The Estates at Bloomington LLC

In the surveyor’s words

From the most serious findings on record at The Estates at Bloomington LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 24, 2022

  Based on interview and record review, the facility failed to provide adequate supervision to 1 of 3 residents (R1) reviewed for supervision. R1 eloped from the facility and was found one block from the facility on a busy road. A bystander called 911 and EMS took R1 to the hospital where R1 was examined and could not identify where she lived. The hospital contacted the facility and discovered that she was a resident at the facility. R1 was sent back to the facility with no injuries sustained. The immediate jeopardy began on 6/17/22, when the facility failed to supervise R1, and she eloped from the facility and was identified on 6/24/22. The Administrator and the director of nursing (DON) were notified of the immediate jeopardy at 4:15 p.m. on 6/24/22. […]

• Immediate jeopardy, isolatedF880Aug 27, 2021

  Based on observation, interview and document review, the facility failed to implement appropriate precautions against [CONDITION(S)] [CONDITION(S)] (CDI) (a inflammation of the colon caused by the bacteria [CONDITION(S)]) including use of appropriate personal protective equipment (PPE) and isolation precautions to prevent the spread of COVID-19 for 1 of 1 resident (R23) who required quarantine. This practice resulted in an immediate jeopardy (IJ) situation for residents and staff as a result of the facility not implementing proper transmission based precautions (TBP). This non-compliance has the potential to spread infections to other residents in the facility. The IJ began on 8/23/21, at 2:30 p.m. […]

• Immediate jeopardy, isolatedF740Mar 9, 2021

  Based on observation, interview and document review, the facility failed to fully assess 1 of 3 residents (R1) for chemical dependency safety and implement interventions to prevent obtaining non prescribed medications and overdoses from reoccurring. The immediate jeopardy (IJ) began on 3/1/21, when the facility failed to to fully assess R1 for chemical dependency safety or implement interventions to prevent obtaining non prescribed medications and overdosing from these medications. The IJ was identified on 3/8/21, the director of nursing (DON) and administrator were notified at 5:34 p.m. The immediate jeopardy was removed on 3/9/21, at 12:58 p.m. after the facility had implemented an acceptable removal plan. […]

• Actual harm, isolatedF689Jan 5, 2024

  Based on interview and document review, the facility failed to implement transfer interventions for 1 of 3 residents (R1) reviewed for accidents. This resulted in actual harm for R1 who hit her head and sustained a skin tear on the left forearm. Findings include: R1's quarterly Minimum Data Set (MDS), dated [DATE], indicated R1 required extensive assistance of two staff with the use of a mechanical lifting device for transfers. R1's Brief Interview for Mental Status (BIMS) indicated a score of 15, cognitively intact. R1's care plan last revised on 10/03/23, indicated R1 had a diagnosis of rheumatoid arthritis, adult failure to thrive, hypertension, depression, anxiety, obesity, and peripheral vascular disease. […]

• No harm, potential for more than minimal, widespreadF880Jun 7, 2022

  Based on observation, interview and document review, the facility failed to ensure the use of personal protective equipment (PPE) was implemented to prevent the spread of COVID 19 per guidance by the Centers for Disease Control (CDC) when staff were observed not wearing eye protection and appropriately using and handling other personal protective equipment (PPE) before and after assisting residents. This had the potential to affect all residents residing at the facility. Findings include: During the entrance to the facility on [DATE], at 7:50 a.m. […]