Presbyterian Homes of Bloomington

In the surveyor’s words

From the most serious findings on record at Presbyterian Homes of Bloomington, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 3, 2025

  Based on observation, interview, and document review, the facility failed to ensure monitoring and timely removal of facility food stored in refrigerators and freezers was completed to reduce the risk of foodborne illness. This had the potential to affect approximately 20 residents who consumed meals from the third-floor kitchen, and all residents in the facility who received meals from the main facility kitchen. Findings include: During the initial tour with the assistant dietary director (DA)-A on [DATE] at 12:30 p.m., the following foods were found in the walk-in refrigerator and freezer of the main facility kitchen. -One opened container sealed with plastic wrap; ranch dressing labeled use by [DATE]. […]

• No harm, potential for more than minimal, patternF572Oct 28, 2021

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure information on resident rights was posted and provided during their stay for residents who lived on the second and third floors of the facility. This had the potential to affect 38 of 84 residents who resided on the second and third floor. Findings include: During the resident council interview on 10/27/21 at 10:35 AM Residents (R) 39, 61, 4 and 34 said they attended resident council meetings regularly and their resident rights were not always discussed. The residents said they did not know where the resident rights information was posted. The residents did not recall if they were given a copy of their rights upon admission. […]

• No harm, potential for more than minimal, patternF575Oct 28, 2021

  Based on observation, interview, and record review, the facility failed to post the list of pertinent state agencies, ombudsman information, and a statement on how to file a complaint with the State Survey Agency in a manner that was accessible to all residents of the facility. The posting was not readily available to 38 of 84 residents who resided on the second and third floor of the facility. Findings include: During the resident council interview on 10/27/21 at 10:35 AM Residents (R) 39, 61, 4 and 34 said they attended resident council meetings regularly. The residents said they did not know where the ombudsman and complaint information were located. The residents said if they had a complaint, they would have to fill out a grievance form with a facility staff person. […]

• No harm, potential for more than minimal, patternF585Jun 14, 2021

  Based on interview and document review the facility failed to follow up and provide written responses to resident concerns about responsiveness to call lights for 6 of 6 residents (R1, R7, R8, R9, R10, and R11) reviewed for grievances. Findings include: NO WRITTEN RESPONSE TO GRIEVANCE WHEN REQUESTED R1's quarterly Minimum Data Set (MDS) dated [DATE], indicated R1 had a Brief Interview of Mental Status (BIMS) score of 5, indicating severe cognitive impairment, and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . R1's quality concern form dated 4/15/21, indicated R1 filed a written complaint, dated 4/14/21, in which she complained about her bed being made with wet and soiled linens. […]

• No harm, potential for more than minimal, isolatedF755Jun 24, 2026

  Based on interview and document review, the facility failed to ensure medication orders received following a hospital visit were obtained, transcribed, and implemented timely for 1 of 3 residents (R110) reviewed for hospital return. The facility's failure resulted in a five-day delay in implementing an emergency department order increasing R110's torsemide dosage following treatment for worsening heart failure symptoms and placed the resident at risk for worsening fluid overload and respiratory compromise.Findings include: R110's admission Minimum Data Set, dated [DATE], identified R110 had moderate cognition and diagnoses included acute respiratory failure and hypoxia, heart failure, orthostatic hypotension, nonrheumatic tricuspid (valve) insufficiency, and atrial septal defect. […]