All citations for Bradbury Commons

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

July 3, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 18 of 18 citations

Harm to a resident
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level G.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2019).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 31, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 31, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 31, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 2, 2024).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 2, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 31, 2023).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 31, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Pattern (more than a few residents). CMS level E.
Health citation F-0578, Resident Rights Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2019).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2019).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pattern (more than a few residents). CMS level E.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2019).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2019).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2019).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2019).
No harm, with potential for more than minimal harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Isolated (one or a few residents). CMS level D.
Health citation F-0622, Resident Rights Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2019).
No harm, with potential for more than minimal harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Isolated (one or a few residents). CMS level D.
Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2019).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2019).
No harm, with potential for minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level C.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 2, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.