Inspection Reports for
Bickford of St. Charles
2875 Campton Hills Rd, St. Charles, IL 60175, United States, IL, 60175
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Inspection Report — Oct 7, 2025
Complaint Investigation
Date: Oct 7, 2025
Visit Reason
Facility Reported Incident IL197453/ 9/9/25- substantiated and IL197555/ 9/5/25-substantiated. Violations cited: 295.2050, 295.4010, 295.5000.
Complaint Details
Facility Reported Incident IL197453/ 9/9/25- substantiated and IL197555/ 9/5/25-substantiated.
Findings
The establishment failed to report significant incidents within 24 hours for 4 residents, failed to revise service plans after falls for 3 residents, and failed to ensure medications were administered by licensed staff and stored properly. The facility's policies require timely reporting, service plan updates, and medication administration by appropriate staff.
Deficiencies (3)
A2050 (295.2050 Incident and Accident Reporting) - The establishment failed to report significant incidents within 24 hours for 4 of 4 residents reviewed for accidents and incidents.
A4010 (295.4010 Service Plan) - The establishment failed to revise service plans following falls for 3 of 4 residents reviewed, creating substantial probability of harm.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The facility failed to ensure medications were administered by licensed healthcare professionals and stored in the medication room for 1 of 5 residents reviewed.
Report Facts
Residents affected: 4
Residents affected: 3
Residents affected: 1
Inspection Report — Sep 4, 2025
Annual Inspection
Date: Sep 4, 2025
Visit Reason
Annual Licensure Survey conducted with a Facility Reported Investigation IL 197054 and a Complaint Investigation IL 195724 with no deficiency cited.
Complaint Details
Facility Reported Investigation IL 197054 cited Section 295.6000 a) 1) 8) 13). Complaint Investigation IL 195724: No deficiency cited.
Findings
The facility was found to have deficiencies related to residency requirements, personnel files, service plans, and resident rights, particularly concerning resident R6's wound care and service plan documentation.
Deficiencies (4)
A2000 (295.2000 Residency Requirements) - The facility failed to implement a preventative plan of care for resident R6 with a stage 3 pressure ulcer and total assistance needs, and admitted a resident requiring services beyond the facility's licensed capacity.
A3030 (295.3030 Initial Health Eval for Dir Care and FS empl) - The facility failed to maintain complete and accurate employee files for 7 of 9 employees reviewed, missing initial health evaluations and TB testing.
A4010 (295.4010 Service Plan) - The facility failed to revise and develop individualized service plans addressing outside vendors and services for residents R2, R4, and R6.
A6000 (295.6000 Resident Rights) - The facility failed to develop and implement a preventative plan of care and individualized service plan for resident R6, resulting in an unstageable coccyx wound and inconsistent care.
Report Facts
Residents affected: 1
Employees affected: 7
Residents reviewed: 3
Inspection Report — Sep 9, 2024
Plan of Correction
Date: Sep 9, 2024
Visit Reason
This plan of correction responds to the annual survey completed at Bickford of Saint Charles on September 5th, 2024.
Findings
The facility committed to complete extinguisher training, emergency orientation, health evaluations, background checks, physician assessments, service plan updates, TB testing, and medication administration corrections by specified dates. The Executive Director and other leadership will be retrained and responsible for ongoing compliance monitoring.
Report Facts
Employees affected: 8
Employees affected: 5
Employees affected: 4
Residents affected: 5
Residents affected: 3
Residents affected: 3
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eight employees missing fire extinguisher training and TB testing | ||
| Five employees missing initial health evaluations | ||
| Four employees missing orientation within required time | ||
| One employee missing orientation within 10 days | ||
| Employees missing background checks and verifications | ||
| Residents missing emergency and evacuation orientation | ||
| Residents missing physician assessments | ||
| Residents with service plans not updated for wounds, dialysis, or foley catheter | ||
| Residents with medication administration errors |
Inspection Report — Sep 5, 2024
Annual Inspection
Date: Sep 5, 2024
Visit Reason
Annual Licensure Survey
Findings
The establishment was found to have multiple deficiencies including failure to conduct fire extinguisher training, emergency orientation for residents, and documented resident participation in drills. Additional deficiencies include failure to notify the department of Executive Director change, incomplete employee orientation and health evaluations, incomplete health care worker background checks, incomplete physician assessments, incomplete service plans for residents, failure to complete tuberculosis testing for new employees, and failure to administer medications as ordered.
Deficiencies (9)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to conduct fire extinguisher training for eight new employees, emergency and evacuation orientation for five residents, and document resident participation and assistance during drills.
A3010 (295.3010 Manager's Qualifications) - The establishment failed to notify the department within 10 days of the change in Executive Director.
A3020 (295.3020 Employee Orientation and Ongoing Training) - The establishment failed to ensure required orientation topics were completed within 10 or 30 days for five of eight employees reviewed.
A3030 (295.3030 Initial Health Eval for Dir Care and FS empl) - The establishment failed to complete initial health evaluations within required timeframes for five of eight new employees reviewed.
A3040 (295.3040 Health Care Worker Background Check) - The establishment failed to complete required background checks and internet registry searches for eight new employees and failed to conduct annual verification for one employee.
A4000 (295.4000 Physician/s Assessment) - The establishment failed to ensure physician assessments were completed by a physician for three residents; assessments were completed by nurse practitioners instead.
A4010 (295.4010 Service Plan) - The establishment failed to update service plans to include interventions for a resident with a wound, a resident undergoing dialysis, and a resident with a Foley catheter.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The establishment failed to initiate or complete tuberculosis testing for eight new employees as required.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The establishment failed to ensure medications were administered as ordered by the physician for two residents.
Report Facts
Employees affected: 8
Employees affected: 5
Residents affected: 5
Residents affected: 3
Residents affected: 3
Residents affected: 2
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