Inspection Reports for Bickford of Gurnee
301 S Hunt Club Rd, Gurnee, IL 60031, United States, IL, 60031
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Plan of Correction
Deficiencies: 1
Aug 29, 2025
Visit Reason
The survey was conducted to review compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act, specifically related to a facility reported incident IL197104.
Findings
The establishment was found to be in compliance overall, but a technical infraction was identified for failing to send the final incident report to IDPH within 14 days from the initial report. The facility took corrective steps during the survey to prevent recurrence, and no violation was imposed.
Deficiencies (1)
| Description |
|---|
| Failure to send the final incident report to IDPH within 14 days from the initial report. |
Report Facts
Days to send final incident report: 14
Inspection Report
Annual Inspection
Deficiencies: 7
May 29, 2025
Visit Reason
Annual Survey conducted on 5/29/2025 to assess compliance with state regulations for Bickford of Gurnee.
Findings
Multiple violations were cited including deficiencies in disaster preparedness, manager qualifications, employee orientation and training, initial health evaluations, health care worker background checks, physician assessments, and Alzheimer's and dementia program training. Several violations were repeats from the previous annual survey.
Severity Breakdown
Type 2 Violation: 4
Type 3 Violation: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to provide orientation to residents regarding emergency/evacuation plans and failed to conduct the required minimum number of fire drills. | Type 2 Violation |
| Failed to notify the Department regarding a change in management/Executive Director within 10 working days after hiring. | Type 3 Violation |
| Failed to complete employee orientation and ongoing training within required timeframes and documentation requirements. | Type 2 Violation |
| Failed to complete tuberculosis skin tests for employees within required timeframes and follow policy. | Type 3 Violation |
| Failed to conduct health care worker background checks, fingerprint-based criminal history record checks, employment verification, internet searches, and failed to retain required documentation. | Type 2 Violation |
| Failed to ensure physician certification/assessment was conducted prior to admission and signed by a physician. | — |
| Failed to provide required dementia-specific orientation, on-the-job supervised training, and ongoing in-service education for Alzheimer's and dementia programs. | Type 2 Violation |
Report Facts
Fire drills conducted: 2
Residents reviewed for Disaster Preparedness: 5
Employees reviewed for orientation: 9
Employees reviewed for continuing training: 2
Employees reviewed for TB test: 9
Employees reviewed for background checks: 9
Residents reviewed for Physician Assessment: 5
Employees reviewed for Alzheimer's and Dementia Programs: 9
Alzheimer's training hours for E5: 1.25
Alzheimer's training hours for E6: 2.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Named in findings for failure to notify management change, incomplete orientation, TB testing, and background checks. |
| E2 | Breadbasket Manager | Named in findings for incomplete background checks and employee file documentation. |
| E3 | Health and Wellness Coordinator | Named in findings for incomplete orientation, TB testing, background checks, and Alzheimer's training. |
| E4 | Registered Nurse | Named in findings for incomplete orientation and Alzheimer's training. |
| E5 | Caregiver Assistant | Named in findings for incomplete orientation, TB testing, background checks, and Alzheimer's training. |
| E6 | Caregiver Assistant | Named in findings for incomplete orientation, continuing training, background checks, and Alzheimer's training. |
| E7 | Caregiver Assistant | Named in findings for incomplete Alzheimer's training. |
| E8 | Certified Caregiver | Named in findings for incomplete TB testing, background checks, and Alzheimer's training. |
| E9 | Caregiver Assistant | Named in findings for incomplete background checks and Alzheimer's training. |
Inspection Report
Complaint Investigation
Deficiencies: 7
May 29, 2025
Visit Reason
The inspection was conducted in response to complaint surveys at Bickford of Gurnee on 5/29/25 to identify regulatory violations.
Findings
Multiple deficiencies were identified including failure to provide resident orientation on emergency evacuation plans, failure to conduct required fire drills, failure to notify the Department of a change in Executive Director within 10 working days, failure to provide timely employee orientation and continuing training, failure to complete TB tests for employees timely, failure to conduct required background checks, failure to ensure physician certification was completed prior to resident admission, and failure to provide required dementia-specific training for employees.
Complaint Details
The visit was complaint-related as it was conducted in response to complaint surveys completed on 5/29/25. The document serves as a Statement of Correction addressing violations identified during that visit.
Deficiencies (7)
| Description |
|---|
| Failed to provide orientation to residents or responsible parties regarding emergency evacuation plans and failed to conduct required fire drills. |
| Failed to notify the Department regarding a change in management/Executive Director within 10 working days after hiring. |
| Failed to provide timely employee orientation and continuing training hours. |
| Failed to complete TB tests for employees within required time frame and failed to follow TB screening policy. |
| Failed to show documentation of health care worker background checks, fingerprint-based criminal history checks, employment verification, and retention of criminal record requests. |
| Failed to ensure physician certification/assessment was completed and signed by a physician prior to resident admission. |
| Failed to ensure employees received required dementia-specific orientation and ongoing in-service education. |
Report Facts
Fire drills completion deadline: 2025
Orientation completion deadline: 2025
Notification date: 2025
Employee orientation completion deadline: 2025
TB test administration: 4
Background checks completed: 6
Physician certification date: 2025
Dementia training completion deadline: 2025
Dementia training audit deadline: 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Abby Totero | Contact person for questions regarding the Statement of Correction | |
| Edward Pitts | PSA | Recipient of the letter regarding the annual survey |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 2
Mar 28, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on multiple substantiated and unsubstantiated complaint surveys.
Findings
The facility was found to have violations related to food service sanitation, specifically staff not wearing hair nets in the kitchen, and environmental requirements, including a resident's apartment having a strong offensive odor that was not adequately addressed.
Complaint Details
The inspection was triggered by complaint investigation surveys #2476819/Il177229, #2417586/Il178277, #2418291/Il179215, and #2478876/Il180082, with three substantiated and one unsubstantiated.
Severity Breakdown
Type 3 Violation: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure staff wore hair nets while in the kitchen, violating Food Service Sanitation Code. | Type 3 Violation |
| Facility failed to ensure a resident's apartment was free from offensive odors. | Type 3 Violation |
Report Facts
Residents present: 51
Sample size: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Server | E5 Dietary Server stated hair nets and gloves are required in kitchen but was observed not wearing hair net | |
| Cook | E3 Cook stated gloves and hair net should be worn in kitchen | |
| Caregiver | E6 Caregiver observed in kitchen without hair net | |
| Happiness Coordinator | E7 Happiness Coordinator observed in kitchen without hair net | |
| Dietary Manager | E9 Dietary Manager stated staff need hair covering in kitchen but facility lacks policy | |
| Housekeeper | E10 Housekeeper reported difficulty cleaning resident R1's apartment due to clutter and odor | |
| Health and Wellness Coordinator | E2 Health and Wellness Coordinator instructed Housekeeper to clean carpet in resident R1's apartment |
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