SeniorHomeViolations
D+
54/100

BRADLEY HEALTH CARE & REHAB Inspection Report, Violations & Safety Grade (CLEVELAND, Tennessee)

2910 PEERLESS RD, CLEVELAND, Tennessee 37312

Phone: 4234727116

CMS Overall:1/5

Overview & Bed Count

Certified Beds
213
Avg Residents/Day
105.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Bradley
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.400.60-0.19
Total Nurse Hours per Resident per Day3.173.82-0.65
CMS Staffing Rating1/52.5/5-
Nursing Staff Turnover49.0%48.6%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-05-28Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.G – Actual Harm
2026-05-28Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2026-05-28Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-02-27Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2022-11-02Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2022-11-02Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2022-11-02Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2022-11-02Infection Control DeficienciesEnsure staff are vaccinated for COVID-19C – Minimal Harm Potential
2018-10-31Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2018-10-31Environmental DeficienciesKeep all essential equipment working safely.F – Moderate Harm Potential
2018-10-31Resident Rights DeficienciesLimit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.D – Moderate Harm Potential
2018-10-31Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2018-10-31Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2022-11-02Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2022-11-02Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2022-11-02Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2022-11-02Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2019-12-18Smoke DeficienciesConstruct fire resistant interior walls.F – Moderate Harm Potential
2019-12-18Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2019-12-18Egress DeficienciesAdd 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.D – Moderate Harm Potential
2019-12-18Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2019-12-18Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2019-12-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2018-10-31Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2018-10-31Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2018-10-31Emergency Preparedness DeficienciesEstablish an Emergency Preparedness Program (EP).C – Minimal Harm Potential

Total Penalties & Fines

$8,999
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-02-27Fine$8,999-

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