Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hearthstone Health Campus during CMS and state inspections, most recent first.
A resident with dementia, acute respiratory failure with hypoxia, and right-side heart failure had a chest x-ray ordered for a strong non-productive cough. The x-ray showed cardiomegaly, mild CHF changes, and left lower lung opacification, but the record lacked documentation that the ordering practitioner was promptly notified of the results. An LPN said results were placed in a binder for review, yet the resident’s results were not on the log and no notification documentation was found.
A facility failed to provide the required written notification of transfer and discharge to a resident and their representative. The resident, with multiple health conditions, was hospitalized for low oxygen saturation and lethargy, but the clinical record lacked documentation of the necessary notifications. Interviews with Clinical Nurse Consultants confirmed the absence of documentation, despite the facility's policy requiring written notification.
A facility failed to provide written notification of the bed-hold policy to a resident or their representative when the resident was transferred to the hospital. The clinical record for a resident, who was hospitalized for low oxygen saturation and lethargy, lacked documentation of the required notification. Interviews with Clinical Nurse Consultants confirmed the absence of this documentation, despite the facility's policy mandating it.
A resident with chronic respiratory conditions was observed receiving oxygen therapy without a documented physician's order, contrary to the facility's policy. Despite the resident's need for continuous oxygen, the clinical records lacked the necessary physician order, indicating a deficiency in the facility's adherence to its respiratory care procedures.
The facility failed to maintain a room free from a strong urine odor over several days. Despite efforts to address the issue by replacing mattresses and cleaning carpets, the odor persisted. A family member confirmed the frequent presence of the smell, and the Corporate Nurse suggested it might be in the carpet. The facility lacked a specific policy addressing room environment.
A resident developed a Stage 3 pressure ulcer due to the facility's failure to provide consistent toileting and repositioning assistance. The resident, who had severe cognitive impairment and required maximal assistance with ADLs, was often left incontinent and not repositioned timely, exacerbating her condition. Staff cited short-staffing as a challenge in meeting care requirements.
The facility failed to maintain a sanitary environment, with sit-to-stand lifts found with food crumbs and debris, and strong urine odors detected in several resident rooms on multiple occasions. The Executive Director acknowledged these issues, which contradict the residents' right to a clean and comfortable environment.
The facility failed to provide the required written notification for transfer and discharge to the resident and the resident representative for three residents. The clinical records for these residents lacked documentation of the Notice of Transfer and Discharge forms, and the facility's policy did not include instructions for sending these forms when residents were transferred to the hospital.
The facility failed to provide written notification of the bed-hold policy to two residents or their representatives before hospital transfers, as required by the facility's policy.
The facility failed to include a resident and their representative in the care plan development process. The resident's family representative was not invited to any care planning conferences, and no quarterly care plan meetings were held due to the absence of a Social Services Director. The facility's policy requiring quarterly meetings and advance invitations was not followed.
Delayed Notification of Chest X-Ray Results
Penalty
Summary
The facility failed to ensure chest x-ray results were reported to the ordering practitioner in a timely manner for one resident. The resident had diagnoses including dementia, acute respiratory failure with hypoxia, and right-side heart failure. On 12/30/25, a nurse practitioner evaluated the resident for a strong non-productive cough and ordered Robitussin every 4 hours as needed, Prednisone 20 mg daily for 5 days, and a chest x-ray. The chest x-ray completed later that day showed cardiomegaly, mild changes in congestive heart failure, and opacification of the left lower lung field, with findings more pronounced than on the prior chest x-ray and a request for further evaluation with different views. The clinical record did not contain documentation that the physician was notified of the chest x-ray results on 12/31/25. During interview, an LPN stated the results were placed in a binder at the nurse's station for the nurse practitioner or physician to review, but the resident's results were not on the log for 12/31/25 and no documentation of physician notification could be found. The nurse consultant stated the chest x-ray results were reviewed by the nurse practitioner on 1/1/26, and the facility policy required prompt notification and documentation of attempts to notify the practitioner and the response.
