Inspection Reports for Bickford of Clinton

Investigation of Incident #130295-I at an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #130295-I; no deficiencies found.

The inspection was conducted as a recertification visit combined with an investigation into Incident #122918-I regarding tenant elopement and compliance with certification rules for an Assisted Living Program for People with Dementia.

The program failed to follow the door alarm policy resulting in a delayed staff response to a tenant elopement. Additionally, service plans for 3 of 4 tenants reviewed did not adequately address their individual needs, including failure to update plans after significant incidents or changes in condition.

The visit was triggered by a complaint investigation into Incident #122918-I involving the elopement of Tenant #1 on 8/17/24. The complaint was substantiated based on findings of delayed staff response and inadequate service plans.

The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation into Incident #103591-I. However, a regulatory insufficiency was cited for retaining a tenant who displayed unmanageable verbal abuse and physical aggression despite interventions.

The inspection was conducted as an investigation of complaint #83996-I related to regulatory insufficiencies in incident reporting and service plan updates for tenants at Bickford Cottage Clinton.

The program failed to immediately record incidents for Tenant #1 and failed to update the service plan with significant changes in tenant behavior. Multiple incident reports documented Tenant #1's aggressive and combative behavior towards staff, and the service plan was not updated timely to reflect these changes.

The investigation was triggered by complaint #83996-I. The complaint was substantiated as the program failed to document incidents immediately and failed to update the service plan timely after significant behavioral changes in Tenant #1.

Investigation of Complaint #79860-C at an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the complaint investigation.

Investigation of Complaint #79860-C found no regulatory insufficiencies.

The investigation of Complaint #77764-C was completed, resulting in regulatory insufficiencies. A recertification visit was conducted to determine compliance with certification for a Dedicated Dementia Specific Assisted Living Program, which also resulted in regulatory insufficiencies.

The program failed to follow policies and procedures regarding incident reports and failed to consistently provide adequate and appropriate services to tenants. Multiple tenants had issues including inadequate incident reporting, insufficient care, incomplete evaluations, failure to follow admission and retention criteria, and failure to notify regarding involuntary transfers. Service plans were not updated as needed to reflect tenant needs.

Investigation of Complaint #77764-C was completed resulting in regulatory insufficiencies.

Investigation of Incident #70775-I at an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #70775-I; no regulatory insufficiencies were found.

The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were cited during the recertification inspection of the Assisted Living Program.

The inspection was conducted as a complaint/incident investigation following an allegation related to service plans at Bickford Cottage Clinton.

The investigation found that the allegation regarding service plans was not substantiated. Review of tenant files, incident reports, and staff interviews indicated appropriate care was provided and no regulatory insufficiencies were identified.

Allegation: Service Plans. Findings: Not substantiated. Comments indicated appropriate care was provided and no concerns were found regarding service plans.

The visit was a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were found during this evaluation. The review of recertification documents was completed and accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans were received.

The visit was conducted as a Final Recertification Monitoring Evaluation to review the Plan of Correction and ensure compliance with regulatory requirements for the Assisted Living Program.

The program had no regulatory insufficiencies during this certification period. However, deficiencies were noted related to staff orientation on food sanitation and safe food handling, with three staff members serving meals prior to completing required training.

The inspection was conducted as a Final Complaint/Incident Investigation for Bickford Cottage of Clinton related to allegations of regulatory insufficiencies in policies and procedures, tenant rights, program reporting, staffing, tenant documents, and service plans.

The investigation found multiple regulatory insufficiencies including failure to document tenant condition changes timely, staff allegedly falsifying documentation, failure to respond appropriately to tenant complaints and symptoms, improper medication administration, and failure to report suspected dependent adult abuse. A $500 civil penalty was assessed.

The complaint investigation was substantiated with findings of regulatory insufficiencies including failure to document tenant condition changes, failure to respond to tenant complaints, forced medication administration, failure to report suspected abuse, and inadequate staff training and supervision.

The visit was conducted as a Final Incident Investigation and Recertification Monitoring Evaluation at Bickford Cottage of Clinton to review an incident involving a tenant elopement and to evaluate compliance with regulatory requirements.

No regulatory insufficiencies were found during the on-site inspection and recertification monitoring evaluation. The tenant elopement incident was investigated thoroughly, and no injuries or harm were related to the incident. The program was found to have sufficient staff and appropriate policies in place.

The visit was conducted as a final incident investigation following a report that a tenant was missing $200.00. The investigation was triggered by an incident allegation of missing money reported by the program.

The investigation found that the tenant and family reported the money missing after shopping, but no perpetrator could be identified. Staff interviews and tenant file audits did not reveal any regulatory insufficiencies related to the incident.

The complaint involved a missing $200.00 from a tenant's envelope during a three-hour timeframe on 11-27-09. Multiple interviews were conducted with the tenant, family member, and staff. No perpetrator was identified and no regulatory insufficiencies were noted.

The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals to monitor regulatory compliance in assisted living programs, specifically addressing regulatory insufficiencies in transportation and record checks.

The report found regulatory insufficiencies related to transportation services and employee record checks, including a driver without the required license and incomplete criminal and abuse background checks prior to hire. The Plan of Correction was accepted and a civil penalty of $500 was assessed.

The visit was a re-certification monitoring evaluation conducted to assess compliance with assisted living program regulations and to review tenant satisfaction and complaint history.

The program had regulatory insufficiencies related to service plans, including failure to develop service plans prior to tenant occupancy and improper documentation from legal representatives. Tenant complaints included late meals and crowded dining rooms, but tenants felt safe and appreciated staff and activities.

During this certification period, there was a substantiated complaint in the areas of Evaluations, Occupancy and Transfer Criteria, and Transfer Planning.