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Bradford Heights Health & Rehab Center, Inc

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About Bradford Heights Health & Rehab Center, Inc

General Information

Legal Business NameBradford Heights Health & Rehab Center, Inc.
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 21, 1979 (38 years)
Capacity100
Residents73
Percent Occupied73%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bradford Heights Health & Rehab Center, Inc

Bradford Heights Health & Rehab Center, Inc
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kentucky Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 23, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.

May 9, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
JFewImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
JFewImmediate JeopardyComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

April 20, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$100,960 fine
---Payment DenialPayment denial for 51 days
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

September 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.

June 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

April 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintUse a registered nurse at least 8 hours a day, 7 days a week.

February 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHelp the resident in making transportation arrangements to and from radiology services.

December 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bradford Heights Health & Rehab Center, Inc require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 35min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
55min
1hr
ReportedExpected
RN
3hr 50min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

86.9%
88.9%
88.9%
88.9%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
57.9%
66.7%
60.0%
59.3%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
44.0%
54.2%
63.0%
50.0%
48.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
29.8%
28.3%
25.0%
25.4%
31.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
40.1%
15.9%
15.8%
40.7%
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose ability to move independently worsened
20.0%
17.2%
10.5%
14.5%
20.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antipsychotic medication
12.7%
10.3%
16.1%
16.7%
16.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose need for help with daily activities has increased
14.9%
4.1%
6.8%
8.4%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who self-report moderate to severe pain
5.4%
11.9%
8.6%
16.9%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who lose too much weight
11.1%
18.4%
14.3%
12.5%
6.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
2.1%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who have depressive symptoms
8.9%
13.6%
5.2%
8.5%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a urinary tract infection
1.8%
1.7%
3.3%
3.4%
3.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents experiencing one or more falls with major injury
2.3%
2.0%
0.7%
2.6%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a catheter inserted and left in their bladder
3.5%
1.7%
0.0%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

51.8%
50.4%
40.5%
28.3%
84.7%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
10.3%
52.6%
52.6%
52.6%
82.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
73.9%
71.1%
66.7%
54.3%
57.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who made improvements in function
7.7%
10.4%
11.6%
9.8%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who self-report moderate to severe pain
1.1%
1.0%
2.3%
2.2%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents with pressure ulcers that are new or worsened