Failure to Provide Written Notification of Transfer and Discharge
Penalty
Summary
The facility failed to provide the required written notification of transfer and discharge to a resident and their representative. This deficiency was identified during a review of the clinical records for a resident who was hospitalized. The resident, who had diagnoses including urinary tract infection, recurrent enterocolitis due to Clostridium difficile, and stage 3 chronic kidney disease, was sent to the hospital due to low oxygen saturation and lethargy. However, the clinical record did not contain documentation that the written notification of the transfer and discharge was provided to the resident or their representative. Interviews with Clinical Nurse Consultants revealed that the notice of transfer and discharge should have been documented in the progress notes, but no such documentation was found. The facility's policy, which was reviewed and confirmed to be in use, requires that residents and, if known, their family members or legal representatives be notified in writing of any transfer or discharge. Despite this policy, the necessary documentation was missing from the resident's clinical record, indicating a failure to comply with the established guidelines.
Failure to Provide Written Bed-Hold Policy Notification
Penalty
Summary
The facility failed to provide written notification of the bed-hold policy to a resident or their representative when the resident was transferred to the hospital. This deficiency was identified during a review of Resident 262's clinical record, which showed that the resident was sent to the hospital due to low oxygen saturation and lethargy. The clinical record did not contain documentation of the required written notification of the bed-hold policy being provided to the resident or their representative. Interviews with Clinical Nurse Consultants revealed that the facility's policy required staff to provide written information about the bed-hold and readmission policies before transferring a resident to a hospital. However, the clinical record for Resident 262 lacked this documentation. The facility's policy, "Guidelines for Transfer and Discharge," was reviewed and confirmed the requirement for written notification, but it was not followed in this instance.
Lack of Physician Order for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that a resident had a physician's order for oxygen therapy, which is a necessary component of respiratory care. Resident 260, who had diagnoses including pneumonia, pulmonary disease, and chronic respiratory failure, was observed multiple times over several days receiving oxygen at 3.5 liters per nasal cannula. Despite the resident's need for continuous oxygen, as indicated in the admission observation and care plan, there was no documented physician order for the oxygen therapy in the resident's clinical records. The facility's policy on the administration of oxygen, which requires verification of a physician's order, was not adhered to in this case. The corporate nurse confirmed the necessity of a physician's order for oxygen, yet the resident's records lacked such documentation. This oversight was identified during a review of the resident's care plan and physician orders, highlighting a deficiency in the facility's compliance with its own policies and procedures for respiratory care.
Facility Fails to Eliminate Persistent Urine Odor in Resident Room
Penalty
Summary
The facility failed to maintain a room free from a strong urine odor for three out of six days during the survey period. Observations were made on multiple occasions, noting a persistent urine smell in a specific room. A family member of a resident in the affected room confirmed that the odor was a frequent issue. The Corporate Nurse suggested that the odor might be embedded in the carpet, despite efforts to mitigate it by replacing mattresses, wheelchair cushions, and cleaning the carpets weekly. The facility's policy, 'Your Rights and Protections as a Nursing Home Resident,' did not address the right to be free from odors, and the Administrator acknowledged the absence of a specific policy related to room environment.
Failure to Prevent Pressure Ulcer Development
Penalty
Summary
The facility failed to ensure a resident admitted without pressure-related skin impairment did not develop a pressure injury. Resident 5 developed a facility-acquired Stage 3 pressure ulcer on the left buttock. Observations revealed that staff did not consistently offer to assist Resident 5 with toileting or repositioning, despite her being incontinent and at risk for skin breakdown. The resident's room was frequently noted to have a urine odor, indicating a lack of timely incontinence care. Resident 5 had severe cognitive impairment and required maximal assistance with activities of daily living (ADLs), including toileting and repositioning. Despite these needs, the care plan lacked specific interventions for repositioning or toileting after her decline in mobility due to a left humerus fracture. The clinical record also lacked documentation of a Braden Scale Assessment after her fall and subsequent decline, which would have been crucial in reassessing her risk for skin breakdown. Staff interviews and observations indicated that the facility was often short-staffed, making it challenging to provide the necessary care. This included turning, repositioning, and toileting residents every two hours as required. The facility's policies on pressure prevention and general wound and skin care were not consistently followed, contributing to the development and worsening of Resident 5's pressure ulcer.
