Inspection Reports for
Bradley Home & Pavilion
320 Colony St, Meriden, CT 06451, CT, 06451
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3.6 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
36% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 5, 2026
Visit Reason
The inspection was conducted following a complaint regarding inadequate supervision during ambulation of a resident, which resulted in a fall and injury.
Complaint Details
The complaint investigation found that Resident #1, who required assistance with ambulation, was left standing alone in the hallway by NA #1, who did not use a gait belt or remain with the resident. This led to a fall and a femoral neck fracture. The complaint was substantiated with actual harm to the resident.
Findings
The facility failed to provide adequate supervision to Resident #1 during ambulation with a rolling walker, resulting in a fall causing a right femoral neck fracture requiring surgical intervention. Staff did not follow facility policy or physician orders for ambulation assistance, including failure to use a gait belt and leaving the resident unattended.
Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents. Resident #1 fell during ambulation due to staff leaving the resident unattended and not using a gait belt as required.
Report Facts
Residents affected: 3
Residents affected: 1
Fall risk assessment date: Nov 21, 2025
Physician order date: Nov 21, 2025
Fall date: Dec 1, 2025
Surgical procedure date: Dec 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #1 | Nursing Assistant | Responsible for Resident #1 during fall and failed to provide required supervision |
| RN #1 | Nursing Supervisor (3 PM to 11 PM) | Assessed Resident #1 immediately after fall |
| RN #2 | Nursing Supervisor (7 AM to 3 PM) | Assessed Resident #1 the morning after the fall |
| Director of Nursing | Director of Nursing | Identified failure to follow facility policy and physician orders regarding gait belt use |
Inspection Report
Routine
Deficiencies: 5
Date: Mar 10, 2025
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, dietary services, and care planning at Bradley Home Infirmary/Pavilion.
Findings
The facility failed to honor a resident's right to self-determination regarding diet preferences, failed to develop and update comprehensive care plans for residents including those at risk of elopement and with changing conditions, and failed to ensure safe food temperatures during meal delivery and reheating. Deficiencies were noted in honoring resident choices, care plan completeness and revisions, and dietary food safety practices.
Deficiencies (5)
F 0561: The facility failed to honor Resident #14's right to choose by forcing thickened liquids and modified diets despite the resident's preference for regular diet and thin liquids.
F 0656: The facility failed to develop a comprehensive care plan for Resident #14 at risk of elopement, lacking timely updates and interventions for wandering behavior.
F 0657: The facility failed to revise care plans for Residents #10 and #11 after changes in condition, including new wounds and confirmed urinary tract infection.
F 0745: The facility failed to provide medically-related social services to support Resident #14's voiced goals of care and failed to document interdisciplinary team meetings or family collaboration.
F 0812: The facility failed to maintain safe food temperatures during meal delivery and failed to ensure nursing staff properly reheated food to safe temperatures using a thermometer.
Report Facts
Food temperature: 97.2
Food temperature: 105
Food temperature: 114.5
Medication dosage: 2
Urine culture colony count: 100000
Antibiotic dosage: 800
Antibiotic dosage: 160
Antibiotic treatment duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| APRN #1 | Advanced Practice Registered Nurse | Named in findings related to Resident #14's diet and goals of care discussions |
| LPN #1 | Licensed Practical Nurse, MDS Coordinator | Named in findings related to failure to update Resident #14's care plan for wandering |
| DNS | Director of Nursing Services | Named in findings related to Resident #14's diet decisions and care plan updates |
| SW #1 | Social Worker | Named in findings related to Resident #14's food complaints and goals of care |
| Asst Food Service Dir | Assistant Food Service Director | Named in findings related to food temperature and meal delivery practices |
| Food Service Director | Food Service Director | Named in findings related to food reheating policies and practices |
| NA #2 | Nurse Aide | Named in findings related to reheating food for residents |
Inspection Report
Annual Inspection
Deficiencies: 8
Date: May 11, 2023
Visit Reason
The inspection was conducted as a comprehensive annual survey of Bradley Home Infirmary/Pavilion to assess compliance with regulatory standards across multiple areas including environment, care planning, medication administration, pressure ulcer care, nutrition, respiratory care, medical record maintenance, infection control, and resident safety.
Findings
The facility was found deficient in multiple areas including failure to maintain a clean and homelike environment, incomplete care plans especially related to alcohol use, unsafe medication administration practices, inaccurate pressure ulcer assessment, failure to provide ordered nutritional supplements and monitor weights, improper oxygen therapy management, incomplete medical records regarding alcohol consumption, and failure to dispose of expired infection control supplies.
