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Complaint Investigation

The Bradford At Brookside

August 27, 2025 · Livingston, TX · 301 West Park Drive
Citations 8
CMS Rating 3/5
Beds 125
Provider ID 675539
Healthcare Facility
The Bradford At Brookside
Livingston, TX  ·  View full profile →
Inspection Summary

THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX — inspection on August 27, 2025.

Found 8 citations. 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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 08/27/25 at 10:10 a.m., the Administrator said LVN J was terminated on 07/31/25 due to her behavior of being rude to a resident which went against their policies.

During an interview on 08/27/25 at 10:45 a.m., the DON said her expectation was for all the residents to be free of verbal and physical abuse.

She said she was not the DON on 07/30/25; however, she would not stand for the residents to be verbally abused and said she had zero tolerance for the resident to be spoke to like that.

Record review of the Abuse Protocol dated June 2013 indicated 1.

Our facility will not condone Patient abuse, neglect, mistreatment or misappropriation of patient property (collectively Patient Abuse by anyone, including staff member, other patients, consultants, volunteers, guardians, sponsors, friends or other individuals. 6. C.

Verbal abuse is defined as any use of oral, written or gestured language that includes disparaging [to criticize or belittle someone] and derogatory [critical or disrespectful] terms to patients or their families, or within their hearing distance to describe patients, regardless of their age, ability to comprehend, or disability.

Facility ID:

Federal health inspectors cited THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX for a deficiency under regulatory tag F-F0580 during a standard health inspection conducted on 2025-08-27.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of THE BRADFORD AT BROOKSIDE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-08-28.

Federal health inspectors cited THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-27.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of THE BRADFORD AT BROOKSIDE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-08-28.

Federal health inspectors cited THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of THE BRADFORD AT BROOKSIDE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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Federal health inspectors cited THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-27.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of THE BRADFORD AT BROOKSIDE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-08-28.

Federal health inspectors cited THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of THE BRADFORD AT BROOKSIDE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-08-28.

Federal health inspectors cited THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-08-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of THE BRADFORD AT BROOKSIDE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-08-28.

Federal health inspectors cited THE BRADFORD AT BROOKSIDE in LIVINGSTON, TX for a deficiency under regulatory tag F-F0850 during a standard health inspection conducted on 2025-08-27.

Category: Administration Deficiencies

The facility was found deficient in the following area: Hire a qualified full-time social worker in a facility with more than 120 beds.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of THE BRADFORD AT BROOKSIDE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-08-28.

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 LIVINGSTON, TX, (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 THE BRADFORD AT BROOKSIDE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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