Inspection Report
Complaint Investigation
Census: 51
Capacity: 114
Deficiencies: 1
Aug 26, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that the facility is understaffed most days.
Findings
The investigation found that the facility was not understaffed as alleged, with staffing levels sufficient to meet resident needs. However, a violation was established due to the facility's failure to update work schedules to accurately reflect actual staffing.
Complaint Details
The complaint alleged that the facility is short staffed most days but did not provide examples of how resident care was affected. The complaint was not substantiated.
Deficiencies (1)
| Description |
|---|
| Schedules provided by the facility were not always updated to reflect staffing changes for the timeframe reviewed. |
Report Facts
Resident census: 51
Facility capacity: 114
Call alerts: 1040
Average response time: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Wozniak | Authorized Representative | Interviewed during onsite inspection and provided staffing information |
| Tabatha Barnes | Administrator | Named as facility administrator |
| Elizabeth Gregory-Weil | Licensing Staff | Conducted inspection and authored report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Renewal
Census: 39
Capacity: 114
Deficiencies: 13
Jul 10, 2025
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with regulatory requirements for The Bradford Senior Living facility.
Findings
The facility was found to be in non-compliance with multiple public health codes and administrative rules, including failure to update resident admission contracts after ownership change, incomplete resident service plans, untimely tuberculosis screenings for residents and employees, multiple medication administration errors and documentation issues, lack of employee training records, missing meal census records, improper food storage and sanitation practices, uncovered garbage containers, and unsecured hazardous materials.
Deficiencies (13)
| Description |
|---|
| Resident rights policy was not posted. |
| Resident admission contracts for Residents A, B, and C were not updated to reflect new ownership. |
| Resident D did not have a service plan in place; preadmission assessment was used instead. |
| Residents B, C, D, E, and F did not have tuberculosis testing completed within 12 months prior to admission. |
| Employees 1, 2, 3, and 4 did not have initial tuberculosis screening completed within 10 days of hire. |
| Multiple residents missed scheduled medication doses with inadequate or incorrect documentation; some medications were not proactively reordered leading to medication unavailability. |
| Employee files for Employees 1 and 2 lacked evidence of training. |
| Facility was unable to produce a meal census record. |
| Numerous garbage containers were uncovered without lids, including in the commercial kitchen. |
| Perishable food items in the commercial kitchen were improperly stored and lacked labeling or dating. |
| Thermometers were missing from refrigerators and freezers in resident rooms and activity areas. |
| Dish machine temperature logs were blank and staff could not confirm last recorded temperatures, risking inadequate utensil sanitation. |
| Hazardous and toxic materials were stored in unlocked cabinets accessible to residents, posing ingestion and poisoning risks. |
Report Facts
Staff interviewed: 18
Residents interviewed: 39
Facility capacity: 114
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Juroe | Administrator | Named in relation to resident service plan deficiency and medication administration follow-up |
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report |
Inspection Report
Complaint Investigation
Capacity: 114
Deficiencies: 2
Dec 18, 2024
Visit Reason
The inspection was conducted in response to a complaint received on 2024-12-09 from Adult Protective Services regarding Resident A, alleging neglect in wound care and hygiene.
Findings
The investigation substantiated violations related to Resident A being left in soiled briefs and wounds left untreated, as well as medications not being administered as prescribed. The service plan lacked specific wound care instructions, and medication administration records showed incomplete antibiotic courses.
Complaint Details
Complaint received from Adult Protective Services on 2024-12-09 alleging Resident A was left in soiled briefs and wounds untreated. The complaint was substantiated with violations established.
Deficiencies (2)
| Description |
|---|
| Resident A was left in soiled briefs, and her wounds were left untreated. |
| Medications were not administered as prescribed by the licensed healthcare provider. |
Report Facts
Capacity: 114
Medication doses administered: 15
Medication prescription duration: 10
Medication prescription duration: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Conducted the inspection and authored the report |
| Maggie Canny | Administrator | Facility administrator involved in the investigation and communications |
| Kimberly Wozniak | Authorized Representative | Authorized representative involved in the investigation and communications |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the inspection report |
Inspection Report
Complaint Investigation
Capacity: 114
Deficiencies: 1
Dec 10, 2024
Visit Reason
The inspection was conducted following a complaint alleging the facility did not follow policy and procedure after Resident A was observed on the floor.
Findings
The investigation substantiated that the facility failed to follow policy and procedure post fall occurrences involving Resident A, including delayed EMS notification and lack of timely staff response. The facility did not notify the family of critical incidents and failed to complete required incident reports.
