1 Inspection Summary
Inspection Reports Summary
Covers 22 inspections · Jul 2021 – Mar 2026Visit Reason
This report covers 22 inspections of Bickford of Suffolk from July 8, 2021 to March 6, 2026, including complaint and routine inspections.
Complaint Details
Multiple complaint surveys were conducted, with some supported allegations resulting in violations issued. Complaints covered areas including Administration, Resident Care, Buildings and Grounds, and Personnel. Some complaint investigations found no violations related to the allegations.
Findings
Across that history VDSS cited 78 violations under 53 distinct standards. 10 inspections were prompted by a complaint.
Violations (72)
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in a locked area.
22VAC40-73-640-A: Facility failed to follow medication management plan to ensure timely filling of prescriptions.
22VAC40-73-120-A: Staff record lacked documentation of orientation and training within first seven working days.
22VAC40-73-550-C: Facility failed to ensure residents' rights to be treated with courtesy, respect, sensitivity, and dignity.
22VAC40-73-440-A: Facility failed to complete UAI prior to admission, annually, and upon significant change.
22VAC40-73-950-A: Facility failed to develop written emergency preparedness plan with local emergency coordinator.
22VAC40-73-410-A: Facility failed to provide orientation for new residents and legal representatives upon admission.
22VAC40-90-40-B: Facility permitted employee to work without required background check documentation.
22VAC40-73-550-G: Facility failed to annually review residents' rights and responsibilities with residents or representatives.
22VAC40-73-1110-A: Facility failed to document determination and justification for placement in special care unit.
22VAC40-73-870-A: Facility failed to maintain interior and exterior of buildings in good repair and free of rubbish.
22VAC40-73-310-D: Facility failed to provide written assurance of appropriate license to meet resident care needs at admission.
22VAC40-73-120-A: Staff orientation and training not completed within first seven working days of employment.
22VAC40-73-1110-B: Facility failed to perform six month and annual review of appropriateness of special care unit placement.
22VAC40-73-390-A: Facility failed to provide written agreement at or prior to admission.
22VAC40-73-980-A: First aid kit lacked roller gauze, adhesive tape, antiseptic wipes/ointment, and breathing barriers.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities including specialized needs.
22VAC40-73-460-H: Facility failed to provide personal assistance and care including housekeeping as necessary.
22VAC40-73-460-E: Facility failed to regularly observe residents for changes and document actions taken.
22VAC40-73-580-F: Facility failed to implement interventions and notify physician for significant weight loss.
22VAC40-73-470-F: Facility failed to secure immediate medical attention and timely notification after serious incidents.
22VAC40-73-325-B: Facility failed to complete fall risk rating after a fall.
22VAC40-73-200-D: Facility failed to obtain required certification documentation for staff member.
22VAC40-73-680-D: Facility failed to administer medications according to physician's or prescriber's instructions.
22VAC40-73-70-A: Facility failed to report major incidents threatening resident health or safety within 24 hours.
22VAC40-73-130-A: Facility failed to ensure mandated reporters report suspected abuse, neglect, or exploitation.
22VAC40-73-130-B: Facility failed to notify resident's contact or legal representative when report is made.
22VAC40-73-350-B: Facility failed to ascertain and document sex offender status prior to admission.
22VAC40-73-260-A: Facility failed to ensure direct care staff maintain current first aid certification.
22VAC40-90-40-C: Facility failed to ensure criminal history report disqualified employee with barrier crime convictions.
22VAC40-73-640-A: Facility failed to implement medication management plan to prevent use of outdated medications.
22VAC40-73-1140-B: Facility failed to ensure direct care staff received required cognitive impairment training within 4 months.
22VAC40-90-40-F: Facility accepted criminal history report dated more than 90 days prior to employment.
22VAC40-73-460-A: Facility failed to assume general responsibility for health, safety, and well-being of residents.
22VAC40-73-1100-A: Facility failed to obtain written approval for placement in safe, secure environment.
22VAC40-73-250-D: Facility failed to ensure staff submit timely tuberculosis risk assessments.
22VAC40-73-680-E: Facility failed to provide medical procedures or treatments as ordered and documented.
22VAC40-73-130-A: Facility failed to ensure mandated reporters report suspected abuse, neglect, or exploitation.
22VAC40-73-70-A: Facility failed to report major incidents threatening resident health or safety within 24 hours.
22VAC40-73-130-B: Facility failed to notify resident's contact or legal representative when report is made.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities including specialized needs.
22VAC40-73-640-A: Facility failed to implement medication management plan to prevent use of outdated medications.
22VAC40-73-260-A: Facility failed to ensure direct care staff maintain current first aid certification.
22VAC40-73-680-D: Facility failed to administer medications according to physician's or prescriber's instructions.
22VAC40-73-330-A: Facility failed to conduct mental health screening prior to admission when indicated.
22VAC40-73-520-I: Facility failed to post current month's schedule of activities in conspicuous location.
22VAC40-73-610-B: Facility failed to post menus for meals and snacks for current week in conspicuous area.
22VAC40-73-450-C: ISP failed to include description of residents' identified needs.
22VAC40-73-660-B: Resident permitted to keep medications in room despite UAI indicating inability to self-administer.
22VAC40-73-680-D: Facility failed to administer medications in accordance with physician's instructions and standards.
22VAC40-90-50-B: Facility failed to verify criminal history report matched employee identification.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities including specialized needs.
22VAC40-73-460-H: Facility failed to provide personal assistance and care including housekeeping as necessary.
22VAC40-73-460-E: Facility failed to regularly observe residents for changes and document actions taken.
22VAC40-73-580-F: Facility failed to implement interventions and notify physician for significant weight loss.
22VAC40-73-470-F: Facility failed to secure immediate medical attention and timely notification after serious incidents.
22VAC40-73-325-B: Facility failed to complete fall risk rating after a fall.
22VAC40-73-200-D: Facility failed to obtain required certification documentation for staff member.
22VAC40-73-680-D: Facility failed to administer medications according to physician's or prescriber's instructions.
22VAC40-73-70-A: Facility failed to report major incidents threatening resident health or safety within 24 hours.
22VAC40-73-130-A: Facility failed to ensure mandated reporters report suspected abuse, neglect, or exploitation.
22VAC40-73-130-B: Facility failed to notify resident's contact or legal representative when report is made.
22VAC40-73-350-B: Facility failed to ascertain and document sex offender status prior to admission.
22VAC40-73-260-A: Facility failed to ensure direct care staff maintain current first aid certification.
22VAC40-90-40-C: Facility failed to ensure criminal history report disqualified employee with barrier crime convictions.
22VAC40-73-640-A: Facility failed to implement medication management plan to prevent use of outdated medications.
22VAC40-73-1140-B: Facility failed to ensure direct care staff received required cognitive impairment training within 4 months.
22VAC40-90-40-F: Facility accepted criminal history report dated more than 90 days prior to employment.
22VAC40-73-460-A: Facility failed to assume general responsibility for health, safety, and well-being of residents.
22VAC40-73-1100-A: Facility failed to obtain written approval for placement in safe, secure environment.
22VAC40-73-250-D: Facility failed to ensure staff submit timely tuberculosis risk assessments.
22VAC40-73-680-E: Facility failed to provide medical procedures or treatments as ordered and documented.
Report Facts
Violations cited: 78
Distinct standards: 53
Inspections on page: 22
Inspections with violations: 18
Complaint visits: 10
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