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Inspection visit

Inspection

ARCADIA CARE BLOOMINGTONCMS #1453712 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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. Based on observation, interview and record review, the facility failed to provide timely laundry services to maintain residents personal clothing in a clean useable condition for six of eighteen residents (R10, R12, R13, R14, R16 and R17) reviewed for Homelike environment.Findings include:On 12/3/25 at 9:50 AM, three clean linen carts observed in laundry room, filled with residents clean laundered clothing awaiting delivery. On 12/4/25 at 9:45 AM, the same three clean linen carts observed in laundry room still awaiting to be delivered. On 12/4/25 at 9:31 AM, R12 stated that it takes a while to get you clothes back, and R12 sometimes goes to laundry and asks to get some clothes. On 12/4/25 at 9:45 AM, V5 Laundry Aide stated there is an issue with missing and late laundry, as you can see both washers and dryers are going, and we have three 55-gallon garbage container, and two laundry carts filled of dirty clothes. V5 stated there is also two carts of clean clothes that have been here since yesterday and need to be delivered to the residents. On 12/4/25 at 9:50 AM, V15 Laundry Aide stated that there is a lot of clothes that need to be cleaned, there are three 55-gallon garbage containers and two laundry carts full of dirty clothes and linens. V15 stated that if it's only V15 working it's hard to wash, dry and fold the clothes and get them back to the residents. V15 stated that it takes several days to get the residents clothes, wash, dry, fold, hang them up and get them back to the residents. V15 stated that lots of residents come to the laundry door and knock and ask for their clothes. On 12/4/25 at 10:16 AM, R13 stated that a couple of weeks ago R13 filled out a complaint form for a missing hoodie that was brought to laundry to be cleaned. R13 stated three days later the hoodie was located in laundry and given back to R13. R13 stated that it always takes two-three days to get your clothes washed and returned by laundry. R13 stated that that is too long, R13 is always looking for R13's clothes and they are in laundry. On 12/4/25 at 10:50 AM, V6 Certified Nursing Assistant stated that there is an issue with residents getting their clean clothes back from laundry, it's been taking two-three days or more for them to get their clothes back.On 12/4/25 at 11:20 AM, V16 Certified Nursing Assistant stated that there has been an ongoing issue with residents not getting their clean clothes back for several days. V16 stated that laundry is backed up and it takes several days to clean and return clothes. On 12/4/25 at 11:45 AM, V2 Director of Nursing stated that the facility has been getting Concern/Complaint Forms regarding missing clothing. V2 stated that the residents' clothes have been found in laundry. V2 stated that laundry is not returning residents clean laundry in a timely manner and the resident believes that their clothes are missing. V2 confirmed there are three linen carts of clean laundry in the laundry room that needs to be delivered to the residents. On 12/4/25 at 1:19 PM, V1 Administrator confirmed there is an issue with the timing of returning residents clothes. V1 stated we are making plans to address this issue and get the residents clothes back to them in a timely manner. V1 stated that the facility has gotten several Concern forms regarding missing clothing that were later found in laundry due to not being returned to them in a timely manner.On 12/4/25 (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145371 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145371 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Arcadia Care Bloomington 1509 North Calhoun Street Bloomington, IL 61701 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete at 1:30 PM, R10 stated that R10 is always missing clothing. R10 stated that R10 has filed Concern/Complaint Forms and staff have found R10's missing items in laundry. R10 stated that it takes laundry two-three days to clean R10's clothes and get them back to R10, which is way too long. R10 stated they don't have enough staff to clean the clothes and bring them back to the residents. On 12/4/25 at 2:20 PM, R14 stated that R14 has had clothes missing, that show up days later from laundry. R14 stated that it always takes several days from the time R14's clothes go to laundry till they come back. R14 stated that R14 has gone to laundry to ask for clothes that R14 needed. R17's Concern/Complaint Form dated 10/9/25 documents R17 missing blue blanket. Summary of findings dated 10/10/25 documents: Found in laundry. R16's Concern/Complaint Form dated 11/1/25 documents R16's Power of Attorney stated POA had to buy more sweatpants for R16 since they keep going missing. Summary of findings dated 11/3/25 documents: Two pair found. R10's Concern/Complaint Form dated 11/4/25 documents R10 says R10 is missing leggings, size XL they look like jeans. Summary of findings dated 11/5/25 documents: Leggings found in laundry. Corrective action taken: Laundry team educated on promptness of cleaning and returning items.R13's Concern/Complaint Form dated 11/14/25 documents R13 says R13 is missing a hoodie, size large. Summary of findings dated 11/17/25 documents: Hoodie found in laundry. Corrective action taken: Laundry team