Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bradford House Nursing And Rehab, Llc during CMS and state inspections, most recent first.
Two residents who required two-person assistance for transfers were moved by a single CNA, resulting in falls and injuries. In both cases, the staff involved were aware of the care plan requirements but did not follow them, leading to head injuries and the need for medical evaluation. Facility policies and care plans specifying two-person assistance were not adhered to, and required incident reporting procedures were not followed.
A resident with dementia and other conditions was frequently given antianxiety medication for exit-seeking and wandering behaviors without attempts at non-medication interventions. The facility lacked a chemical restraint policy, and staff interviews revealed a reliance on medication over alternative methods. The DON expected non-medication interventions to be used first, but this was not consistently documented.
A resident with multiple diagnoses, including dementia and an unsteady gait, had a chair/bed alarm restraint added to their care plan due to falls. However, the facility failed to accurately document the use of this restraint on the resident's MDS, as it was incorrectly noted that no restraints were used. The discrepancy was discovered during a survey when the resident was observed with an active alarm restraint.
Failure to Provide Required Two-Person Assistance During Resident Transfers Resulting in Falls
Penalty
Summary
The facility failed to ensure that residents requiring two-person assistance for transfers were transferred by the appropriate number of staff, resulting in falls and injuries for two residents. In the first case, a resident with a history of a femur fracture, pressure ulcer, and periorbital cellulitis, who was cognitively intact and required two-person assistance for transfers, was transferred by a single CNA from bed to a shower chair. During the transfer, the resident's feet slipped, resulting in both the resident and the CNA falling. The resident sustained an abrasion to the head. The CNA admitted to transferring the resident alone despite knowing the resident required two-person assistance, and did not report the fall to the charge nurse as required by facility policy. The care plan and employee training records confirmed the resident's need for two-person assistance and the CNA's awareness of this requirement. In the second case, another resident with multiple diagnoses including a right arm fracture, muscle wasting, anemia, unsteadiness, blindness, and gait abnormalities, and who was on a blood thinner, was also transferred by a single CNA despite a care plan specifying maximum two-person assistance. During the transfer from bed to wheelchair, the resident fell back and was lowered to the floor by the CNA, resulting in an abrasion to the scalp and a bruise to the forearm. The resident was subsequently sent to the emergency department for evaluation due to head trauma and anticoagulant use. The CNA acknowledged knowing the resident required two-person assistance but did not reference the care plan prior to the transfer. Both incidents were substantiated through interviews with staff, residents, and family members, as well as review of care plans, medical records, and facility policies. The facility's policies required staff to follow care plans and report all incidents and accidents immediately. In both cases, the staff involved failed to follow the established care plans for transfer assistance, directly leading to resident falls and injuries.
Improper Use of Antianxiety Medication as Chemical Restraint
Penalty
Summary
The facility failed to ensure that a resident's antianxiety medication was not used as a chemical restraint for staff convenience. The resident, who was diagnosed with dementia, a malignant neoplasm of the frontal lobe, anxiety disorder, and other conditions, was cognitively intact according to the Minimum Data Set assessment. Despite this, the resident was frequently administered an as-needed antianxiety medication for behaviors such as exit-seeking and wandering, without documented attempts of non-medication interventions like redirection or distraction. The facility did not have a policy for chemical restraints, as stated by the Administrator, and relied on staff education about resident rights to be free from restraints. However, the care plan for the resident included the use of psychotropic medication for anxiety and depression, with goals to avoid complications from these drugs. Despite these goals, the resident's progress notes repeatedly documented the use of antianxiety medication for behaviors such as trying to leave the facility, wandering, and mild agitation, without evidence of alternative interventions being attempted first. Interviews with staff and the resident's family member revealed that the facility often resorted to medication rather than non-pharmacological interventions. The Director of Nursing acknowledged that antianxiety medication should not be used for exit-seeking behaviors and expected staff to use three non-medication interventions before administering medication. The family member also noted a decline in the resident's cognitive and motor functions, which they associated with the frequent use of medication.
Inaccurate MDS Assessment of Restraint Use
Penalty
Summary
The facility failed to accurately assess the use of a chair/bed alarm restraint for a resident on their Quarterly Minimum Data Set (MDS). The resident, who was admitted with multiple diagnoses including dementia, a malignant neoplasm of the frontal lobe, and an unsteady gait, had experienced nine falls. As a fall intervention, a chair/bed alarm restraint was added to the resident's care plan. However, the MDS did not reflect the use of this restraint, as it was incorrectly documented that no restraints were used. This discrepancy was identified during a survey when the resident was observed with an active pad alarm restraint in both their wheelchair and bed. The Administrator acknowledged the oversight, noting that the MDS was signed by a former Assistant Director of Nursing who was terminated partly due to issues like this MDS discrepancy. The facility did not have a specific policy for MDS/Assessments and followed the Resident Assessment Instrument (RAI) Manual. The Administrator confirmed that an updated MDS identifying the alarm restraint had already been submitted, but this corrective action is not part of the deficiency itself.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bentonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Green House Cottages Of Northwest Arkansas | 1.7 mi | ★★★★★ | 1 | 0 |
| Promenade Health And Rehabilitation | 2.1 mi | ★★★★★ | 5 | 0 |
| Ashley Rehabilitation And Health Care Center | 2.3 mi | — | 17 | 0 |
| Innisfree Health And Rehab, Llc | 2.7 mi | ★★★★★ | 0 | 0 |
| Hampton Place Healthcare, Llc | 3.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.