All citations for The Bradley Gardens

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 The Bradley Gardens

Last standard health inspection on record

August 21, 2025

Showing 1 to 25 of 30 citations

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

  2. 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 August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

  4. 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 August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

  6. 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 August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2024).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Address patient/client population and determine types of services needed.

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

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Include a process for Emergency Preparedness collaboration.

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

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Establish policies and procedures including evacuation.

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

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Establish policies and procedures for sheltering.

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

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Create arrangements with other facilities to receive patients.

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

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Provide primary/alternate means for communication.

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

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Provide a means of sharing information on occupancy/needs.

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

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

  25. 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.

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

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of August 12, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2021).

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.