Inspection Reports for Bickford of Bloomington

Annual Licensure Survey conducted to assess compliance with state regulations for Bickford - Bloomington assisted living facility.

The facility was found deficient in multiple areas including residency requirements, disaster preparedness, employee training and health evaluations, physician assessments, service plans, tuberculosis testing, Alzheimer's and dementia program management, and resident rights. Several residents and employees lacked required documentation and training, and fall investigations and interventions were not adequately documented.

An inspection was conducted on 9/17/25 by the Illinois Department of Public Health to determine compliance with the Assisted Living and Shared Housing Establishment Code.

Findings and violations were identified during the inspection, and an acceptable Statement of Correction (SOC) has been received by the Department.

The document is a response to a complaint investigation regarding regulatory violations identified at the facility. The investigation addresses specific complaints numbered IL190787, IL190858, IL190933, IL190931, and IL190932 at the Blooming Bickford facility.

The report identifies multiple regulatory violations related to residency requirements, incident and accident reporting, personnel qualifications and training, service plans, mandatory services, Alzheimer's and dementia programs, and resident rights. The facility failed to meet several regulatory standards, including failure to find appropriate placement for a resident, failure to report an incident, failure to maintain training and documentation, and failure to provide adequate care and supervision.

Complaint investigation in response to complaints IL190787, IL190858, IL190933, IL190931, and IL190932 at Blooming Bickford. The complaints were substantiated with multiple regulatory violations identified.

Complaint investigations were conducted related to multiple regulatory citations and concerns at Bickford - Bloomington assisted living facility.

The investigation found multiple deficiencies including failure to re-evaluate residents' needs after condition changes, inadequate staffing and training, failure to provide required care and services, medication administration issues, unsecured facility access, and failure to report incidents. Several residents had untreated wounds, unmet care needs, and safety risks. One resident was found to have eloped multiple times without proper supervision or reporting. Staffing shortages led to missed care and medication administration. The facility failed to maintain proper service plans and training documentation, especially for dementia care.

The complaint investigation revealed substantiated deficiencies related to resident care, safety, staffing, medication administration, and facility security.

Original investigation of multiple complaints (2563126 / IL 189934, 2563192 / IL 190034, 2563322 / IL 190293, 2563344 / IL 190322) regarding regulatory compliance at Bickford - Bloomington.

The facility failed to have approved medication policies and a system in place to keep an appropriate count of discontinued narcotics for seven of eight sampled residents. Discontinued controlled medications were locked in a cabinet but lacked records and a control system from discontinuation to disposal.

Investigation was based on complaints 2563126, 2563192, 2563322, and 2563344. Only complaint 2563192 / IL 190034 resulted in a violation related to medication supervision; others had no violations cited.

The inspection was conducted in response to original complaints regarding personnel qualifications, Alzheimer's and dementia program compliance, and resident rights violations.

The facility failed to have CPR certified staff on duty 24 hours a day, did not provide adequate staffing for the memory care unit as specified in their Special Care Disclosure, and failed to follow policies regarding abuse reporting and resident care. Specific abuse allegations involving a caregiver were not reported to the State Department as required.

The investigation was triggered by complaints involving three residents. One resident (R2) reported abuse by a caregiver (E4), including being dropped on the floor and intimidation by flickering lights. The facility failed to report this allegation to the State Department within the required timeframe. Another resident (R1) was neglected in hygiene and care. The abuse allegation investigation was incomplete and did not include all relevant statements.

The inspection was conducted as a complaint survey by the Illinois Department of Public Health on 1/7/25 to investigate allegations that the establishment did not meet compliance requirements of the Assisted Living and Shared Housing Establishment Code Section 295.

The facility failed to obtain annual physician assessments for three residents, lacked sufficient staff on duty in the Alzheimer's unit, and failed to accurately control and count scheduled medications for six residents. These deficiencies were supported by interviews, record reviews, and observations.

The complaint investigation was substantiated with findings of violations related to physician assessments, staffing in the Alzheimer's unit, and medication management. The facility was fined a total of $2000.00 for violations of sections 295.4000, 295.4060, and 295.5000.

The inspection was conducted as an original complaint investigation (#2460385/IL182955) to assess compliance with physician assessments, staffing levels in the Alzheimer's unit, medication supervision, and controlled substance management.

The facility failed to obtain annual physician assessments for three residents, lacked sufficient staffing in the Alzheimer's unit affecting 13 residents, and failed to accurately control and count scheduled II narcotic medications for six residents on the assisted living side.

Original complaint investigation #2460385/IL182955. The complaint was substantiated based on findings of overdue physician assessments, insufficient staffing, and medication control issues.

Original investigation of Complaint 2466680 / IL 177037 regarding alleged neglect during resident transfer.

The facility neglected to safely transfer one resident (R1) from a wheelchair to a bed using a mechanical lift, resulting in the resident slipping from the sling, falling, sustaining a subarachnoid hemorrhage, and subsequently dying. Interviews and incident reports confirmed the strap securing the sling was unhooked, causing the fall and injury.

Complaint 2466680 / IL 177037 was substantiated based on record review and interviews indicating neglect in transferring resident R1, leading to serious injury and death.

The inspection was conducted in response to Complaint #246680 regarding resident rights violations at Bickford Bloomington House.

The investigation found a Type 1 violation involving neglect of a resident (R1) who suffered a hematoma and subsequent injury due to failure to safely transfer the resident from a wheelchair to bed, resulting in the resident's death. The facility failed to ensure proper mechanical lift use and staff training.

Complaint #246680 was substantiated as a Type 1 violation involving neglect and abuse of resident rights, specifically failure to safely transfer a resident leading to injury and death.