Bradley Health Care & Rehab
2910 Peerless Rd, Cleveland, TN 37312
Bradley Health Care & Rehab is a nursing home in Cleveland, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionNovember 2, 2022 (4 years ago)
- Health citations since October 31, 201813 (Tennessee average 14)
- Fines in the past three years1, $8,999 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
Health inspection on May 28, 2026
3 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
9 of 303 Tennessee homes (3%) got a citation at the actual harm level in 2026.
Show the 3 citations
Citation F0744. Severity G: actual harm, isolated.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on May 29, 2026.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 8, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on June 24, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of March 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Fine
CMS changed the fine from February 27, 2024 from $8,824 to $8,999.
CMS update of August 29, 2024
Fine
CMS changed the fine from February 27, 2024 from $13,575 to $8,824.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of May 29, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on February 27, 2024
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
26 of 303 Tennessee homes (9%) got a citation at the actual harm level in 2024.
CMS fine of $8,999 on February 27, 2024.
Show the 1 citation
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on January 5, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Health inspection on November 2, 2022
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on November 23, 2022.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on November 23, 2022.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS lists it as corrected on November 23, 2022.
Citation F0888. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure staff are vaccinated for COVID-19
CMS lists it as corrected on November 23, 2022.
Fire safety inspection on November 2, 2022
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on November 23, 2022.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 16, 2022.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on November 23, 2022.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on November 23, 2022.
Fire safety inspection on December 18, 2019
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0331. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Construct fire resistant interior walls.
CMS lists it as corrected on February 1, 2020.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on February 1, 2020.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on February 1, 2020.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 1, 2020.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on February 1, 2020.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 1, 2020.
Health inspection on October 31, 2018
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 15, 2018.
Citation F0908. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on December 15, 2018.
Citation F0571. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
CMS lists it as corrected on December 15, 2018.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 15, 2018.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on December 15, 2018.
Fire safety inspection on October 31, 2018
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on December 15, 2018.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on December 15, 2018.
Citation E0001. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Establish an Emergency Preparedness Program (EP).
CMS lists it as corrected on December 15, 2018.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (423) 472-7116
- Last standard health inspection
- November 2, 2022 (4 years ago)
- Certified beds
- 213
- Residents per day, on average
- 105.4
- Ownership type
- For profit - Corporation
- Legal business name
- Bradley County Nursing Home
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Tennessee average (13 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LEDFORD, TOMMY5% or greater direct ownership interest · 5% · since 10/01/2024
- MILLSAPS, DWIGHT5% or greater direct ownership interest · 5% · since 08/01/2022
- SMITH, CHARLES5% or greater direct ownership interest · 5% · since 06/01/2024
- STANBERY, JOHN5% or greater direct ownership interest · 5% · since 03/01/2013
- CRITCHFIELD, CHRISTY5% or greater indirect ownership interest · 5% · since 06/01/2020
Show 10 more
- LEDFORD, TOMMY5% or greater indirect ownership interest · 5% · since 10/01/2024
- MILLSAPS, DWIGHT5% or greater indirect ownership interest · 5% · since 08/01/2022
- SMITH, CHARLES5% or greater indirect ownership interest · 5% · since 06/01/2024
- STANBERY, JOHN5% or greater indirect ownership interest · 5% · since 03/01/2013
- CRABTREE, DEBORAHOperational/managerial control · not applicable · since 09/01/1999
- CRITCHFIELD, CHRISTYOperational/managerial control · not applicable · since 06/01/2020
- LEDFORD, TOMMYOperational/managerial control · not applicable · since 10/01/2024
- MILLSAPS, DWIGHTOperational/managerial control · not applicable · since 08/01/2022
- SMITH, CHARLESOperational/managerial control · not applicable · since 06/01/2024
- STANBERY, JOHNOperational/managerial control · not applicable · since 03/01/2013
Questions
When was Bradley Health Care & Rehab last inspected?
CMS lists November 2, 2022 as the date of its most recent standard health inspection.
How many citations (violations) does Bradley Health Care & Rehab have?
CMS lists 13 health citations since October 31, 2018. CMS also calls these deficiencies.
Has Bradley Health Care & Rehab been fined?
CMS lists 1 fine in the past three years, $8,999 in total.
What is the CMS star rating of Bradley Health Care & Rehab?
Its CMS overall star rating is 1 of 5.
Is Bradley Health Care & Rehab a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.