Deficiencies (8)
F 0584: The facility failed to maintain a clean and comfortable homelike environment with wall damage and chipped paint in multiple resident rooms and damage to bathroom flooring.
F 0656: The facility failed to develop and implement a comprehensive care plan for a resident consuming alcohol during recreational activities, lacking interventions for safe alcohol use.
F 0658: The facility failed to ensure residents had identification bands during medication administration and did not follow safe medication administration practices for identifying residents.
F 0686: The facility failed to accurately assess and stage a resident's pressure ulcer and did not notify the dietician timely.
F 0692: The facility failed to provide meal supplements as ordered and failed to consistently monitor weekly weights for residents at risk for nutritional problems and weight loss.
F 0695: The facility failed to ensure oxygen therapy was administered as ordered and allowed a nursing assistant to change oxygen settings outside their scope of practice.
F 0842: The facility failed to maintain accurate medical records regarding residents' alcohol consumption during recreational activities and lacked completed assessments for alcohol use appropriateness.
F 0880: The facility failed to dispose of expired hand sanitizer located on an infection control supply cart outside a resident's room.
Report Facts
Deficiencies cited: 8
Residents reviewed: 26
Dates of environmental surveys reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DNS | Director of Nursing Services | Interviewed regarding environmental issues, care plans, medication administration, and alcohol use policies |
| ADNS | Assistant Director of Nursing Services | Interviewed regarding resident alcohol use and care planning |
| LPN #1 | Licensed Practical Nurse | Observed medication administration and identification band issues |
| LPN #3 | Licensed Practical Nurse | Responsible for checking oxygen settings |
| NA #4 | Nursing Assistant | Changed oxygen settings outside scope of practice |
| RPH | Registered Pharmacist | Interviewed about alcohol and medication interactions |
| MD #2 | Medical Doctor | Interviewed about alcohol use and resident safety |
| RD #1 | Registered Dietician | Interviewed regarding nutrition and weight monitoring |
| RN #1 | Registered Nurse | Interviewed regarding infection control and expired sanitizer |
| Infection Preventionist | Interviewed regarding pressure ulcer care and infection control | |
| APRN #1 | Advanced Practice Registered Nurse | Interviewed regarding weight monitoring and care plans |
Inspection Report
Renewal
Census: 29
Capacity: 74
Deficiencies: 0
Date: Nov 18, 2022
Visit Reason
The inspection was conducted as a licensing inspection for renewal of the facility's license.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. A violation letter dated 12/15/22 is attached.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carol Nelligan | DON | Personnel contacted during inspection |
| Molly Savard | Administrator | Personnel contacted during inspection |
| Karen Gworek | RN Supervisor | Approval for issuance of license granted |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Nov 18, 2022
Visit Reason
An unannounced visit was made to Bradley Home & Pavilion on November 18, 2022 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensure inspection.
Findings
The facility was found to have violations related to improper storage of medications and failure to ensure residents who self-administer medications had physician orders and were assessed for safe self-administration. The plan of correction includes purchasing locked medication dispensers, implementing policies for self-medication, and ongoing monitoring and education.
Deficiencies (2)
Facility failed to ensure proper storage of medications, with multiple residents having medications stored unsecured in their rooms.
Facility failed to ensure residents who self-administer medications had a physician's order and were assessed for safe self-administration.
Report Facts
Residents reviewed for medication administration: 14
Days supply of medications: 7
Date locked medication dispenser use will begin: Jan 9, 2023
Frequency of assessments for self-medication: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Gworek | Supervising Nurse Consultant | Signed the letter as Supervising Nurse Consultant from Facility Licensing & Investigations Section. |
| Molly Savard | Person-in-Charge | Named as Person-in-Charge of Bradley Home & Pavilion. |
Inspection Report
Routine
Deficiencies: 2
Date: Jul 14, 2021
Visit Reason
The inspection was conducted to assess compliance with food safety, hygiene, and safety standards in the nursing home facility.
Findings
The facility failed to ensure dietary staff wore proper hair restraints, date and label opened food items, discard expired food, sanitize food thermometers properly, maintain clean dish storage, and perform hand hygiene. Additionally, the facility failed to ensure laundry chute doors self-closed and latched properly.
Deficiencies (2)
F 0812: The facility failed to ensure dietary staff wore hair restraints properly, date and label opened food items, discard expired food, sanitize food thermometers before use, maintain clean dish storage, and perform hand hygiene when necessary.
F 0921: The facility failed to ensure laundry chute room doors self-closed and latched, posing a safety risk.
Report Facts
Expired condiment bottles: 7
Date of inspection: Jul 8, 2021
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