educated on promptness of cleaning and returning items.R10's Concern/Complaint Form dated 11/25/25 documents R10 says a shirt is missing, size 2x purple. Summary of findings dated 11/26/25 documents: Shirt found in laundry. Corrective action taken: Laundry team educated promptness of cleaning and returning items.Resident Council Meeting Minutes dated 9/9/25 documents: Laundry/Housekeeping: missing clothes. Resident Council Meeting Minutes dated 10/14/25 documents: Laundry/Housekeeping: clothes are going missing for residents.Resident Council Meeting Minutes dated 11/11/25 documents: Laundry/Housekeeping: missing laundry still, taking weeks to return. Event ID: Facility ID: 145371 If continuation sheet Page 2 of 3 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145371 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Arcadia Care Bloomington 1509 North Calhoun Street Bloomington, IL 61701 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observation, interview, and record review, the facility failed to maintain the shower rooms in a safe and functional condition. This failure has the potential to affect all 94 residents residing in the facility.Findings include:On 12/3/25 at 1:49pm, the facility's shower room on the 100 hall was in a state of disarray. There were loose pieces of tile, a crack in the shower board, floor tile grout dirty with black substance, an orange substance (appears to be rust) along baseboard edges, peeling caulk, and a gray/black fuzzy substance appearing on the caulking on lower shower head wall. These blackened areas were in spotted arrangement with radiating strands and resembled mold. There was a bathtub in this room with hair, boxes of gloves, and a gait belt inside of it.On 12/3/25 at 2:45pm, the facility's shower room on the 400 hall was in a state of disarray. There was approximately two feet of baseboard detached from wall, black substance on caulk, an orange substance (appears to be rust) on the shower board, overall dirty appearing tiles, black substance on areas of floor near the shower walls. These blackened areas were in spotted arrangement with radiating strands and resembled mold. The toilet was full to the rim with what appeared to be feces.On 12/4/25 at 10:10am, the facility's shower room on the 300 hall was in a state of disarray. The toilet bowl water was black, an orange substance (appears to be rust) and a black substance (appearing to be mold and/or mildew) on baseboards/baseboard caulking and a black substance on floor tiles near the shower walls. These blackened areas were in spotted arrangement with radiating strands and resembled mold.On 12/4/25 at 1:03pm, V4 Maintenance Director accompanied this surveyor to all three shower rooms. V4 confirmed all three shower rooms were in disrepair. V4 confirmed the following observations: 400 hall shower room-base board pulled off approximately two feet on shower head wall from corner to mid-point of shower wall. Toilet dirty with unknown substance. Unidentifiable black substance on floor and around shower walls and on caulking. Approximately six inches of black fuzzy substance along baseboard. 100 hall shower room-numerous broken floor tiles around shower drain, shower chair seat has what appears to be feces on the top of the seat, black substance along shower base boards, and peeling caulk. 300 hall shower room-toilet needs cleaned, garbage noted on floor (plastic wrappings/tissues), black substance on floors along baseboards. Tiles missing from wall. V4 stated all three of these shower rooms need deep cleaned and completely remodeled.On 12/3/25 at 10:09am, R1 stated both showers are gross and who knows what is on the floors.On 12/3/25 at 1:45pm, R8 stated R8 has used both the 100 and 400 hall showers. R8 stated the shower rooms are dirty and need remodeled. R8 stated the wall is pulling off at the bottom in the 400-hall shower and there is mold on the walls and floors.On 12/4/25 at 9:19am, R10 stated R10 uses both the 100 and 400 hall showers. R10 stated the shower rooms are disgusting and the facility keeps putting a Band-Aid on the issues instead of fixing the shower rooms.On 12/5/25 at 9:40am, R12 stated R12 uses the 400-hall shower, and the baseboard has been coming off for a while now. R12 stated, it's not very clean in there.Resident Council Meeting Minutes dated 9/9/25 documents the following: Maintenance: So much maintenance needs to be done. Concerned that it is too much for one to handle. Maybe additional help.The facility Resident Listing Report dated 12/3/25 documents 94 residents reside in the facility. Event ID: Facility ID: 145371 If continuation sheet Page 3 of 3

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Citations

2 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0584GeneralS&S Epotential for harm

    F584 - Safe Environment

    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.

  • 0921GeneralS&S Fpotential for harm

    F921 - Other Environmental Conditions

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

FAQ · About this visit

Common questions about this visit

What happened during the December 5, 2025 survey of ARCADIA CARE BLOOMINGTON?

This was a inspection survey of ARCADIA CARE BLOOMINGTON on December 5, 2025. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at ARCADIA CARE BLOOMINGTON on December 5, 2025?

Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receivin..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.