Inspection Reports for Bickford of Fort Dodge

The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program, following a previous complaint investigation.

The program failed to update service plans following significant changes for 2 of 4 sampled tenants and failed to complete comprehensive nurse reviews every 90 days or after significant changes for 3 of 3 sampled tenants, including review of prescription medications.

No regulatory insufficiencies were cited during the investigation of Complaint #129366-C.

The inspection was conducted as an investigation of multiple incidents and complaints, specifically Incident #126369-I, Incident #126391-I, Complaint #124898-C, and #125638-C.

No regulatory insufficiencies were cited during the investigation of the incidents and complaints.

Investigation of Incident #126369-I, Incident #126391-I, Complaint #124898-C, and #125638-C with no regulatory insufficiencies cited.

The inspection was conducted as a complaint investigation related to incident #1722582-1 and complaint #172233-0 concerning tenant C1 and tenant C2.

The investigation found multiple issues including falls risk evaluation deficiencies, failure to provide adequate tenant care and assistance, and inadequate staff training and supervision related to tenant C2. Several incidents of neglect and failure to follow care plans were documented.

The complaint investigation was substantiated with findings of neglect and failure to provide adequate care to tenant C2, including failure to prevent falls and failure to follow care plans.

The inspection was conducted as a complaint investigation related to the facility's failure to report a tenant elopement within the required 24-hour or next business day timeframe.

The investigation found that the facility failed to report an elopement incident involving one tenant within the required timeframe. The tenant eloped on 10/20/23 but the facility reported the incident to the Department on 11/3/23, which was beyond the required notification period.

The complaint investigation was substantiated as the facility failed to notify the Department of an elopement incident involving Tenant #1 within the required 24-hour or next business day period.

Investigation of Incident #112776-I and Incident #115959-I at the Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation of the two incidents.

Investigation of Incident #112776-I and Incident #115959-I with no regulatory insufficiencies found.

The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program and included an investigation of complaints #112027-C and #112440-C.

No regulatory insufficiencies were cited during the recertification visit; however, regulatory insufficiencies were found during the complaint investigation related to tenant abuse, failure to respond reasonably to tenant requests, inadequate nurse delegation and staff training, and failure to perform required criminal history evaluations prior to employment.

The complaint investigation involved allegations of abuse and other regulatory concerns. The investigation substantiated that Tenant #1 was subjected to physical harm when Tenant #2's son slammed a door on Tenant #1's finger. Additional complaints included billing errors and staff training deficiencies.

The inspection was conducted following the investigation of Incident #107408-I concerning allegations of mistreatment by a staff person (Staff G) towards tenants. The visit also reviewed complaints #102970-C and #102219-C, during which no regulatory insufficiencies were cited.

The program failed to ensure tenants received adequate and appropriate treatment and services, affecting 4 of 5 sampled tenants (#1, #3, #4, and #5). Multiple incidents of physical and verbal mistreatment by Staff G were reported, including forceful redirection, use of restraints, spraying water, and inappropriate physical contact. These incidents were not immediately reported or documented as required by policy. The Administrator confirmed these findings.

The investigation was triggered by a complaint alleging mistreatment by Staff G reported on 9/01/22. The allegations included physical and verbal abuse affecting tenants #1, #3, #4, and #5. Staff G was suspended on 8/31/22. Staff M and Staff N provided statements detailing multiple incidents. The incidents were not immediately reported or documented, and the Administrator confirmed the findings on 9/13/22.

Investigation of multiple complaints (#99950-C, #99048-C, #98313-C, #98343-C, and #98353-C) and an onsite infection control visit.

No regulatory insufficiencies were cited during the investigation of the complaints or the onsite infection control visit.

Investigation of Complaints #99950-C, #99048-C, #98313-C, #98343-C, and #98353-C found no regulatory insufficiencies.

Investigation of Complaint #81087-C at the Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the complaint investigation.

Investigation of Complaint #81087-C found no regulatory insufficiencies.

Recertification visit conducted to determine compliance with certification for an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program for People with Dementia.

The inspection was conducted as part of an investigation of Complaint #67075-C and incidents #64734-I and #67005-I at Bickford Cottage Fort Dodge, an assisted living program.

The program failed to complete a timely nurse review of a tenant after significant changes in condition, resulting in delayed assessment and medical intervention following two falls and injuries sustained by Tenant #2, including a large subdural hematoma.

