Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Square Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Food storage practices did not follow professional standards when surveyors found opened and in-use items that were not properly dated, including an opened box of baking soda, a bottle of ground nutmeg, and a refrigerated bottle of Thick & Easy Apple Juice without an open date. The facility policy required foods to be covered, labeled, dated, and checked for safe use by dates, and the Dietary Manager, DON, and Administrator all stated outdated food should be discarded.
A resident with intact cognition missed a scheduled MOHS appointment for skin cancer removal after the facility did not follow its established process for tracking and maintaining outside appointments. Staff described a system for sending appointment packets, completing follow-up sheets, entering details into the EMR, and notifying the Scheduler, but the Scheduler was unaware of the appointment until the resident asked about it. The resident said he was upset after missing the appointment, and his family member was unaware of it until he contacted her.
Failure to follow infection control precautions occurred when an LPN handled a dropped medication with an ungloved hand and administered it to a resident, and in a separate event provided care to a resident on EBP without donning the PPE indicated by the posted signage. The IP, DON, and Administrator stated staff were expected to follow precaution signage, CDC guidance, and glove use when handling medications.
A resident missed multiple doses of a prescribed controlled medication after an LPN signed for the delivery but failed to document its receipt in the narcotic log, resulting in the medication not being available for administration. Facility policy required immediate logging of controlled substances, but this was not followed, and the medication was not accounted for in the inventory.
A resident with diabetes and developmental delays was unsafely discharged to a homeless shelter without proper notification or preparation. The facility failed to provide a discharge plan, summary, or necessary diabetic supplies, and the resident's guardian was not informed. The resident was later hospitalized for diabetic ketoacidosis.
Food Storage Lacked Required Dating and Discard Practices
Penalty
Summary
The facility failed to store food items in accordance with professional standards to prevent the use of outdated products and reduce the risk of foodborne illness. Review of the facility policy titled, "Food brought in from Outside Sources and Personal Food Storage," dated 2019, showed that all foods should be covered, labeled, and dated, and that foods should be checked to ensure they are consumed by their safe use by dates, frozen where applicable, or discarded. During kitchen observations, surveyors found an opened box of Sysco baking soda covered with plastic wrap and labeled as opened on 11/18/2023, with a manufacturer's best by date of 09/02/2025. They also observed a bottle of ground nutmeg labeled as opened on 02/06/2024 with a manufacturer's best by date of 12/01/2025, five unopened boxes of Sysco baking soda with a manufacturer's best by date of 09/04/2025, and an opened refrigerated bottle of Thick & Easy Apple Juice in use that was not labeled with an open date. The Dietary Manager stated the facility used a first in, first out process and expected staff to report outdated items so she could verify and discard them. The DON and Administrator both stated it was their expectation that outdated food would be discarded to help prevent resident illness.
Missed Scheduled Appointment Due to Failure to Follow Tracking Process
Penalty
Summary
The facility failed to ensure resident self-determination by not following its established process for tracking and maintaining scheduled health care appointments, which resulted in a missed outside appointment for one resident. The facility’s Resident Rights policy stated staff would respect the resident’s individuality and value their input by providing a dignified existence through self-determination and communication with and access to persons and services inside and outside the facility. The resident involved, who was admitted with diagnoses including type 2 diabetes, hypertension, generalized anxiety disorder, major depressive disorder, and cerebral infarction, had a BIMS score of 14 out of 15, indicating cognitive intactness. The resident had a scheduled MOHS surgical appointment for skin cancer removal, documented in an RN progress note, and the resident later showed the surveyor a handwritten paper with the appointment details. The resident stated he was upset after missing the appointment and said a staff member had given him the paper, though he could not recall who. His family member stated she was unaware of the appointment until the resident contacted her upset about missing it. Staff interviews showed the facility had a process for sending appointment packets, completing follow-up sheets, entering information into the EMR, and communicating it during report so the Scheduler could arrange appointments and transportation, but the Scheduler stated he was unaware of the appointment until the resident asked about it and later confirmed the process was not followed for this appointment.
