All citations for Bradley Estates Nursing and Rehab LLC

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 Bradley Estates Nursing and Rehab LLC

Last standard health inspection on record

September 17, 2025

Showing 1 to 25 of 34 citations

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2025).

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of July 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of July 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of July 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2023).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

  8. 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 September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

  9. 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 September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of July 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of July 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

  15. 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 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of July 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of April 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

  19. 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, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

  20. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of April 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

  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, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Install properly constructed and protected linen or trash chutes.

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

    Fire safety citation K-0541, Services Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

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.