All citations for Bradford Square Nursing and Rehabilitation Center

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.

Back to Bradford Square Nursing and Rehabilitation Center

Last standard health inspection on record

March 26, 2026

Showing 1 to 25 of 35 citations

  1. Immediate jeopardy to resident health or safety

    Prepare residents for a safe transfer or discharge from the nursing home.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0624, Resident Rights Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 31, 2024).

  2. No harm, with potential for more than minimal harm

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  3. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  4. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  5. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  6. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  7. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  9. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

  12. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  13. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0835, Administration Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

  14. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

  15. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  16. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  17. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  18. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  19. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  20. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  21. No harm, with potential for more than minimal harm

    Have power receptacles that are properly grounded.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  22. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  23. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  24. 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 March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 14, 2026).

  25. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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.