seated at the same table as other residents received and finished their meals.The findings include: Review of the undated facility policy titled, Promoting/Maintaining Resident Dignity, revealed .It is the practice of this facility to .promote .and treat each resident with respect and dignity .care for each resident in a manner and in an environment, that maintains or enhances quality of life .Each Resident will be provided equal access to quality of care,… […]

• No harm, potential for more than minimal, isolatedF609May 28, 2026

  Based on review of the facility abuse policy, review of facility investigations, and interviews, the facility failed to ensure facility reported incidents (FRI) related to allegations of abuse were reported within a timely manner for 4 residents (Residents #1, # 2 #3 and #4) of 11 residents sampled for abuse or neglect.The findings included: Review of the facility policy and procedure Resident Abuse revealed .When an incident of suspected resident abuse, mistreatment, or neglect is reported the following will occur .The case of suspected abuse will be reported per regulation to the Department of Health by Administrator or Designee .If you have witnessed or have knowledge of such actions in this facility, please give an immediate report to Administration .Resident Abuse May Also Be Reported… […]