Inspection Reports for Bickford of Canton

The inspection was conducted in response to a complaint alleging that Resident A lacked protection and care, and that the facility was short staffed.

The investigation substantiated that Resident A lacked protection and care due to insufficient details in her service plan and delayed police notification after elopement. The allegation of short staffing was not substantiated as staffing levels matched resident needs and schedules.

The complaint alleged Resident A lacked protection and care and that the facility was short staffed. The allegation of lack of protection and care was substantiated, while the short staffing allegation was not substantiated.

The inspection was conducted in response to a complaint alleging that Resident A was observed with injuries to her lip, mouth, face, and eyes, and that Resident A's Power of Attorney (POA) was not notified about her injuries.

The investigation found that Resident A sustained injuries, but staff did not know how they were sustained. The facility conducted an investigation and assessment, and reasonably complied with the claim regarding the injuries, so the claim was not substantiated. However, the facility failed to notify Resident A's POA about the incident in a timely manner, which was a violation.

The complaint alleged that Resident A was observed with injuries to her lip, mouth, face, and eyes, and that Resident A’s POA was not notified about her injuries. The injury claim was not substantiated, but the failure to notify the POA was substantiated as a violation.

The inspection was conducted in response to a complaint alleging inadequate supervision of Resident A and failure to provide emergency medical care after a fall on 3/14/2024.

The investigation confirmed that Resident A was left unsupervised in her recliner without her walker, leading to a fall and head injury. Staff delayed responding to Resident A's calls for help, and emergency medical services were not promptly contacted despite the resident's high fall risk and use of blood thinners. Additionally, Resident A's service plan was not updated to reflect her need for walker placement while seated.

Complaint received on 04/12/2024 alleged inadequate supervision and emergency care for Resident A after a fall on 3/14/2024. The complaint was substantiated based on interviews, video evidence, and documentation.

The visit was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and regulations for the facility.

The facility was found to be in non-compliance with multiple licensing rules including failure to post resident rights and license conspicuously, incomplete medication administration records, lack of designated shift supervisors, incomplete resident discharge documentation, failure to post therapeutic diet menus, inadequate ventilation in certain rooms, improper water temperature regulation, incomplete sanitization logs, missing refrigerator thermometers, incomplete meal census records, incomplete disaster plan, lack of staff training and competency evaluations, and missing tuberculosis screenings for employees. Several violations were repeat findings from prior reports.

The inspection was conducted in response to a complaint alleging the facility did not provide adequate protection and supervision for Residents A and B following an incident where Resident A was assaulted by Resident B.

The investigation confirmed that Resident B assaulted Resident A by pulling her out of bed, placing her in a wheelchair, and pushing her into the hallway. Resident B was initially returned to a room across the hall from Resident A after a hospital evaluation, with staff instructed to check on him every 15 minutes, but no documentation of these checks was maintained. Resident B was a known wanderer with a history of aggression and high fall risk, and the facility failed to provide adequate supervision and protection for both residents. Additionally, the facility was found noncompliant for not appointing a new administrator after the previous one resigned.

The complaint alleged that Resident A was assaulted by Resident B on 6/18/2023. APS denied the allegations for investigation, but the department's investigation established the violation. Resident B was taken to the hospital for evaluation and returned to the facility the same day. The facility failed to adequately supervise Resident B, who was a known wanderer and had a history of aggression and falls.

The inspection was conducted in response to a complaint alleging that Residents A and B lacked care, housekeeping services, and reminders for laundry services at the facility.

The investigation substantiated that Residents A and B's service plans were not adequately followed, particularly Resident B's transition to the memory care unit was not reflected in updated service plans, resulting in insufficient protection, supervision, and services consistent with his needs. The facility maintained an organized laundry and housekeeping program, but care deficiencies related to service plan adherence were found.

The complaint alleged that Residents A and B lacked care, housekeeping services, and reminders for laundry. Resident B was reported to have soiled briefs and clothing, urine on the floor, and was in the same clothing for days due to laundry not being moved between units. The complaint was substantiated based on investigation findings.

The inspection was conducted in response to a complaint alleging that Resident A lacked care, did not receive prescribed medications, the memory care unit was short staffed, lacked human interaction, staff were sleeping, and residents were only provided drinks during meals.

The investigation substantiated that Resident A lacked care consistent with her service plan, including missed showers and weight loss. The allegation that Resident A did not receive prescribed medications was not substantiated. The memory care unit was found to be adequately staffed and providing activities and meals with snacks and beverages; allegations of staff sleeping and lack of human interaction were not substantiated.

The complaint alleged Resident A was sitting in her own filth with a red, irritated bottom, was not eating well due to lack of staff support, had lost weight, and was not dressed in her own clothing. Other complaints included Resident A not receiving prescribed medications, memory care being short staffed, lack of human interaction, staff sleeping, and residents only receiving drinks during meals. Only the lack of care allegation was substantiated.

The investigation was initiated due to a complaint received on 11/17/2022 alleging that Resident A lacked emergency medical care after reporting inability to move her legs and hip pain.

The investigation substantiated violations related to failure to provide emergency medical care to Resident A and incomplete medication administration records. Resident A reported pain inconsistent with her service plan and medications, and there were blank dates on medication administration records indicating possible missed doses.

Complaint received on 11/17/2022 alleged Resident A lacked emergency medical care after reporting inability to move legs and hip pain on 9/17/2022. The complaint was substantiated based on review of records and interviews.

The inspection was conducted in response to a complaint alleging that the facility did not discuss rate increases with families and failed to perform resident health assessments.

The investigation found that the facility did provide proper notice of rate increases, so that allegation was not substantiated. However, it was substantiated that staff did not complete resident health assessments within the required 180-day timeframe and service plans were not signed by residents or their POA.

Complaint alleged failure to discuss rate increases with families and failure to perform resident health assessments. The rate increase allegation was not substantiated; the health assessment allegation was substantiated.

The inspection was conducted in response to a complaint alleging that Resident A fell out of bed and was left on the floor for an extended period without staff response.

The investigation confirmed that Resident A fell and was on the floor for an extended time, with alarm history showing a call pendant push at 11:23 pm and a response time of over 3 hours. The facility failed to provide adequate protection and timely response to Resident A.

The complaint was submitted anonymously alleging Resident A fell out of bed and was on the floor for two hours before help arrived. The violation was substantiated based on alarm history and interviews.

The inspection was conducted in response to a complaint alleging that Resident A lacked safety and protection after a fall on 6/4/2022 while toileting with staff.

The investigation substantiated the allegation that Resident A was not adequately protected after a fall on 6/6/2022, resulting in multiple injuries. Staff did not fully follow the facility's fall policy, although medical attention was sought.

The complaint alleged Resident A fell on 6/4/2022, sustaining head injuries and fractures. The investigation found the fall occurred on 6/6/2022, with injuries including acute subarachnoid and parenchymal hemorrhages, clavicle and rib fractures, and a nasal bone fracture. The allegation was substantiated.

The inspection was conducted as part of the original licensing study for Bickford of Canton to determine compliance with applicable licensing statutes and administrative rules.

The study determined substantial compliance with applicable licensing statutes and administrative rules. A temporary license with a maximum capacity of 78 beds was recommended and issued.