Inspection Reports for Bickford of Sioux City

The visit was conducted to investigate Incident #128254-I, Complaint #128809-C, and to perform the recertification visit to determine compliance with certification of an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation and recertification visit.

Investigation of Complaint #128809-C found no regulatory insufficiencies.

The inspection was conducted to investigate complaints #124657-C, #126350-I, and #125646-C related to the assisted living program for people with dementia.

No regulatory insufficiencies were found for complaints #124657-C and #126350-I. However, a regulatory insufficiency was cited for complaint #125646-C due to failure to update the service plan for Tenant #3 following significant changes in health condition.

Complaint #125646-C was substantiated with a finding that the service plan for Tenant #3 was not updated to reflect physician-ordered changes for pressure ulcers and related care.

The inspection was conducted to investigate complaints related to tenant safety during transportation and tenant rights regarding pest control and staff training.

The program failed to consistently follow its transportation policy, resulting in a tenant being left unattended on a bus for approximately one hour and 40 minutes in high heat conditions. Additionally, the program did not timely address reported bed bug infestations affecting a tenant and failed to ensure all staff received the required eight hours of dementia-specific education annually.

The investigation was triggered by complaints #115919-C and 116546-C. No regulatory insufficiencies were found during investigations of incidents #115785-I and 116547-I. The complaint investigation substantiated failures in transportation supervision, pest control response, and staff training compliance.

Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the recertification visit or during investigations #114013-I and 11604-I.

The inspection was conducted following the investigation of Incident #102863-I involving a tenant elopement and failure to follow resident monitoring policies.

The facility failed to follow its resident monitoring system policy, resulting in a tenant with dementia eloping without triggering alarms due to a missing watch battery and unauthorized access to door codes. The service plan was not updated to reflect increased supervision needs, and alarm system checks were not properly documented. The alarm system was not fully effective, and staff failed to detect the elopement in a timely manner.

The visit was complaint-related, investigating Incident #102863-I involving a tenant elopement on 2/28/22. The complaint was substantiated based on findings of policy noncompliance and system failures.

The inspection was a recertification visit to determine compliance with certification of an Assisted Living Program for people with Dementia.

The inspection identified regulatory insufficiencies related to dependent adult abuse training, background checks prior to employment, retention criteria for tenants requiring two-person assistance, and dementia-specific education for personnel. No deficiencies were found during complaint investigations or infection control survey.

No regulatory insufficiencies were cited during the investigation of Complaints #92962-C and #93151-C.

The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program - Dementia Specific.

The program failed to consistently discharge tenants who exceeded admission/discharge criteria and did not ensure all personnel received required dementia-specific education within 30 days of employment.

The inspection was conducted as an investigation of Incident #75820-I at the Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation of the incident.

Investigation of Incident #75820-I; no deficiencies were found.

Investigation of Incident #73803-I at an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #73803-I found no regulatory insufficiencies.

The inspection was conducted as a recertification visit for the Assisted Living Program, including an investigation of complaint #72331-I.

No regulatory insufficiencies were cited during the recertification visit, and the complaint investigation resulted in no regulatory insufficiencies.

Investigation of complaint #72331-I was conducted during the recertification visit and resulted in no regulatory insufficiencies.

Investigation of Incident #68450-I at Bickford Cottage II Sioux City, an assisted living program with a dementia-specific program by dedication.

No regulatory insufficiencies were cited during the investigation of the incident.

Investigation of Incident #68450-I found no regulatory insufficiencies.

A recertification visit and incident investigation were conducted at the Assisted Living Program from 12/21/15 to 12/23/15 to evaluate compliance and investigate an incident.

No regulatory insufficiencies were found during the evaluation. The incident investigation found the tenant's fall was responded to appropriately and the complaint was unsubstantiated.

The incident investigation related to a tenant's fall was unsubstantiated.

The inspection was conducted as a complaint/incident investigation regarding staffing and an incident involving a tenant's elopement at Bickford Cottage II Sioux City.

No regulatory insufficiencies were identified. The allegation of staffing issues was not substantiated based on observations, staff interviews, and review of incident reports and program policies.

Allegation: Staffing. Findings: Not substantiated. Comments indicated that the tenant had no history of elopement behavior, and the window securing methods had been in place for 16 years without incident.

The inspection was conducted as a complaint/incident investigation regarding tenant rights allegations at Bickford Cottage II, Sioux City, IA, following an on-site monitoring visit from May 19-21, 2015.

The allegation of tenant rights mistreatment was unsubstantiated due to lack of immediate reporting, no eyewitnesses, and tenants' inability to contribute to the investigation. No regulatory insufficiencies were identified during the investigation.