Complaint Details
Complaint alleged that Resident A was found on the floor and the facility delayed contacting EMS for over an hour. The family was not notified timely about hospitalizations and critical incidents. The complaint was substantiated.
Deficiencies (1)
| Description |
|---|
| Facility did not follow policy and procedure post Resident A being observed on the floor. |
Report Facts
Capacity: 114
Complaint Receipt Date: Sep 5, 2024
Investigation Initiation Date: Sep 6, 2024
Report Due Date: Nov 5, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heim | Licensing Staff | Author of the Special Investigation Report |
| Lance Davis | Administrator | Facility Administrator named in the report |
| Kimberly Wozniak | Authorized Representative | Authorized Representative of the facility |
| Margaret Canny | Administrator | Interviewed during onsite investigation |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Renewal
Deficiencies: 0
Jun 29, 2024
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License effective date: Jun 29, 2024
License expiration date: Jul 31, 2024
Inspection Report
Complaint Investigation
Capacity: 114
Deficiencies: 3
Jun 12, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A was subjected to sexual abuse at Sunrise Assisted Living of Bloomfield.
Findings
The facility failed to protect Resident A from sexual abuse by Resident B, who exhibited ongoing sexual behaviors posing a threat to other residents. The facility did not document the incident properly or create an incident report, and the assertion that the sexual activity was consensual was not supported by documentation.
Complaint Details
Complaint received on 06/02/2023 alleging Resident A was sexually assaulted on 04/24/2023. The complaint was substantiated with violations established.
Deficiencies (3)
| Description |
|---|
| Failure to protect Resident A from sexual abuse by Resident B. |
| Failure to create an incident report documenting the sexual abuse incident. |
| Failure to maintain proper health record documentation related to the incident. |
Report Facts
Capacity: 114
Complaint Receipt Date: Jun 2, 2023
Investigation Initiation Date: Jun 7, 2023
Inspection Date: Jun 12, 2023
BIMS Score Resident A: 9
BIMS Score Resident B: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lance Davis | Administrator/Authorized Representative | Named in relation to the investigation and findings regarding the sexual abuse incident. |
| Barbara P. Zabitz | Health Care Surveyor | Author of the Special Investigation Report. |
Inspection Report
Renewal
Census: 32
Capacity: 114
Deficiencies: 7
Jun 7, 2023
Visit Reason
The inspection was conducted as a renewal licensing study for Sunrise Assisted Living of Bloomfield to assess compliance with state regulations and determine if the facility meets requirements for license renewal.
Findings
The facility was found to be non-compliant with several administrative rules including employee tuberculosis screening, medication administration errors, failure to maintain meal census records, improper linen storage, inadequate food labeling and sanitation, and unsecured hazardous materials in the beauty salon.
Deficiencies (7)
| Description |
|---|
| Facility unable to locate initial tuberculosis screening for an employee hired on 6/8/22. |
| Multiple missed and undocumented medication doses for residents, including Seroquel, Vitamin D3, Mirtazapine, and Sertraline, with unclear reasons and documentation errors. |
| Meal census records were not maintained for the previous 3-month period; last completed on 4/4/23. |
| Facility not utilizing separate clean and soiled linen storage areas, risking cross contamination. |
| Perishable food items in kitchen lacked proper labeling, dating, and sealing. |
| Dish machine temperature logs showed rinse temperatures never reached required 180°F, and temperature monitoring documentation was incomplete and inconsistent. |
| Hazardous and toxic materials were found unsecured in the beauty salon; the door lock was not engaged. |
Report Facts
Number of staff interviewed and/or observed: 14
Number of residents interviewed and/or observed: 32
Facility capacity: 114
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lance Davis | Administrator and Authorized Representative | Reported on medication supply and facility operations related to medication administration findings |
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and recommendation |
Inspection Report
Original Licensing
Capacity: 114
Deficiencies: 0
Sep 18, 2019
Visit Reason
The inspection was conducted as part of the original licensing study for Sunrise Assisted Living of Bloomfield to determine compliance with applicable licensing statutes and administrative rules.
Findings
The study determined substantial compliance with licensing statutes and administrative rules, resulting in a recommendation to issue a temporary license with a maximum capacity of 114 beds.
Report Facts
Licensed bed capacity: 114
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Author of the licensing study report and signatory |
| Russell Misiak | Area Manager | Approved the licensing study report |
| Kelly Hardy | Administrator | Authorized representative/administrator of the facility |
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