Deficiency Records for The Estates at Bloomington LLC

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Estates at Bloomington LLC. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-05 2024-01-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-05 2024-01-20 Y
Give residents a notice of rights, rules, services and charges. Health 2023-12-12 2024-01-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-12 2024-01-03 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-11-08 2023-12-15 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-11-08 2023-12-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-11-08 2023-12-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-08 2023-12-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-08 2023-12-15 N
Post nurse staffing information every day. Health 2023-11-08 2023-12-15 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 2023-11-08 2023-12-15 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 2023-11-08 2023-12-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-06 2023-12-15 N
Provide properly protected cooking facilities. Fire Safety 2023-11-06 2023-12-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-06 2023-12-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-11-06 2023-12-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-11-06 2023-12-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-06 2023-12-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-01 2023-08-18 Y
Respond appropriately to all alleged violations. Health 2023-08-01 2023-08-18 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-02-23 2023-03-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-02-23 2023-03-24 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-02-23 2023-03-24 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-02-23 2023-03-24 N
Provide appropriate foot care. Health 2023-02-23 2023-03-24 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-02-23 2023-03-24 N
Provide enough food/fluids to maintain a resident's health. Health 2023-02-23 2023-03-24 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-02-23 2023-03-24 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-02-23 2023-03-24 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 2023-02-23 2023-03-24 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-02-23 2023-03-24 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-02-24 2023-03-24 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-02-24 2023-03-24 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-02-24 2023-03-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-24 2023-03-24 N
Provide and implement an infection prevention and control program. Health 2022-06-07 2022-07-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-24 2022-06-24 Y
Respond appropriately to all alleged violations. Health 2022-05-19 2022-06-10 Y
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 2022-03-03 2022-04-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-03 2022-04-08 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 2022-03-03 2022-04-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-11 2022-02-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-11 2022-02-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-10 2021-12-16 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 2021-08-27 2021-10-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-27 2021-10-04 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 2021-08-27 2021-10-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-08-27 2021-10-04 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2021-08-27 2021-10-04 N
Provide and implement an infection prevention and control program. Health 2021-08-27 2021-10-04 N
Provide primary/alternate means for communication. Fire Safety 2021-08-27 2021-10-04 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2021-03-09 2021-04-09 Y