Failure to Follow Infection Control Precautions
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases for two sampled residents. Review of the facility’s policies showed that infections included in routine surveillance were those with available processes and procedures to prevent or reduce the spread of infection, and that when a resident was placed on transmission-based precautions or isolation, appropriate signage was to be posted at the room entrance to alert personnel and visitors and provide PPE instructions. During medication administration, an LPN removed a pill from a skid pack, dropped it onto the medication cart, picked it up with an ungloved hand, placed it into a medication cup, and administered it to one resident. In a separate observation, another resident had an EBP sign posted on the room door, but the LPN removed a pillow from under the resident’s left lower leg and assisted with repositioning without donning the appropriate PPE. In interviews, the LPN acknowledged not wearing gloves when handling the medication and not donning PPE before providing care, and stated she should have followed infection control practices and the posted EBP signage. The IP/Site Development Coordinator, DON, and Administrator each stated it was their expectation that staff follow infection prevention protocols, posted precaution signage, CDC guidance, and glove use when handling medications.
Failure to Document and Account for Controlled Medication Delivery
Penalty
Summary
The facility failed to follow its policy for the receipt and documentation of a Schedule 4 controlled medication, clonazepam, for one resident. On the date of delivery, an LPN signed the pharmacy's delivery receipt for 15 tablets of clonazepam intended for the resident, but there was no corresponding entry on the facility's narcotic sheet to document the medication's receipt. The resident's Medication Administration Record (MAR) showed that five doses of clonazepam were missed because the medication was not available in the facility. Facility policy required that controlled substances be immediately logged into the controlled drug inventory system upon receipt and that any discrepancies be reported to the pharmacy within 24 hours. However, the medication was not logged, and the facility could not verify its presence. Interviews with staff revealed that the LPN who signed for the delivery did not check the medications and believed the clonazepam was not delivered, while another LPN confirmed the medication count was correct at the time of shift change. The pharmacist confirmed the medication was delivered and that there were no discrepancies at the pharmacy. The resident was aware of the missing medication and reported being told by the unit manager that the medication was lost. The facility's investigation included reviewing delivery receipts, narcotic sheets, and conducting interviews, but there was no documentation to confirm the medication was ever entered into the facility's inventory. The lack of proper documentation and failure to follow policy resulted in the resident missing multiple doses of a prescribed controlled substance.
Unsafe Discharge of Resident to Homeless Shelter
Penalty
Summary
The facility failed to provide a safe and orderly discharge for Resident 197, who was discharged to a homeless shelter without proper notification or preparation. The resident, who had a history of type 2 diabetes with ketoacidosis and developmental delays, was discharged without a discharge plan, summary, or necessary diabetic equipment and supplies. The resident's guardian was not informed of the discharge and only learned of it when the resident contacted her from the homeless shelter. The discharge documentation was incomplete and lacked critical information, such as the name of the homeless shelter and a discharge medication list. The resident was discharged with a high blood glucose level of 399 mg/dL, significantly above the normal range. The facility did not provide the ordered 30-day supply of medications, and there was no evidence that the resident received any medication upon discharge. Interviews with facility staff and external case management revealed that the discharge process was not followed, and the guardian was not involved in the discharge planning. The resident, who was unable to manage her own care due to her medical conditions, was left without necessary support, leading to her hospitalization for diabetic ketoacidosis shortly after the discharge.
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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 Frankfort
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Frankfort Trails | 11.5 mi | ★★★★★ | 0 | 0 |
| Owenton Healthcare And Rehabilitation | 12.7 mi | ★★★★★ | 4 | 0 |
| The Home Place At Midway | 16.1 mi | ★★★★★ | 8 | 0 |
| Signature Healthcare Of Georgetown | 18.6 mi | ★★★★★ | 0 | 0 |
| New Castle Nursing & Rehab | 18.8 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.