Inspection Reports for Bickford of Crawfordsville
100 Bickford Ln, Crawfordsville, IN 47933, United States, IN, 47933
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 21, 2025, identified multiple deficiencies including incomplete fire drills, missing dementia unit disclosure forms, pet vaccination record issues, and food safety concerns. Earlier inspections showed a pattern of deficiencies related to staff certification, medication management, and infection control, along with a substantiated complaint in May 2025 involving resident abuse by staff. Complaint investigations prior to 2025 were mostly unsubstantiated or found no related deficiencies. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows ongoing challenges with regulatory compliance, with recent findings continuing some earlier themes.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
28 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 28
Deficiencies: 6
Date: May 21, 2025
Visit Reason
This visit was for a State Residential Licensure Survey conducted on May 20 and 21, 2025, to assess compliance with state regulations for the facility.
Findings
The facility was found to have multiple deficiencies including failure to conduct quarterly fire drills on all shifts and invite the fire department, failure to complete a state required dementia unit disclosure form, failure to maintain pet vaccination records, and food safety violations such as undated frozen foods and improper ice scoop storage.
Deficiencies (6)
Failed to ensure fire drills were completed quarterly on all shifts and failed to invite the fire department to participate in fire drills for 12 of 12 months.
Failed to ensure a state required dementia unit disclosure form had been completed for memory care residents.
Failed to obtain and keep pet vaccination and health records on file for one resident's dog.
Failed to ensure frozen foods contained use by dates during dietary service area observation.
Ice scoop was stored in the ice within the ice dispenser instead of in a designated holder.
Dishwasher temperature logs for the month of April lacked evidence of dish washing temperatures from 5/1/25 to 5/21/25.
Report Facts
Residential Census: 28
Fire drills missing: 5
Memory care residents: 23
Pet records missing: 1
Frozen food observation: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tami Mussche | ED | Signed the report as Laboratory Director or Provider/Supplier Representative |
| Administrator (ADM) | Interviewed regarding fire drills and dementia unit disclosure form | |
| Director of Nursing (DON) | Interviewed regarding fire drills and memory care residents | |
| Corporate Consultant | Provided policy documents and interviewed regarding facility practices | |
| Dietary Manager | Interviewed regarding food safety deficiencies |
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 1
Date: May 1, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00458587 regarding allegations of abuse at the facility.
Complaint Details
Complaint IN00458587 was substantiated with state deficiencies cited related to the allegations. One resident was affected, admitted to hospice, and has since passed. All residents were reviewed and none others were affected.
Findings
The facility failed to prevent abuse and mistreatment of a cognitively impaired resident (Resident C) by two staff members, resulting in harm when the resident was forced awake and moved repeatedly despite a left hip fracture and complaints of pain.
Deficiencies (1)
Failed to prevent abuse and mistreatment of a cognitively impaired resident by two staff members, resulting in harm.
Report Facts
Residential Census: 28
Dates of Survey: Survey conducted on May 1 and 2, 2025
Incident Date: Fall and abuse incident occurred on February 27, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Polston | Director of Nursing | Named in progress notes and interviews related to the incident and follow-up care |
| CNA 1 | Staff member involved in the abuse incident and provided a written statement | |
| CNA 5 | Staff member interviewed regarding the incident and resident care | |
| LPN 4 | Licensed Practical Nurse | Entered progress notes regarding resident's pain and X-ray results |
| QMA 3 | Qualified Medication Assistant | Entered progress note regarding medication administration |
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00448594.
Complaint Details
Complaint IN00448594 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.
Report Facts
Residential Census: 22
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 0
Date: Nov 1, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00445722 at 1019 Belle's Place Of Crawfordsville.
Complaint Details
Complaint IN00445722 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00445722 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.
Inspection Report
Renewal
Census: 24
Deficiencies: 5
Date: Apr 24, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 23 and 24, 2024, to assess compliance with state regulations for residential care facilities.
Findings
The facility was found deficient in several areas including personnel certification and training, medication management, and infection control practices. Specific issues included lack of First Aid certification on night shifts, expired CNA certification, improper medication labeling and disposal, and inadequate food handling and handwashing practices.
Deficiencies (5)
Failed to ensure a staff with First Aid certification was scheduled on the night shift for 5 of 7 days reviewed.
Failed to ensure a Certified Nursing Aide (CNA) had current state CNA certification for 1 of 16 CNA certifications reviewed.
Failed to ensure an expired medication was disposed of properly for 1 of 1 medication storage room reviewed.
Failed to ensure a medication was labeled properly for 1 of 1 medication carts reviewed for medication storage (resident 24).
Failed to ensure proper food handling and handwashing in the dining room for 1 of 1 dining room observations.
Report Facts
Residential Census: 24
Days without First Aid certified staff on night shift: 5
Number of CNA certifications reviewed: 16
Number of medication storage rooms reviewed: 1
Number of medication carts reviewed: 1
Number of dining room observations: 1
Residents potentially affected: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Langhans | Divisional Director of Health & Operations | Signed the report and involved in oversight |
| CNA 9 | Certified Nursing Assistant | Scheduled on night shift without First Aid certification |
| CNA 10 | Certified Nursing Assistant | Had expired state CNA certification |
| QMA 8 | Qualified Medication Aide | Interviewed regarding medication storage and labeling |
| QMA 6 | Qualified Medication Aide | Observed during dining room food handling and handwashing deficiencies |
| Health and Wellness Director | Conducted audits and responsible for corrective actions related to medication and infection control | |
| Director | Facility Director interviewed regarding certifications and policies |
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 0
Date: Mar 8, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00402313.
Complaint Details
Complaint IN00402313 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations were cited. Crawfordsville Bickford Cottage was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00402313.
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 0
Date: Nov 3, 2022
Visit Reason
This visit was for the Investigation of Complaint IN00390065.
Complaint Details
Complaint IN00390065 - Substantiated. No deficiencies related to the allegation are cited.
Findings
Complaint IN00390065 was substantiated, but no deficiencies related to the allegation were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.
Inspection Report
Complaint Investigation
Census: 18
Deficiencies: 0
Date: Aug 3, 2022
Visit Reason
This visit was for the Investigation of Complaint IN00385957.
Complaint Details
Complaint IN00385957 was unsubstantiated due to lack of evidence.
Findings
Complaint IN00385957 was found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with 410 IAC 16.2-5 in regard to the complaint.
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