The Bradford Village of Kernersville – West

The Bradford Village of Kernersville – West is a 62-bed assisted living and memory care center at 602 Piney Grove Road, Kernersville, Forsyth County, North Carolina, 0.9 miles from downtown. the facility offers assisted living and memory care with 24-hour staffing. Amenities include on-site beauty shop, physical therapy, occupational therapy, speech therapy, physician and podiatry services, and pharmacy. CMS Overall Rating is 3 out of 5 stars.

Current occupancy is 49 residents from a 62-bed capacity (79 percent). The facility accepts Medicaid but not Medicare.

The regulatory record spans ten years of severe and persistent deficiencies in medication administration, facility maintenance, fire safety, infection control, resident supervision, and health care coordination. Over ten years, The Bradford Village logged 110 deficiencies, averaging 11 annually, 112 percent worse than North Carolina’s 5.2-deficiency benchmark. A July 22, 2015, construction survey cited fourteen deficiencies including blocked exits, missing hand grips, improper linen and oxygen storage, unprotected penetrations, unsafe electrical systems, and inadequate ventilation. An October 13, 2015, annual survey cited four deficiencies in oxygen storage and therapeutic diet accuracy.

A March 15, 2016, follow-up survey cited two deficiencies in therapeutic diet compliance. A July 13, 2017, construction survey cited eight deficiencies including poor flooring, broken tiles, malfunctioning doors, gaps in fire-resistant ceilings, and non-operational exit signs. A November 7, 2017, follow-up survey cited three deficiencies in door sealing and plumbing. A May 16, 2019, annual survey and complaint investigation cited five deficiencies: failure to complete personal care training, failure to supervise resident with dementia resulting in multiple unwitnessed falls, failure to notify physician, medication administration errors, and inaccurate records.

A July 31, 2019, construction survey cited nine deficiencies including missing hand grips, peeling paint, resident on bare mattress, missing towel bars, and unsecured gas lines. An October 16, 2019, follow-up survey cited three deficiencies in medication administration. An October 23, 2020, complaint investigation and COVID-19 survey cited five deficiencies in sanitation, health care coordination, medication administration, staff training, and controlled substance records. A March 16, 2021, follow-up survey cited four deficiencies including critical medication errors: administering Humulin R U500 insulin with U100 syringes resulting in five times prescribed dose for multiple administrations, administering Humalog insulin outside physician parameters, unauthorized self-administration of emergency inhaler, and inaccurate controlled substance records.

A June 21, 2021, annual survey cited six deficiencies: failure to implement weight monitoring orders, failure to serve therapeutic diets, forced mask-wearing and facility restrictions violating resident dignity, medication administration errors, inaccurate controlled substance records, and infection control failures in glucometer use. An October 12, 2021, follow-up and complaint investigation cited seven deficiencies: inadequate third-shift staffing, failure to notify providers for health changes, failure to implement physician orders, medication errors, inaccurate controlled substance records, and infection control violations. A January 7, 2022, follow-up and complaint investigation cited five deficiencies: failure to provide personal care for five residents resulting in skin ulcer, inaccurate medication records, inaccurate controlled substance records, failure to timely report verbal abuse allegations, and failure to treat residents with respect and dignity. An April 7, 2022, follow-up survey cited seven deficiencies: medication aide training failures, failure to notify physicians for health changes, medication administration errors, inaccurate controlled substance records, and COVID-19 mask policy violations.

A June 22, 2023, follow-up survey cited five deficiencies: competency validation failures for medication staff, failure to follow-up health care referrals, failure to administer vitamins as ordered, inaccurate medication records, and improper medication refrigeration. A March 16, 2023, annual survey cited six deficiencies: failure to complete annual care plans, inadequate supervision after resident falls, failure to ensure health care referrals, failure to serve therapeutic diets, medication administration errors, and inaccurate records. A July 19, 2023, follow-up survey cited five deficiencies in fire alarm system and building safety. A December 28, 2023, follow-up survey cited one deficiency: incomplete fire alarm system.

A September 19, 2024, annual and follow-up survey cited three deficiencies: failure to document medication aide training, failure to administer insulin as ordered, and inaccurate eMAR documentation. A June 18, 2025, construction follow-up survey cited one deficiency: non-operational showers in two group bathrooms. Occupancy has remained stable between 49 and 62 residents. No fines or license suspensions are records.

The facility’s 3-star CMS rating and deficiency rate more than double the state average reflect severe systemic failures spanning a decade with critical medication administration errors, resident neglect, inadequate supervision, and persistent facility maintenance and safety issues. The March 2021 critical insulin dosing error administering five times prescribed dose through incorrect syringe selection represents a life-threatening medication safety incident. The January 2022 substantiated neglect resulting in resident skin ulcer, and the June 2021 forced mask-wearing and facility restrictions violating resident dignity demonstrate serious patient rights and safety breaches. Persistent deficiencies despite repeated corrective action plans since 2015 indicate systemic failure to implement sustainable improvements across medication administration, staff training, facility maintenance, infection control, and resident supervision.

This facility requires substantial verification of all operational and safety systems.

Families should ask about the March 2021 critical insulin medication error, the January 2022 neglect incident, and supervision for residents with dementia and fall risk.

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(336) 993-8711