US Nursing Home Finder: BRADLEY HEALTH CARE & REHAB CLEVELAND TN

General Information: BRADLEY HEALTH CARE & REHAB
Nursing home name	BRADLEY HEALTH CARE & REHAB
Address	2910 PEERLESS RD CLEVELAND, TN 37312
Phone number	(423) 472-7116
Located within a hospital	No
Type of ownership	Government - County
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	213
Total number of residents	197
Perc of occupied beds	92
Sprinkler status	partially sprinklered
Last health survey date	07/08/2009
Fire survey date:	07/06/2009

Ratings Summary: BRADLEY HEALTH CARE & REHAB
Overall rating	2 out of 5 stars
Nursing Home Staffing	1 out of 5 stars
Registered Nurses only	1 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	2 out of 5 stars

Nursing Home Staffing Info: BRADLEY HEALTH CARE & REHAB
	National Average	BRADLEY HEALTH CARE & REHAB
Overall staff rating	Not Available.	1 out of 5 stars
Registered Nurses only rating	Not Available	1 out of 5 stars
Total Number of Residents	94.2	197
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	0.63 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.16 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.47 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.16 hours

Health Inpections: BRADLEY HEALTH CARE & REHAB
Inspection Results: 07/08/2009
Corrected	Category	Deficiency	Severity
08/10/2009	Environmental Deficiencies	Keep all essential equipment working safely.	D
08/10/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
08/10/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
08/10/2009	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	D
08/10/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
08/10/2009	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
Inspection Results: 05/14/2008
Corrected	Category	Deficiency	Severity
06/08/2008	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
06/08/2008	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
06/08/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
06/08/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
06/08/2008	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	E
06/08/2008	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D
06/08/2008	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D
Inspection Results: 06/13/2007
Corrected	Category	Deficiency	Severity
07/26/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
07/26/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
07/26/2007	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
07/26/2007	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D

Fire Safety Inpections: BRADLEY HEALTH CARE & REHAB
Inspection Results: 07/06/2009
Corrected	Category	Deficiency	Severity
08/10/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
08/10/2009	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	D
Inspection Results: 05/13/2008
Corrected	Category	Deficiency	Severity
06/13/2008	Fire Alarm Systems Deficiencies	a fire alarm system that can be heard throughout the facility.	D
05/13/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
05/13/2008	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D
05/13/2008	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	D
Inspection Results: 06/12/2007
Corrected	Category	Deficiency	Severity
07/25/2007	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
06/15/2007	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D
07/15/2007	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
06/14/2007	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D

Resident Complaints: BRADLEY HEALTH CARE & REHAB
Date Complaint Substantiated: 08/20/2009
Corrected	Category	Deficiency	Severity
09/08/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
Date Complaint Substantiated: 11/19/2008
Corrected	Category	Deficiency	Severity
11/25/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D

Quality Measures: BRADLEY HEALTH CARE & REHAB
Quality Measures	National Average	BRADLEY HEALTH CARE & REHAB
Overall quality rating	Not Available	2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	12%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	10%
Percent of high-risk long-stay residents who have pressure sores	11%	4%
Percent of long-stay residents whose need for help with daily activities has increased	14%	13%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	7%
Percent of low-risk long-stay residents who have pressure sores	2%	0%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	6%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	50%
Percent of long-stay residents who were physically restrained	3%	25%
Percent of long-stay residents who are more depressed or anxious	14%	5%
Percent of long-stay residents who had a urinary tract infection	9%	11%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who lose too much weight	8%	6%
Short-Stay Residents
Percent of short-stay residents who had moderate to severe pain	19%	14%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	88%
Percent of short-stay residents who have delirium	2%	3%
Percent of short-stay residents who have pressure sores	13%	6%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: BRADLEY HEALTH CARE & REHAB CLEVELAND TN