Inspection Reports for Bickford of Carmel

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00456858 completed on April 15, 2025.

Bickford of Carmel was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00456858.

Complaint IN00456858 was corrected.

This visit was for the investigation of complaints IN00456021 and IN00456858. Complaint IN00456021 had no deficiencies cited, while complaint IN00456858 resulted in state deficiencies related to resident abuse and management.

The facility failed to prevent physical abuse of Resident C by Resident B, despite multiple incidents and reports. The facility also failed to thoroughly investigate these incidents and update service plans to prevent further abuse. Resident B exhibited ongoing aggressive behavior towards Resident C, which was inadequately managed by staff interventions limited to separating the residents after incidents.

Complaint IN00456858 involved substantiated allegations of physical abuse by Resident B against Resident C, with multiple witnessed incidents and inadequate facility response. Complaint IN00456021 had no deficiencies related to the allegations.

This visit was for a State Residential Licensure Survey conducted on December 12 and 13, 2024, to assess compliance with state regulations for the facility.

The facility was found noncompliant in several areas including failure to conduct monthly fire and disaster drills for two months, lack of documentation for fire department participation, failure to inspect HVAC system annually, unsafe kitchen sanitation and food storage practices, and unsafe water temperatures in one apartment.

This visit was a Post Survey Revisit (PSR) to multiple investigations of complaints completed between October 30, 2023, and April 2, 2024, to verify correction of previously identified deficiencies.

The facility was found to be in compliance with the relevant regulations regarding the PSRs to the investigations of complaints IN00429284, IN00428410, IN00428097, IN00419622, and IN00431347, all of which were corrected.

This visit was related to the follow-up of complaints IN00429284, IN00428410, IN00428097, IN00419622, and IN00431347, all of which were corrected.

This visit was a Post Survey Revisit (PSR) to the Investigations of multiple complaints (IN00428410, IN00428097, IN00419622, IN00429284, IN00431347) to verify correction of previously identified deficiencies.

The facility was found to be in compliance with relevant regulations regarding the complaints investigated, with all cited complaints corrected.

This visit was related to the investigation of complaints IN00428410, IN00428097, IN00419622, IN00429284, and IN00431347. All complaints were found to be corrected.

This visit was a Post Survey Revisit (PSR) to multiple complaint investigations completed previously, including complaints IN00431347, IN00428410, IN00428097, IN00419622, and IN00429284.

The facility was found to be in compliance with relevant regulations regarding the PSR to the Investigation of Complaint IN00431347, and all referenced complaints were corrected.

This visit was related to multiple complaint investigations, all of which were corrected as noted: IN00431347, IN00428410, IN00428097, IN00419622, and IN00429284.

This visit was a Post Survey Revisit (PSR) to multiple prior complaint investigations completed between October 30, 2023, and April 2, 2024, to verify correction of cited deficiencies.

Bickford of Carmel was found to be in compliance with the applicable regulations regarding the prior complaint investigations, with all complaints corrected.

This visit was related to the investigation of complaints IN00419622, IN00428410, IN00428097, IN00429284, and IN00431347, all of which were found to be corrected.

This visit was for the Investigation of Complaint IN00432374.

No deficiencies related to the allegations were cited. The facility was found to be in compliance with 42 CFR 483, Subpart B and 410 IAC 16.2-5 regarding the complaint investigation.

Complaint IN00432374-No deficiencies related to the allegations are cited.

This visit was conducted for the investigation of complaints IN00430797, IN00431347, and IN00431545 at Bickford of Carmel.

The facility failed to update the service plan to reflect services provided for fall safety and elopement safety after a change in the resident's condition for 1 of 3 residents reviewed (Resident F). No deficiencies were cited for complaints IN00430797 and IN00431545, but state deficiencies related to complaint IN00431347 were cited.

Complaint IN00430797 and IN00431545 had no deficiencies related to the allegations. Complaint IN00431347 was substantiated with state deficiencies cited related to failure to update service plans for fall and elopement safety.

This visit was conducted for the investigation of Complaint IN00429284 regarding allegations of neglect at the facility.

The facility failed to ensure a dependent resident with Lewy Bodies Dementia was free from neglect, resulting in the resident not being put to bed all night, falling, and being found stuck under her bed for an undetermined amount of time. This neglect likely caused recurrent fear and anxiety for the resident.

Complaint IN00429284 was substantiated with state deficiencies cited related to neglect of Resident B with Lewy Bodies Dementia.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00419622 completed on October 30, 2023, conducted in conjunction with the Investigation of Complaints IN00428410 and IN00428097.

The facility failed to protect a resident with dementia and a history of exit seeking behaviors from neglect, as the resident exited the facility without staff knowledge on multiple occasions and was found outside the facility. The facility had not implemented a systemic plan of correction to prevent recurrence of this issue.

Complaint IN00419622 was not corrected. Complaints IN00428410 and IN00428097 had state deficiencies related to the allegations cited at R0090, R0052, and R0154 respectively.

This visit was for the investigation of complaints IN00428410 and IN00428097, in conjunction with a Post Survey Revisit to complaint IN00419622.

The facility failed to protect a resident with dementia and exit-seeking behavior from neglect, failed to timely report an elopement and drug paraphernalia incidents, failed to complete required employee fingerprinting, and failed to maintain sanitary and good repair conditions in two kitchens.

Complaint IN00428410 and IN00428097 were investigated. Complaint IN00428410 involved neglect related to resident exit-seeking behavior. Complaint IN00428097 involved failure to report incidents and sanitation issues. Complaint IN00419622 was not corrected.

This visit was conducted for the investigation of Complaint IN00419622 related to allegations of neglect at Bickford of Carmel.

The facility failed to protect a resident with dementia from neglect when the resident exited the facility without staff knowledge and was found walking on the city sidewalk by an off-duty staff member. The resident had cognitive impairment, exit-seeking behaviors, and no elopement risk assessment was found in the record. Door alarms did not sound during the incident, and the resident removed a wander guard device. The facility updated service plans and implemented corrective actions to address exit-seeking behaviors.

Complaint IN00419622 was substantiated with state deficiencies cited related to neglect when Resident B exited the facility without staff knowledge and was found walking outside. The resident had a history of exit-seeking behavior, cognitive impairment, and no elopement risk assessment was documented. The facility failed to ensure door alarms functioned properly and the resident removed a wander guard device.

This visit was for a State Residential Licensure Survey conducted on October 2 and 3, 2023.

The facility was found noncompliant in several areas including failure to update ombudsman contact information, failure to conduct monthly fire drills and involve the local fire department biannually, insufficient staff certified in First Aid and CPR on multiple shifts, multiple food safety and sanitation violations in the kitchen, failure to document annual health statements indicating residents were free of contagious disease, and failure to complete annual tuberculosis screening for residents.

This visit was conducted for the investigation of Complaint IN00416541.

No deficiencies related to the allegations were cited. The facility was found to be in compliance with relevant regulations regarding the complaint.

Complaint IN00416541 was investigated and found to have no deficiencies related to the allegations.