Allegation: Tenant Rights. Findings: Unsubstantiated. Based on tenant file review, staff interviews, policy reviews, incident report review, and other investigative steps, it could not be determined that tenants had been mistreated. Staff failed to report suspected dependent adult abuse immediately and failed to document allegations properly, resulting in reprimands, but no regulatory insufficiencies were cited.

The inspection was conducted as a Final Recertification Monitoring Evaluation and Incident Investigation following a complaint/incident intake #47202-I, focusing on regulatory insufficiencies related to dementia-specific education, mandatory dependent adult abuse training, and policies and procedures.

The program received regulatory insufficiencies in the areas of dementia-specific education for program personnel, mandatory reporter training for dependent adult abuse, and policies and procedures. An incident involving staff and a tenant was investigated, with no regulatory insufficiency noted related to tenant rights. The program was required to submit a Plan of Correction within 10 working days.

The complaint/incident involved an incident where Staff #1 was observed grabbing and spinning Tenant #1 around in a bear-hug manner. The incident was reported and investigated, with no harm found to the tenant. Staff #1 was described as loud and interventions were put in place to address the behavior. The program reported the incident timely.

The inspection was conducted as a complaint/incident investigation based on allegations regarding tenant apartment cleanliness, incontinence care, staffing sufficiency, care provision, and odor issues at Bickford Cottage II Memory Care Assisted Living.

The investigation found no regulatory insufficiencies or violations. Observations and interviews indicated that apartments were generally clean, tenants were assisted appropriately with toileting and hygiene, staffing levels were adequate, and no evidence supported the allegations. Some odors of urine were noted but did not meet criteria for regulatory insufficiency.

The complaint alleged dirty tenant apartments, unattended incontinence, insufficient staff to prevent falls, inadequate care provision, and strong odors. The investigation found no preponderance of evidence to support these allegations and no regulatory insufficiencies were noted.

The inspection was conducted as a complaint/incident investigation based on allegations regarding activities, nurse care, tenant rights, staffing, service plans, and food service at Bickford Cottage II of Sioux City.

The investigation found no regulatory insufficiencies in any of the complaint areas including activities, nurse review, tenant rights, staffing, service plans, and food service. Observations and interviews confirmed appropriate care and services were provided.

The complaint investigation addressed allegations that the program did not provide activities for all tenants, tenants had untreated cuts, staff made fun of tenants, tenants were put to bed early, food was shoved into tenants' mouths, a staff person pulled a tenant by the arms during transfer, a tenant was dropped on the floor, incontinence care was neglected, tenants were not provided a ground meat diet when needed, and food was undercooked and unpalatable. None of these allegations were substantiated.

The inspection was conducted as a Final Complaint/Incident Investigation for Bickford Cottage II of Sioux City, Iowa, based on complaints regarding tenant elopement, staffing issues, medication overuse, lack of planned activities, nurse review concerns, and structural requirements.

The investigation found multiple issues including tenant elopement incidents, inadequate supervision during weekends in the memory care unit, medication management concerns, and lack of planned activities. Several tenants exhibited exit seeking and wandering behaviors, with some receiving medications to manage agitation. The program had no regulatory insufficiencies noted in some areas but did have substantiated complaints related to staffing and tenant safety.

The complaint investigation involved three complaint/incident intake numbers (43751-I, 43741-C, 44166-C). Allegations included tenant elopement, lack of staff presence in the memory care unit during weekends, increased tenant falls due to lack of supervision, medication overuse, lack of planned activities, failure to identify changes in tenant condition, and a community cat residing in the program. Some allegations were substantiated with findings of regulatory insufficiency, particularly regarding tenant admission/retention criteria and staffing.

The inspection was conducted as a complaint/incident investigation following an allegation that the program did not adequately assess tenants for change of condition or physical needs.

The investigation reviewed four tenant files, all admitted to hospice, and found no regulatory insufficiencies. Observations and interviews indicated that care needs were met, tenants appeared neat and clean, and no deficiencies were noted.

The complaint alleged inadequate assessment of tenants for changes in condition or physical needs. The investigation found no regulatory insufficiencies and determined that care was appropriately provided.

The visit was a Final Recertification Monitoring Evaluation to assess compliance with Iowa Administrative Code chapters related to assisted living programs and to review recertification documents.

No regulatory insufficiencies were found during the evaluation. The program was clean, well-maintained, and staff treated tenants kindly. The program did not receive any regulatory insufficiencies during the certification period.

A complaint investigation on-site visit was conducted at Bickford Cottage II on June 1 and 2, 2010, to investigate regulatory insufficiency related to record checks.

The investigation found a regulatory insufficiency regarding incomplete dependent adult abuse and criminal background checks for a staff member, resulting in a $500 civil penalty being assessed to the facility.

Complaint Intake #: 28713-M. The complaint investigation found regulatory insufficiency in record checks. No substantiated regulatory insufficiencies were found during the certification period prior to this complaint.