A list of the most recent deficiencies for Arcadia Care Bloomington. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-14 | 2024-02-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-11 | 2023-12-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-11 | 2023-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-11 | 2023-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-11 | 2023-12-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-11 | 2023-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-29 | 2023-12-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-29 | 2023-12-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-18 | 2023-10-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-18 | 2023-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-08-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-06 | 2023-07-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-23 | 2023-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-04-13 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-07 | 2023-03-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-25 | 2023-03-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-12 | 2023-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-20 | 2023-03-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-20 | 2023-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-30 | 2023-03-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-30 | 2023-03-14 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-16 | 2023-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-16 | 2023-03-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-16 | 2023-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-16 | 2023-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-03-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-07 | 2023-02-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-07 | 2023-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-07 | 2023-02-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-07 | 2023-02-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-07 | 2023-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-07 | 2023-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-07 | 2023-02-28 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-02-07 | 2023-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-12 | 2023-02-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-12 | 2023-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-12 | 2023-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2023-02-28 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-12 | 2023-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-20 | 2023-02-28 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-12-20 | 2023-02-28 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-20 | 2023-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-20 | 2023-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-20 | 2023-02-28 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-12-20 | 2023-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-30 | 2023-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-30 | 2023-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-30 | 2023-02-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-30 | 2023-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-19 | 2022-10-20 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-09-29 | 2022-09-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-09 | 2022-09-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-09 | 2022-09-12 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-01 | 2022-09-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-25 | 2022-09-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-25 | 2022-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-08-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-03 | 2022-08-06 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-03 | 2022-08-06 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-08-03 | 2022-08-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-03 | 2022-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-06-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-13 | 2022-06-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-13 | 2022-06-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-13 | 2022-06-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-13 | 2022-06-14 | Y |
| Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source | Health | 2022-06-01 | 2022-06-07 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-06-01 | 2022-06-07 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-04-28 | 2022-04-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-28 | 2022-04-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-04-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-22 | 2022-03-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-22 | 2022-03-23 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-03-22 | 2022-03-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-22 | 2022-03-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-09 | 2022-03-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-02-09 | 2022-03-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-09 | 2022-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-09 | 2022-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-09 | 2022-03-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-09 | 2022-03-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-09 | 2022-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-09 | 2022-03-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-02-09 | 2022-03-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-09 | 2022-03-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-02-09 | 2022-03-15 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-02-09 | 2022-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-09 | 2022-03-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-09 | 2022-03-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Develop a communication plan. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-02-16 | 2022-03-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-01-26 | 2022-01-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-06 | 2022-01-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-06 | 2022-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-06 | 2022-01-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-06 | 2022-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-01-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-06 | 2022-01-20 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-01-06 | 2022-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-06 | 2022-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-07 | 2021-09-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-01 | 2021-06-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-01 | 2021-06-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-01 | 2021-06-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-01 | 2021-06-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-27 | 2021-05-04 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-01-26 | 2021-02-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-01-26 | 2021-02-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Develop a communication plan. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Establish methods for sharing information. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-01-26 | 2021-02-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-01-22 | 2021-02-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-01-22 | 2021-02-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-01-22 | 2021-02-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-01-22 | 2021-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-22 | 2021-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-22 | 2021-02-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-22 | 2021-02-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-01-22 | 2021-02-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-22 | 2021-02-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-01-22 | 2021-02-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-01-22 | 2021-02-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-01-22 | 2021-02-15 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-01-22 | 2021-02-15 | N |
