General Information: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Nursing home name BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Address950 HIGHPOINT DR.
HOPKINSVILLE, KY 42240
Phone number (270) 885-1151
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 100
Total number of residents 87
Perc of occupied beds 87
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints3
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
National AverageKentucky AverageBRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 87
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.38 hours 3.72 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.85 hours 1.4 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.89 hours 0.63 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.96 hours 0.77 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.53 hours 2.32 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.06 hours
Health Survey: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Heath Survey Summary on 2013-04-26
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-02-03
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-01-28
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Inspection Results: 04/26/2013
Corrected Deficiency Scope and Severity
06/03/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
06/03/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
06/03/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
06/03/2013 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 harm or potential for actual harm
06/03/2013 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern/Minimal harm or potential for actual harm
Inspection Results: 02/03/2012
Corrected Deficiency Scope and Severity
03/06/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
03/03/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
03/16/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
03/31/2012 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
03/16/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
03/16/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
03/06/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
03/06/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
03/03/2012 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
03/03/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
Inspection Results: 01/28/2011
Corrected Deficiency Scope and Severity
03/14/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
03/14/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
03/14/2011 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Minimal harm or potential for actual harm
03/14/2011 Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Isolated/Minimal harm or potential for actual harm
03/14/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
03/14/2011 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread /Minimal harm or potential for actual harm
03/14/2011 Provide food in a way that meets a resident's needs. Isolated/Minimal harm or potential for actual harm
03/14/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
03/14/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Fire Safety Survey Summary on 2013-04-25
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-02-01
Total Number of Fire SafetyDeficiencies 11
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-01-28
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Fire Safety Survey Results: 04/25/2013
Corrected Deficiency Severity
06/03/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
05/14/2013 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
05/17/2013 An approved automatic sprinkler system connected to the fire alarm system. Widespread /Minimal harm or potential for actual harm
05/07/2013 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/01/2012
Corrected Deficiency Severity
03/16/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
03/16/2012 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
03/16/2012 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
03/16/2012 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
03/16/2012 Proper backup exit lighting. Pattern/Minimal harm or potential for actual harm
03/16/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
03/16/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
03/16/2012 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
03/16/2012 Exits that are free from obstructions and can be used at all times. Pattern/Minimal harm or potential for actual harm
03/16/2012 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
03/16/2012 Properly installed electrical wiring and equipment. Widespread /Minimal harm or potential for actual harm

Resident Complaints: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Date Complaint Substantiated: 12/17/2013
CorrectedCategoryDeficiencySeverity
12/31/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 11/28/2012
CorrectedCategoryDeficiencySeverity
01/05/2013Allow residents the right to participate in the planning or revision of care and treatment. D
01/05/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D

Quality Measures: BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Quality Measures National Average Kentucky Average BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 17.0% 21.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.6% 5.5%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.6% 10.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.2% 13.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.7% 46.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.1% 3.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.5% 10.2%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.6% 1.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.7% 5.9%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 4.0% 3.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.7% 66.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 97.1% 72.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.2% 19.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.9% 12.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.4% 0.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.5% 27.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 87.8% 26.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.1% 2.0%

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