Inspection Reports for Bickford of Oswego
3712 Grove Rd, Oswego, IL 60543, United States, IL, 60543
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 11, 2025, identified deficiencies related to failure to report a resident injury and improper use of a mechanical lift that resulted in a fall and laceration. Earlier inspections showed mixed results, including a clean annual licensure survey in August 2025 and prior deficiencies for food temperature control during meal service in April 2025. The main issues involved resident safety during transfers and food service temperature management. Complaint investigations included substantiated findings for the lift incident and food temperature, while other complaints were unsubstantiated. The inspection history shows some recurring concerns with safety and food handling, with the most recent report highlighting resident transfer practices.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Oct 11, 2025
Visit Reason
The inspection was conducted as the original investigation of Complaint 2578794 / IL 197518 regarding an incident involving a resident who fell from a mechanical lift.
Findings
The facility failed to report a serious incident involving a resident who fell from a mechanical lift and sustained a laceration requiring hospital treatment. The investigation found that the resident was transferred by only one caregiver instead of the required two or three, resulting in the fall and injury. The caregiver responsible no longer works at the facility.
Complaint Details
Original investigation of Complaint 2578794 / IL 197518. The complaint involved failure to report an incident and neglect in transferring a resident safely, resulting in injury.
Severity Breakdown
Type 3 Violation: 1
Type 1 Violation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to report an incident with injury to the Department for one of three sampled residents. | Type 3 Violation |
| Neglected to safely transfer one of three sampled residents using a mechanical lift, resulting in a laceration requiring three staples. | Type 1 Violation |
Report Facts
Number of times resident transferred with only one caregiver: 38
Laceration size: 1.5
Date of incident: Sep 2, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Health and Wellness Director | Stated she did not report the incident because she did not realize it was reportable and confirmed the caregiver error. |
| Z1 | Resident's Daughter / Power of Attorney | Reviewed camera footage and reported the caregiver failed to use two caregivers and improperly hooked the mechanical lift straps. |
Inspection Report
Annual Inspection
Deficiencies: 0
Aug 18, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the applicable assisted living regulations during the annual licensure survey.
Inspection Report
Plan of Correction
Deficiencies: 1
Apr 14, 2025
Visit Reason
This document serves as the written Statement of Correction to address regulatory violations identified during the complaint survey completed at Bickford of Oswego on 4/4/2025.
Findings
The establishment failed to check food temperatures prior to meal service and failed to maintain a holding temperature of at least 145 degrees Fahrenheit prior to meal service.
Deficiencies (1)
| Description |
|---|
| Failed to check food temperatures prior to meal service and failed to maintain a holding temperature of at least 145 degrees Fahrenheit prior to meal service. |
Report Facts
Temperature holding requirement: 145
Training completion date: Apr 15, 2025
Audit frequency: 3
Audit frequency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patrick Hurts | Director | Contact person for questions regarding the Statement of Correction |
Inspection Report
Complaint Investigation
Census: 12
Deficiencies: 1
Apr 4, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to food service practices at the facility.
Findings
The facility failed to check food temperatures prior to meal service and did not maintain a holding temperature of at least 145 degrees Fahrenheit, potentially affecting all 12 residents on the memory care unit. The dietary staff served ham at 104 degrees Fahrenheit, below the required temperature.
Complaint Details
Complaint investigations 2478463/IL179472 cited deficiency; 2478705/IL179897 had no deficiency cited.
Severity Breakdown
Type 2 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to check food temperatures prior to meal service and failed to maintain a holding temperature of at least 145 degrees Fahrenheit. | Type 2 Violation |
Report Facts
Residents affected: 12
Food temperature: 104
Required food holding temperature: 145
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant/CNA | Observed serving food and reported missing thermometer. | |
| Dietary Manager | Stated staff are required to check food temperatures and that the ham should have been at least 145 degrees before serving. |
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