Inspection Reports for
Bickford of Rockford

Facility Reported Incident IL00202184: 295.4010a)d)g)1)5) cited. Complaint Investigation 2616853/IL00202197: 295.3000a)h)4) cited.

The establishment failed to ensure dietary staff had proper food handlers training and qualifications, and failed to update and follow a resident's medication administration service plan. These deficiencies have the potential to affect all residents.

Facility Reported Incidents IL 201716 and IL 201713.

The establishment failed to report a resident elopement and neglected to prevent elopement of one resident, and neglected to provide supervision during toileting for another resident, resulting in serious harm.

Facility Reported Incident IL00201388: unsubstantiated.

The establishment was found in compliance with no violations cited.

The establishment was found in compliance with all applicable regulations. No violations were cited.

Complaint IL00200582: 295.6000a)5)13) cited. Complaint IL00200445: 295.4040a)c) cited.

The establishment failed to report an illness (RSV) within the required timeframe and failed to follow its own policy, affecting 10 residents. The facility also neglected to notify a provider of dangerous blood glucose levels for one resident and failed to ensure services specified in the service plan were provided.

Facility-reported Incident IL 199868: No violations cited; establishment in compliance.

The establishment was found in compliance with all applicable regulations during this investigation.

Complaint #2519118 / IL197654 and #2519151 / IL197658: Substantiated with multiple violations cited.

The establishment failed to provide timely documentation for complaint investigations, failed to report serious incidents and accidents within 24 hours, lacked adequate staff training on mechanical lifts contributing to resident injuries, failed to maintain and update service plans for residents with falls, did not report a scabies outbreak, lacked policies for mechanical lift use, failed to notify the Department of abuse/neglect allegations timely and conduct investigations, and failed to maintain complete medication orders in resident records.

Investigation IL00197369: Unsubstantiated. Investigation IL00197371: Unsubstantiated. Investigation IL00197392: Substantiated with citations 295.2000 a) c) 3) 4) 5), 295.4000 a) b) c), 295.4010 d), 295.6000 a) 13). Investigation IL00197396: Substantiated with citation 295.6010 a) 1). Investigation IL00197449: Substantiated.

The establishment allowed residents requiring services beyond its licensed capacity to remain, failed to ensure physician assessments were completed by a physician, did not follow service plans causing neglect, and failed to properly investigate and report injuries of unknown origin. The facility did not follow R1's service plan, leading to neglect and a severe urinary tract infection contributing to death. Investigations into injuries for residents R4 and R8 were incomplete or delayed.