Inspection Reports for Bickford of Greenwood

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00458539 completed on May 1, 2025.

Bickford Of Greenwood was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00458539.

Complaint IN00458539 was investigated and found to be corrected.

This visit was for the Investigation of Complaint IN00458539 and was conducted in conjunction with a Post Survey Revisit to the State Residential Licensure Survey completed on March 11, 2025.

The facility failed to ensure that a resident (Resident B) received physician-prescribed medications, resulting in hospitalization due to medication omission over four days. The family provided a pill organizer but not the original medication bottles, and facility staff did not administer medications not in original containers nor contact the family further, leading to Resident B's hospitalization for dehydration and abnormal labs.

Complaint IN00458539 was substantiated with a state deficiency cited at R241 related to medication administration resulting in resident hospitalization.

This visit was a Post Survey Revisit (PSR) to the State Residential Licensure Survey completed on March 11, 2025, conducted in conjunction with the Investigation of Complaint IN00458539.

Bickford of Greenwood was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the State Residential Licensure Survey.

Complaint IN00458539 - State deficiencies related to the allegations are cited at R241.

This visit was for a State Residential Licensure Survey including the Investigation of Complaints IN00450622 and IN00453793.

No deficiencies were cited related to the complaints investigated. However, deficiencies were found related to failure to notify physician of changes in condition, failure to protect resident from neglect related to elopement, failure to ensure First Aid certification coverage on all shifts, and failure to document annual health statements for residents.

Complaint IN00450622 and Complaint IN00453793 were investigated with no deficiencies related to the allegations cited.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00438988 completed on August 9, 2024.

Bickford of Greenwood was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00438988.

Complaint IN00438988 was investigated and found to be corrected.

This visit was conducted for the investigation of Complaint IN00438988 regarding allegations of staff-to-resident abuse at the facility.

The facility failed to ensure cognitively-impaired residents on the Memory Care Unit were free from staff-to-resident abuse by QMA 1, who was verbally and physically abusive to Residents B and C. The facility also failed to immediately report the abuse allegations to the Administrator and failed to notify the State department of health timely. QMA 1 was suspended and terminated. The Executive Director and Health and Wellness Director will be re-educated on resident rights and abuse reporting policies.

Complaint IN00438988 was substantiated with state deficiencies cited related to staff-to-resident abuse by QMA 1 against Residents B and C. The abuse included yelling, physical grabbing, pushing, and intimidation. The facility failed to report the abuse timely to the Administrator and the State department of health.

This visit was conducted for the investigation of Complaint IN00437358.

No deficiencies related to the allegations in Complaint IN00437358 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.

Complaint IN00437358 was investigated and found to have no deficiencies related to the allegations.

This visit was for a Post Survey Revisit (PSR) to the State Residential Licensure Survey completed on March 6, 2024.

Bickford of Greenwood was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the State Residential Licensure Survey.

This visit was for a State Residential Licensure Survey which included the investigation of Complaint IN00429658.

The facility was found noncompliant in several areas including accessibility of previous survey results, failure to conduct monthly fire drills for 3 of 12 months, incomplete personnel records and missing reference inquiries for 2 employees, lack of CPR and First Aid certified staff on 5 of 21 shifts, missing tuberculosis skin test documentation for 1 employee, unsecured hazardous materials accessible to residents, failure to ensure pets had current rabies vaccinations and veterinary exams, and unsigned service plans for 2 of 7 clinical records reviewed.

Complaint IN00429658 was investigated and no deficiencies related to the allegations were cited.

This visit was conducted for the investigation of three complaints: IN00422071, IN00425112, and IN00425928.

No deficiencies related to the allegations in any of the three complaints were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the investigation of these complaints.

Complaints IN00422071, IN00425112, and IN00425928 were investigated and found to have no deficiencies related to the allegations.

This visit was conducted for the investigation of Complaint IN00417176 regarding allegations related to resident neglect.

The facility failed to protect the right of a cognitively impaired resident to be free from neglect when the resident exited a secured unit without staff knowledge. The alarm system was found to be inadequate, and staff pagers were on vibrate, preventing timely alerts.

Complaint IN00417176 was substantiated with state deficiencies cited related to neglect of a resident who exited a secured unit unnoticed.

This visit was conducted for the investigation of Complaint IN00416173 regarding pharmaceutical services at the facility.

The facility failed to ensure prescribed medications were available for a resident (Resident B) after transferring from another facility, specifically missing insulin and Clonazepam. The facility lacked signed prescriptions from the physician, delaying medication administration.

Complaint IN00416173 was investigated and state deficiencies related to the allegations were cited at R0297.

This visit was for a State Residential Licensure Survey conducted on April 17, 18, and 19, 2023.

The facility failed to conduct the required 12 fire drills in the calendar year, completing only 7 drills. Additionally, the facility failed to maintain current and accurate personnel records for 2 of 5 employee records reviewed.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00398786 completed on January 10, 2023.

Bickford of Greenwood was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00398786.

Complaint IN00398786 was corrected.

This visit was conducted for the investigation of Complaint IN00398786, which was substantiated with state deficiencies related to the allegations cited.

The facility neglected to ensure residents were supervised for 1 of 3 residents reviewed. Resident B went on a facility outing and was not properly accounted for, resulting in the resident being taken to a local hospital. The facility lacked a policy related to resident outings.

Complaint IN00398786 was substantiated. The facility failed to ensure proper supervision of residents during an outing, leading to Resident B being left behind and taken to a hospital.

This visit was conducted for the investigation of complaints IN00388589 and IN00390069.

Complaint IN00388589 was substantiated but no deficiencies related to allegations were cited. Complaint IN00390069 was unsubstantiated due to lack of evidence. The facility was found to be in compliance with relevant regulations regarding these complaints.

Complaint IN00388589 - Substantiated with no deficiencies cited. Complaint IN00390069 - Unsubstantiated due to lack of evidence.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00384922 completed July 13, 2022.

Bickford of Greenwood was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00384922.

Complaint IN00384922 was corrected.