Inspection Reports for Bickford of Oswego

3712 Grove Rd, Oswego, IL 60543, United States, IL, 60543

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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)
DescriptionSeverity
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
NameTitleContext
E2Health and Wellness DirectorStated she did not report the incident because she did not realize it was reportable and confirmed the caregiver error.
Z1Resident's Daughter / Power of AttorneyReviewed 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
NameTitleContext
Patrick HurtsDirectorContact 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)
DescriptionSeverity
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
NameTitleContext
Certified Nursing Assistant/CNAObserved serving food and reported missing thermometer.
Dietary ManagerStated staff are required to check food temperatures and that the ham should have been at least 145 degrees before serving.

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