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Complaint Investigation

Bradford Hills Nursing & Rehabilitation Center

May 27, 2026 · Troy, PA · 15900 Route 6
Citations 1
CMS Rating 1/5
Beds 200
Provider ID 395586
Healthcare Facility
Bradford Hills Nursing & Rehabilitation Center
Troy, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BRADFORD HILLS NURSING & REHABILITATION CENTER in TROY, PA — inspection on May 27, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0684
Quality of Life and Care Deficiencies

no documentation on the TAR; blank May 19, 2026: no documentation on the TAR; blank A physician

2026, revealed the treatment was not completed per the physician order on three of 26 days reviewed.

May 19, 2026: no documentation on the TAR; blank A review of current physician orders for Resident 3 revealed an order initiated on April 28 and in place until it was discontinued on May 4, 2026, instructed staff to cleanse Resident 3's left ischium (the curved bone forming the base of the pelvis) with normal saline, pat dry, apply Silvasorb gel (used to treat partial and full thickness wounds) to the base of the wound, zinc oxide to peri wound, and secure with bordered gauze dressing every day shift for wound care. A review of Resident 3's TAR dated May 2026, revealed the treatment was not completed per the physician order on one of four days reviewed.

May 3, 2026: no documentation on the TAR; blank A physician order dated May 4, 2026, instructed staff to cleanse Resident 3's left ischium with normal saline, pat dry apply Silvasorb gel to the base of the wound, zinc oxide to peri wound, and secure with bordered gauze dressing every day and night shift for wound care. A review of Resident 3's TAR dated May 2026, revealed the treatment was not completed per the physician order on two of 23 days reviewed.

May 20, 2026: no documentation on the TAR; blank May 21, 2026: no documentation on the TAR; blank

The facility failed to provide the highest practical care regarding physician ordered treatments for Residents 1, 2, and 3.

The findings were reviewed with the Nursing Home Administrator and the Director of Nursing on May 27, 2026, at 2:21 PM. 483.25 Quality of CarePreviously Cited 12/12/25 28 Pa.

Code 211.12(d)(1)(3)(5) Nursing services

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TROY, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRADFORD HILLS NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.