The visit was complaint-related, investigating Complaint #67075-C. The complaint was substantiated as the program failed to ensure timely nurse review after significant change in condition for Tenant #2.

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

No regulatory insufficiencies were found during the evaluation. The review included recertification documents, a State Fire Marshal inspection report, and Facility Engineer approval of evacuation plans.

The inspection was conducted as a complaint investigation following a family concern that a tenant was not treated appropriately at Bickford Cottage Fort Dodge.

The investigation found that the allegation of inappropriate treatment of a tenant was not substantiated. No regulatory insufficiencies were identified during the investigation.

Allegation: Tenant Rights - a family concern was reported that a tenant was not treated appropriately. Findings: Not Substantiated. After notification, an internal investigation was conducted including interviews and tenant file review. Inappropriate treatment was not substantiated.

The inspection was conducted as a complaint/incident investigation following a report that a tenant was missing one narcotic pill.

The investigation found no substantiation of tenant rights violation related to the missing narcotic pill. No regulatory insufficiencies were identified during the investigation.

Allegation involved tenant rights regarding a missing narcotic pill. Findings were not substantiated after review of tenant files, staff and tenant interviews, and internal investigation.

The inspection was conducted as a Final Recertification & Complaint/Incident Investigation following a complaint intake #50916-C regarding regulatory insufficiencies related to program policies, procedures, and program notification to the department.

The investigation found that staff did not consistently follow policies and procedures, including medication administration and response to an unwitnessed door alarm. A tenant was found outside in cold weather without proper monitoring, and the program failed to report an elopement to the department.

Complaint investigation #50916-C was substantiated with findings that staff failed to follow medication administration policies and failed to report an elopement of Tenant #7, who was found outside in cold weather with hypothermia risk.

The inspection was conducted as a final complaint/incident investigation regarding allegations of tenant injuries and physical altercations at Bickford Cottage of Fort Dodge, Iowa.

The investigation found multiple incidents of tenant altercations involving physical aggression and injury, including one tenant with bruising and blackened eyes. The program had regulatory insufficiencies related to tenant rights and criteria for admission and retention. Tenant #5 exhibited repeated exit-seeking and aggressive behaviors requiring psychiatric intervention and increased supervision.

Complaint/Incident Allegation 45276-C and 45289-I involved tenant injuries from physical altercations, including tenants hitting and punching each other resulting in bruises and blackened eyes. The complaint was substantiated with multiple tenant interviews and incident reports confirming altercations and inadequate program response.

The visit was conducted as a Final Recertification Monitoring Evaluation for Bickford Cottage Assisted Living to review recertification documents and ensure compliance with Iowa Code and Administrative Code.

No regulatory insufficiencies were found during the evaluation. The program was found to be in compliance with all applicable regulations, and the State Fire Marshal's inspection and evacuation plans were approved.

The inspection was conducted as a final complaint/incident investigation following reports of tenant falls and a possible stolen narcotic medication at Bickford Cottage Assisted Living.

The investigation found no regulatory insufficiencies related to the reported incidents. Tenant #2 had multiple falls resulting in a hip fracture, and Tenant #1's medication administration was independent with no evidence of theft.

Two incident allegations were investigated: #34839-I concerning Tenant #2's history of falls and resulting hip fracture, and #35941-I regarding a family member's suspicion of stolen narcotic medication. Both allegations resulted in no regulatory insufficiencies.

The inspection was conducted as a final incident investigation at Bickford Cottage Assisted Living following incidents involving tenant safety and care concerns.

The investigation found a regulatory insufficiency related to the admission and retention of a tenant requiring routine two-person assistance for transfers. Another tenant suffered a fall resulting in a femoral neck fracture, with monitoring system issues noted. A $500 civil penalty was assessed.

The complaint involved incidents where Tenant #1 required two-person transfers but was admitted as a routine two-person transfer, and Tenant #2 was found on the floor with a right femoral neck fracture. The investigation substantiated regulatory insufficiencies in medication and staffing.

A complaint investigation on-site visit was conducted at Bickford Cottage in Fort Dodge to investigate allegations related to tenant care and program compliance.

The investigation found multiple regulatory insufficiencies including failure to complete tenant assessments prior to admission, failure to update assessments and service plans as needed, failure to transfer a tenant who was a danger to self due to chronic elopement, and failure to obtain required multidisciplinary team signatures on service plans.

Complaint investigation was triggered by allegations that the program retained a tenant who had multiple incidents of eloping from the building. The complaint was not substantiated in prior certification periods.