Sanitation and Odor Issues in Resident Rooms and Equipment
Penalty
Summary
The facility failed to provide a sanitary environment for four out of seven days during the survey. Observations revealed that the foot platforms of sit-to-stand lifts were consistently found with food crumbs and debris on multiple dates and times. These observations were made between specific rooms and near certain room numbers. Additionally, strong urine odors were detected in several resident rooms on multiple occasions. These findings were confirmed through interviews and record reviews, indicating a lack of cleanliness and sanitation in the facility's environment. During an interview, the Executive Director acknowledged the need for cleaning the sit-to-stand lift foot platforms and confirmed the presence of urine odors in the specified rooms. The facility's Resident Rights document, dated 11/1/23, was reviewed and indicated that residents have the right to a safe, clean, comfortable, and homelike environment. The failure to maintain cleanliness and address odors in resident rooms and equipment directly contradicts these rights.
Failure to Provide Required Transfer and Discharge Notifications
Penalty
Summary
The facility failed to provide the required written notification for transfer and discharge to the resident and the resident representative for three residents. Resident 39, who had diagnoses including sepsis and acute respiratory failure, was sent to the hospital on multiple occasions, but the clinical record lacked documentation of the Notice of Transfer and Discharge forms. Similarly, Resident 63, with a diagnosis of acquired absence of the right leg below the knee, was sent to the hospital, and there was no documentation of the required notice. Resident 64, diagnosed with dislocation of the left shoulder joint and respiratory failure, was also sent to the hospital without the necessary written notification being documented in the clinical record. During an interview, the administrator confirmed that there was no documentation of the Notice of Transfer or Discharge forms for these residents. The facility's policy on Bed Hold Notification, which was provided by the administrator, did not include instructions for sending the Notice of Transfer and Discharge form with the resident and the resident representative when the resident was transferred to the hospital.
Failure to Provide Bed-Hold Policy Notification
Penalty
Summary
The facility failed to ensure the notification of the bed-hold policy required for residents who transferred to the hospital was provided in writing to the resident or the resident representative. This deficiency was identified for two residents. Resident 39, who had diagnoses including sepsis and acute respiratory failure, was sent to the hospital on multiple occasions, but the clinical record lacked documentation of written notification of the bed-hold policy. Similarly, Resident 64, with diagnoses including dislocation of the left shoulder joint and respiratory failure, was sent to the hospital, and the clinical record also lacked documentation of the bed-hold policy notification. During an interview, the administrator confirmed that there was no documentation of the bed-hold policy being provided to the residents or their representatives. The facility's policy, which requires written information to be provided before a resident is transferred to a hospital or goes on therapeutic leave, was not followed. The policy, approved in 2018, specifies the duration of the state bed-hold policy, but this information was not communicated as required.
Failure to Include Resident and Representative in Care Plan Development
Penalty
Summary
The facility failed to include the participation of the resident and the resident's representative in the development of a resident's care plan. During a family interview, the resident's family representative indicated they had not been invited to participate in any care planning conferences. The resident's clinical record review showed diagnoses including toxic encephalopathy, atrial fibrillation, peripheral vascular disease, mild cognitive impairment, and chronic kidney disease. The Quarterly Minimum Data Set (MDS) assessment indicated the resident had moderately impaired cognition. An Admission Resident First Meeting dated several months prior indicated the resident's representative was not involved in the care plan conference, and no other care plan meetings took place between the admission and the survey date. During an interview, the Clinical Nurse Consultant confirmed that the resident did not have a quarterly care plan conference after admission due to the absence of a Social Services Director. The facility's policy, Resident First Meeting Guidelines, was reviewed and indicated that subsequent meetings should be conducted minimally quarterly, and invitations should be sent to the resident and/or representative in advance. The policy also stated that if the resident or representative is unable to attend, a copy of the meeting discussion should be communicated with them. However, these steps were not followed, leading to the deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bloomington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aperion Care Monroe | 0.3 mi | ★★★★★ | 6 | 0 |
| Brickyard Healthcare - Bloomington Care Center | 1.2 mi | ★★★★★ | 1 | 1 |
| Bell Trace Health And Living Center | 2.7 mi | ★★★★★ | 1 | 0 |
| Majestic Care Of Bloomington | 3.1 mi | ★★★★★ | 5 | 0 |
| Stonecroft Health Campus | 4.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.