Inspection Reports for
Bickford of Clinton
1150 13th Ave N, Clinton, IA 52732, United States, IA, 52732
Back to Facility Profile6 Reports
Inspection Report — Mar 18, 2026
Renewal
Date: Mar 18, 2026
Visit Reason
The visit was a recertification visit for an Assisted Living Program for People with Dementia. It also included an investigation of Incident #130927-M.
Complaint Details
Incident #130927-M
Findings
The program failed to follow the Abuse and Neglect policy, resulting in delayed reporting of suspected resident abuse. The deficiency was cited during the investigation of the incident.
Violations (1)
481-67.2(3) Program Policies and Procedures: The program failed to follow the Abuse and Neglect policy by not reporting suspected resident abuse immediately to the Executive Director or Health and Wellness Director. Staff A delayed reporting concerns about an incident involving Tenant #1 until prompted by the Executive Director.
Inspection Report — Oct 30, 2025
Complaint Investigation
Date: Oct 30, 2025
Visit Reason
Investigation of Incident #130295-I at an Assisted Living Program for People with Dementia.
Complaint Details
Investigation of Incident #130295-I; no deficiencies found.
Findings
No regulatory insufficiencies were cited during the investigation.
Report Facts
Tenants without cognitive impairment: 22
Tenants with cognitive impairment: 10
Inspection Report — Oct 29, 2024
Complaint Investigation
Date: Oct 29, 2024
Visit Reason
The inspection was conducted as a recertification visit combined with an investigation into Incident #122918-I regarding tenant elopement and compliance with certification rules for an Assisted Living Program for People with Dementia.
Complaint Details
The visit was triggered by a complaint investigation into Incident #122918-I involving the elopement of Tenant #1 on 8/17/24. The complaint was substantiated based on findings of delayed staff response and inadequate service plans.
Findings
The program failed to follow the door alarm policy resulting in a delayed staff response to a tenant elopement. Additionally, service plans for 3 of 4 tenants reviewed did not adequately address their individual needs, including failure to update plans after significant incidents or changes in condition.
Violations (2)
Failed to follow the door alarm policy resulting in delayed staff response following the elopement of Tenant #1.
Failed to ensure service plans addressed the needs of 3 of 4 tenants reviewed (Tenant #1, Tenant #2, and Tenant #4).
Report Facts
Response time: 141
Date of incident: Aug 17, 2024
Date of survey completion: Oct 29, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kim Schaffer | Executive Director | Named in the Plan of Correction letter and confirmed findings during interview. |
| Staff A | Staff involved in delayed response to door alarm and tenant elopement incident. | |
| Staff B | Staff involved in tenant elopement incident and follow-up. | |
| Staff C | Staff who reported on Tenant #4's wound care and assistance needs. | |
| Staff D | Staff who reported on Tenant #4's transfer assistance needs. |
Inspection Report — Oct 28, 2024
Renewal
Date: Oct 28, 2024
Visit Reason
The visit was a recertification (renewal) visit conducted on 10/28/24 and 10/29/24. It also involved investigation of an incident related to a tenant elopement on 8/17/24.
Findings
The program failed to follow its door alarm policy, resulting in a delayed staff response to a tenant who eloped and was found confused outside the facility. Staff did not account for all tenants when the door alarm sounded, leading to the tenant leaving the building unsupervised.
Violations (1)
67.2(3) The program failed to follow the door alarm policy, causing a delayed staff response after a tenant eloped and was found confused outside the facility. Staff did not visually search the area or account for all tenants immediately after the door alarm sounded.
Report Facts
Fine amount: 3000
Inspection Report — Sep 1, 2022
Renewal
Date: Sep 1, 2022
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the investigation into Incident #103591-I. However, a regulatory insufficiency was cited for retaining a tenant who displayed unmanageable verbal abuse and physical aggression despite interventions.
Violations (1)
The program retained 1 of 4 tenants reviewed who displayed unmanageable verbal abuse and physical aggression despite interventions.
Report Facts
Number of tenants without cognitive disorder: 31
Number of tenants with cognitive disorder: 6
Inspection Report — Sep 12, 2019
Complaint Investigation
Date: Sep 12, 2019
Visit Reason
The inspection was conducted as an investigation of complaint #83996-I related to regulatory insufficiencies in incident reporting and service plan updates for tenants at Bickford Cottage Clinton.
Complaint Details
The investigation was triggered by complaint #83996-I. The complaint was substantiated as the program failed to document incidents immediately and failed to update the service plan timely after significant behavioral changes in Tenant #1.
Findings
The program failed to immediately record incidents for Tenant #1 and failed to update the service plan with significant changes in tenant behavior. Multiple incident reports documented Tenant #1's aggressive and combative behavior towards staff, and the service plan was not updated timely to reflect these changes.
Violations (2)
Program failed to immediately record incidents for Tenant #1.
Program failed to update a service plan with a significant change for Tenant #1.
Report Facts
Number of tenants without cognitive disorder: 33
Number of tenants with cognitive disorder: 5
Total number of tenants in ALP/D: 38
Date deficiencies corrected by: Nov 13, 2019
Viewing
Loading inspection reports...
