Bradley Health Care & Rehab: Abuse Reports Delayed - TN
The Director of Nursing confirmed both failures to federal inspectors.
That incident was one of two documented in a complaint inspection completed May 28, 2026, in which inspectors found the facility had failed to report abuse allegations to state authorities within the required two-hour window — not once, but across four residents in two separate incidents. The inspection covered a sample of 11 residents reviewed for abuse or neglect.
The first incident involved Residents 1 and 2. According to inspection records, the two residents were involved in an alleged physical altercation on the evening of April 28, 2026, at approximately 7:50 PM. The facility submitted its facility-reported incident to the state agency the following afternoon, at 2:01 PM on April 29. That's 18 hours after the incident occurred — nine times the two-hour window the facility's own written policy, and state and federal requirements, demand.
The second incident is harder to explain away.
Residents 3 and 4 were involved in an alleged physical altercation on the evening of April 23. The abuse coordinator was not informed until the morning of April 24, the day after. That delay alone — a night passing before anyone with investigative authority at the facility even knew — meant the two-hour clock had already expired before the investigation began. The facility then formally launched its investigation on April 24. The state agency didn't receive the facility-reported incident until April 29, at 1:41 PM. Five days after the facility knew. Six days after the residents were allegedly involved in a physical confrontation.
The facility's own abuse policy, reviewed by inspectors, states plainly that suspected abuse will be reported to the Department of Health by the administrator or designee. It tells staff that if they witness or have knowledge of such actions, they should give an immediate report to administration. The policy lists the state agency and the ombudsman as reporting destinations. None of that happened on the timeline the policy describes.
During an interview on May 19, 2026, the Director of Nursing confirmed the facility failed to report allegations related to potential resident-on-resident abuse to the state agency within two hours of the facility becoming aware of them. The confirmation covered both incidents.
That confirmation matters because it forecloses any ambiguity about what the facility knew and when. This wasn't a paperwork dispute or a question of interpretation. The person responsible for nursing operations at Bradley Health Care & Rehab sat down with inspectors and agreed: the reports were late. For the April 23 incident, they were very late.
Resident-on-resident physical altercations in nursing homes are not uncommon, and the inspection report does not describe the nature or severity of any injuries. The harm level assigned to this deficiency was "minimal harm or potential for actual harm," the lower end of the federal harm scale. But the reporting requirements exist precisely because the state and federal government cannot assess harm, dispatch oversight, or protect other residents if they don't know an incident occurred. A five-day gap is not a clerical error. It is nearly a week during which the state agency had no record of a physical abuse allegation involving two of the facility's residents.
The inspection report does not describe what, if anything, happened to Residents 3 and 4 in the days between April 23 and April 29 while the facility conducted its internal investigation without notifying authorities. It does not say whether either resident remained in proximity to the other, whether either received medical attention, or what the investigation found. Those details are not in the public record produced by this inspection.
What is in the record is the structure of the failure. Someone on the evening shift on April 23 either did not know they were required to report the incident immediately, or knew and did not do it. The abuse coordinator was not reached until morning. The investigation that followed took five days to produce a report to the state. At each step, the gap between what happened and what authorities were told widened.
Bradley Health Care & Rehab's written policy uses the word "immediate." The Director of Nursing used the phrase "failed to report." Those two statements, taken together, are the story.
The facility is located at 2910 Peerless Road in Cleveland, Tennessee. The inspection was a complaint inspection, meaning it was triggered by a complaint rather than a routine survey cycle. The deficiency was cited under federal abuse reporting requirements. The inspection report does not name the complainant or describe the nature of the original complaint that prompted the visit.
Four residents appear in this deficiency finding. The inspection report does not describe their diagnoses, their mobility, their cognitive status, or what brought them to Bradley Health Care & Rehab. It does not say whether the altercations between Residents 1 and 2, or between Residents 3 and 4, were isolated or part of a pattern. It does not say whether the facility has been cited for similar failures before.
What it says is that in a span of six days in late April 2026, two physical altercations involving four residents were handled in a way that kept state authorities in the dark — one for 18 hours, one for nearly a week. And when inspectors asked the Director of Nursing about it a month later, she confirmed it.
The residents involved have no names in the public record. The incident on April 23 happened on an evening that passed without a call to the state. Somewhere in the facility that night, two people had been in a physical confrontation, and the people responsible for telling authorities waited until morning to start finding out what happened, and then waited five more days to make the call.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bradley Health Care & Rehab from 2026-05-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 12, 2026 · Our methodology
BRADLEY HEALTH CARE & REHAB in CLEVELAND, TN was cited for abuse-related violations during a health inspection on May 28, 2026.
The Director of Nursing confirmed both failures to federal inspectors.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.