Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 1
Apr 16, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging multiple issues including inadequate protection and care for Resident A, inadequate staffing in the memory care unit, medication administration inconsistencies, lack of Alzheimer's training for staff, and unclean bathroom conditions.
Findings
The investigation substantiated a violation related to inconsistent administration of Ibuprofen medication to Resident A. Other allegations including lack of protection and care, inadequate staffing, lack of Alzheimer's training, and unclean bathroom conditions were not substantiated based on staff interviews, documentation, and observations.
Complaint Details
The complaint alleged that Resident A lacked protection and care consistent with her service plan, experienced elopements and falls, was not administered medications as ordered, staff lacked Alzheimer's training, and Resident A's bathroom was not cleaned. The medication administration allegation was substantiated for inconsistent Ibuprofen administration; other allegations were not substantiated.
Deficiencies (1)
| Description |
|---|
| Inconsistent administration of Ibuprofen medication due to availability issues. |
Report Facts
Facility capacity: 74
Memory care residents: 14
Weight: 139
Weight: 127
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gretchin Mager | Administrator | Interviewed regarding staffing, training, and care of Resident A |
| Jessica Rogers | Licensing Staff | Conducted the investigation and authored the report |
Inspection Report
Renewal
Deficiencies: 0
Jul 24, 2024
Visit Reason
The document serves as a notification of license renewal following an administrative review of licensing activity for the past year, confirming substantial compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The review revealed substantial compliance with applicable public health codes and administrative rules, resulting in the renewal of the facility's license effective 6/10/2024.
Report Facts
License effective date: Jun 10, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender L Howard | Health Surveyor | Signed the license renewal notification letter |
Inspection Report
Renewal
Census: 28
Capacity: 74
Deficiencies: 2
Jul 12, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with applicable rules and regulations for continued licensure of the facility.
Findings
The facility was found to be in non-compliance due to the medication refrigerator containing food and lacking a reliable thermometer, which could lead to medication contamination. A corrective action plan is required for license issuance.
Deficiencies (2)
| Description |
|---|
| The refrigerator in the medication room that was designated for medication storage contained food. |
| The medication refrigerator did not have a thermometer, risking medication contamination. |
Report Facts
Number of staff interviewed and/or observed: 7
Number of residents interviewed and/or observed: 28
Facility capacity: 74
Inspection Report
Original Licensing
Capacity: 60
Deficiencies: 0
Dec 6, 2018
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the newly constructed Bickford of Shelby facility.
Findings
The study determined substantial compliance with licensing statutes and administrative rules. The facility was found to meet all requirements for physical environment, safety, and program services, and a temporary license for 60 beds was recommended.
Report Facts
Licensed bed capacity: 60
License term period: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Author of the licensing study report and signatory. |
| Russell B. Misiak | Area Manager | Approved the licensing study report. |
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