Inspection Reports for
Bickford of Ames

Complaint #131444-C was investigated and no regulatory insufficiencies were cited.

No regulatory insufficiencies were cited during the investigation of Complaint #131444-C or the revisit of FC#10943.

The investigation was triggered by complaints #130042-C, #130556-C, and #130320-C, and incidents #129801-I and #130066-I. No regulatory insufficiencies were cited during the investigation of complaints #130042-C and #130556-C, but deficiencies were cited during the other investigations.

The program failed to complete incident reports following tenant falls, did not follow medication administration policies affecting multiple tenants, failed to provide appropriate care and sanitary living conditions, did not respond reasonably to tenant and family requests, and had deficiencies in staff training and documentation. Several tenants experienced medication errors, lack of proper assessments, and inadequate service plans.

Investigations #129801-I, 130042-C, 130066-I, 130320-C, 130556-C

The program failed to provide appropriate care and treatment to Tenant #2 after multiple falls, including failure to promptly assess and treat pain, notify the tenant's physician, and complete incident reports. Tenant #2 suffered multiple rib fractures and a urinary tract infection following these incidents.

Complaint #126990-C was investigated with no regulatory insufficiencies cited. Complaint #127410-C was investigated during the recertification visit and deficiencies were cited related to nurse delegation and medication administration.

The inspection found regulatory insufficiencies related to nurse delegation procedures, including failure to provide staff training within 30 days of employment for 2 of 4 staff reviewed, and failure to administer eye drops according to training for 1 staff member observed. No deficiencies were cited during the investigation of Complaint #126990-C.

The complaint investigation found that the facility failed to ensure Tenant #2 received medications as ordered, with missed doses of Clonazepam on 7/17/24 through 7/24/25. The Director confirmed the Program's responsibility for medication administration but was unsure why medications were not available.

No regulatory insufficiencies were found during the incident investigations, but a regulatory insufficiency was cited during the complaint investigation for failing to consistently ensure tenants received adequate and appropriate services, specifically related to medication administration for Tenant #2.

The visit was complaint-related involving Mandatory Report #118579-M, Incident #115002-I, Complaint #116715-C, Incident #119906-I, and Complaint #116015. No regulatory insufficiencies were found for the first set of complaints, but deficiencies were cited during the investigation of Incident #119906-I and Complaint #116015.

The investigation found staff failed to follow medication administration policies, resulting in multiple medication errors involving Tenant #1. Additionally, the program failed to document personal care tasks for Tenant #1 on daily task sheets as required.

The program failed to ensure that staff were competent to meet tenant individual needs, specifically that one staff member's nurse delegation training documentation was undated and could not confirm training within 30 days of employment.

The investigation of Complaint #107558-C revealed regulatory insufficiencies related to incident reporting and tenant care. No deficiencies were cited during the investigation of Complaint #108440-C.

The facility failed to ensure incident reports included witness statements and failed to provide adequate care and communication following a tenant's fall. Specifically, there was conflicting information about whether Tenant #2 hit her head during a fall, and the Registered Nurse Coordinator and Program Director were not informed timely, impacting the tenant's care.

Complaints #107558-A and 108440-C were the basis for this citation.

The program failed to provide adequate care and appropriate information following Tenant #2's fall on 8/30/22. Staff B reported conflicting information about whether Tenant #2 hit her head, and the Registered Nurse Coordinator and Program Director were unaware of the head injury until after the tenant passed away.

Investigation of incident 95751-I; no regulatory insufficiencies cited.

No regulatory insufficiencies were cited during the investigation and infection control survey.

The program failed to complete criminal, child abuse, and dependent adult abuse background checks prior to employment for 1 of 6 staff reviewed. The deficiency was corrected on 08/19/19.