Inspection Reports for Bickford of Rockford
960 N Mulford Rd, Rockford, IL 61107, United States, IL, 61107
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 16, 2025, identified deficiencies related to resident care and compliance with licensing requirements. Earlier inspections were not provided for comparison, but this report noted issues including allowing residents to remain who required higher levels of care than the facility was licensed to provide, failure to ensure physician assessments were completed, and not following service plans, which contributed to neglect and a resident’s death. Inspectors also cited failures to investigate and report injuries of unknown origin within required timeframes. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. There is no information on prior complaint investigations to indicate a trend.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description | Severity |
|---|---|
| Allowed residents to remain who required levels of service the establishment was not licensed to provide, including total assistance with 2 or more activities of daily living and assistance from more than one paid caregiver. | Type 1 Violation |
| Failed to ensure physician assessments were completed by a physician as required. | Type 2 Violation |
| Failed to follow the service delivery contract by not following the service plan, including failure to provide required toileting and safety checks. | Type 1 Violation |
| Failed to ensure a resident was free from neglect by not following the service plan and failing to provide timely antibiotic treatment, contributing to a resident's death. | Type 1 Violation |
| Failed to investigate and report injuries of unknown origin, including multiple rib fractures and a spiral fracture, within required timeframes and to the Department. | Type 1 Violation |
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Confirmed concern about injury investigation was not conducted |
| E7 | LPN | Interviewed regarding resident R1's use of call pendant and assistance needs |
| E13 | Family Advisor | Conducted investigation related to injury of unknown origin |
| E14 | LPN | Notified of resident R4's bruising of unknown origin |
| E15 | Caregiver | Reported bruising to resident R4 |
| E17 | Health and Wellness Director | Responsible for conducting investigations of injuries and reporting |
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