Inspection Reports for
Bickford of Fort Dodge

No regulatory insufficiencies were cited during the investigation of Complaint #129366-C.

The program failed to update service plans following significant changes for 2 of 4 sampled tenants and failed to complete comprehensive nurse reviews every 90 days or after significant changes for 3 of 3 sampled tenants, including review of prescription medications.

Investigation of Incident #126369-I, Incident #126391-I, Complaint #124898-C, and #125638-C with no regulatory insufficiencies cited.

No regulatory insufficiencies were cited during the investigation of the incidents and complaints.

The complaint investigation was substantiated with findings of neglect and failure to provide adequate care to tenant C2, including failure to prevent falls and failure to follow care plans.

The investigation found multiple issues including falls risk evaluation deficiencies, failure to provide adequate tenant care and assistance, and inadequate staff training and supervision related to tenant C2. Several incidents of neglect and failure to follow care plans were documented.

The complaint investigation was substantiated as the facility failed to notify the Department of an elopement incident involving Tenant #1 within the required 24-hour or next business day period.

The investigation found that the facility failed to report an elopement incident involving one tenant within the required timeframe. The tenant eloped on 10/20/23 but the facility reported the incident to the Department on 11/3/23, which was beyond the required notification period.

Investigation of Incident #112776-I and Incident #115959-I with no regulatory insufficiencies found.

No regulatory insufficiencies were cited during the investigation of the two incidents.

The complaint investigation involved allegations of abuse and other regulatory concerns. The investigation substantiated that Tenant #1 was subjected to physical harm when Tenant #2's son slammed a door on Tenant #1's finger. Additional complaints included billing errors and staff training deficiencies.

No regulatory insufficiencies were cited during the recertification visit; however, regulatory insufficiencies were found during the complaint investigation related to tenant abuse, failure to respond reasonably to tenant requests, inadequate nurse delegation and staff training, and failure to perform required criminal history evaluations prior to employment.

The investigation was triggered by a complaint alleging mistreatment by Staff G reported on 9/01/22. The allegations included physical and verbal abuse affecting tenants #1, #3, #4, and #5. Staff G was suspended on 8/31/22. Staff M and Staff N provided statements detailing multiple incidents. The incidents were not immediately reported or documented, and the Administrator confirmed the findings on 9/13/22.

The program failed to ensure tenants received adequate and appropriate treatment and services, affecting 4 of 5 sampled tenants (#1, #3, #4, and #5). Multiple incidents of physical and verbal mistreatment by Staff G were reported, including forceful redirection, use of restraints, spraying water, and inappropriate physical contact. These incidents were not immediately reported or documented as required by policy. The Administrator confirmed these findings.

Investigation of Complaints #99950-C, #99048-C, #98313-C, #98343-C, and #98353-C found no regulatory insufficiencies.

No regulatory insufficiencies were cited during the investigation of the complaints or the onsite infection control visit.