Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Majestic Care Of Bloomington during CMS and state inspections, most recent first.
The facility failed to ensure opened food items were labeled with an open date during a kitchen observation. An opened container of ranch dressing, salsa, mustard, and vanilla icing were found in the refrigerator without dates, and the DM stated the items needed an open date. The facility policy required all opened and leftover items to be labeled with the date of opening/date stored and discard/use-by date.
Failure to Provide Restorative Nursing Passive Range of Motion: Four residents with hemiplegia, limited ROM, and cognitive impairment had care plans for daily passive ROM, but restorative flow sheets showed repeated missed or undocumented services, with only limited completion for some residents. Staff stated restorative aides provided the program, but coverage issues made it hard to complete all ROM tasks, and the MDS nurse stated that if documentation was missing, the passive ROM was not completed.
A resident with Alzheimer’s disease, major depression, and bipolar disorder was ordered an antipsychotic and multiple antidepressants, but the clinical record lacked documentation of monitoring for adverse side effects. During interview, the DON stated this monitoring was to be documented in the eMAR, and the record did not show it for the resident’s psychotropic medications.
A resident with anxiety and depression diagnoses had MDS coding errors on the quarterly assessment. Although physician orders showed Buspirone and Escitalopram during the ARD window, the MDS did not indicate use of antianxiety or antidepressant meds. The MDS Coordinator confirmed the resident was taking both medication types and that the assessment should have been coded yes for both N0415 items.
The facility failed to maintain complete and accurate documentation for three residents' wound care treatments, as required by their policy. Despite residents indicating that treatments were performed, the Treatment Administration Records lacked entries for multiple dates. The DON and an LPN acknowledged the documentation should have been completed.
A resident with anemia, supraventricular tachycardia, and hypertension was observed receiving oxygen at 3 L/min instead of the prescribed 2 L/min via nasal cannula. The nasal cannula was often improperly positioned, and staff confirmed the incorrect setting, violating the facility's medication administration policy.
A medication cart on the 300 unit was found unlocked and unattended, containing medications for residents. RN 1 admitted to being elsewhere in the hallway, acknowledging the cart should have been locked. The facility's policy requires all drug storage areas to be secure and limited to authorized personnel.
The facility failed to include the facility name on daily nurse staffing information sheets, as observed in five sheets. The Administrator was unaware of this requirement and confirmed the absence of a policy regarding the posting of daily staffing information.
Food Items Found Without Open Dates
Penalty
Summary
The facility failed to ensure food was labeled with an open date for 1 of 2 kitchen observations. During an initial kitchen tour with the Dietary Manager, an opened container of ranch dressing, an open container of salsa, an opened container of mustard, and an opened container of vanilla icing were observed in the refrigerator without an opened date. The Dietary Manager removed the items from the refrigerator and discarded them, and stated the foods needed to have an open date. On later record review, the Administrator provided the facility policy, LABELING & DATING GUIDELINES, revised on 12/12/23, which stated that all opened and leftover items will be labeled with the date of opening/date stored and discard/use-by date.
Failure to Provide Restorative Nursing Passive Range of Motion
Penalty
Summary
The facility failed to provide restorative nursing passive range of motion for four residents with hemiplegia and limited range of motion. Resident 3 had a history of stroke, hemiplegia, and dementia, and was observed to have limited range of motion of the left arm and hand. Her care plan called for 10 repetitions of passive range of motion to the left hand daily, but the restorative nursing flow sheet showed multiple days with no minutes or repetitions documented, with only one day showing passive range of motion completed. During observation of morning care, no passive range of motion was provided, and the CNA stated she was unsure whether the resident received it. Resident 25 had hemiplegia, stroke, and moderate cognitive impairment, with limited range of motion in both lower extremities. Her care plan directed 10 repetitions of passive range of motion to the left upper and lower extremities daily, but the restorative nursing flow sheet showed repeated days with no minutes or repetitions documented. Resident 70 had right-sided hemiplegia, dementia, and a contracted right hand; her care plan called for 10 repetitions of passive range of motion to the right hand daily, yet the flow sheet showed several days with no documentation of the service and only two days with partial completion. Resident 71 had right-sided hemiplegia, dementia, and a right-hand contracture; her care plan called for 10 repetitions of passive range of motion to bilateral upper and lower extremities daily, but the flow sheet showed multiple days with no minutes or repetitions documented. During interviews, CNA staff and the MDS nurse stated that restorative nursing was provided by restorative aides, but when only one restorative aide was working, it was hard to complete all passive range of motion services. The MDS nurse also stated that if the date lacked documentation, the passive range of motion was not completed. The facility policy stated that residents assessed to have a need for restorative nursing services would receive services from restorative aides, including passive or active range of motion.
Lack of Monitoring for Psychotropic Medication Side Effects
Penalty
Summary
The facility failed to ensure that a resident receiving psychotropic medications was monitored for adverse side effects for 1 of 5 residents reviewed for unnecessary medications. Resident 61 had diagnoses including Alzheimer's Disease, major depression, and bipolar disorder. The physician's orders included Ability 10 mg daily, initiated 1/23/25; Buproprion 100 mg twice daily, initiated 8/30/25; Trazadone 0.5 mg daily, initiated 5/15/25; and Citalopram 40 mg twice daily, initiated 8/13/25. Review of the clinical record found no documentation of monitoring for adverse side effects related to the antipsychotic and antidepressant medications. During interview, the DON stated that monitoring of adverse side effects was to be documented in the electronic MAR, and there was a lack of such documentation for the antipsychotic and antidepressant medications.
Inaccurate MDS Coding for Antianxiety and Antidepressant Medications
Penalty
Summary
Ensure each resident receives an accurate assessment was not met when the facility failed to accurately code the Minimum Data Set (MDS) for one resident reviewed for behavior and mood. The resident had diagnoses including generalized anxiety disorder and major depressive disorder, and physician orders showed Buspirone HCl 5 mg three times daily starting 3/10/25 and Escitalopram Oxalate 20 mg daily starting 3/11/25; the Buspirone order was discontinued on 8/21/25. The Quarterly MDS assessment dated 7/15/25 did not indicate that the resident was receiving antidepressant or antianxiety medications, even though the resident was taking those medications during the ARD window. During interview, the MDS Coordinator stated the resident was taking antianxiety and antidepressant medications during the ARD window and that the assessment should have been marked yes for both medication categories. The RAI Manual was reviewed and identified that N0415B1 and N0415C1 should be checked if an anxiolytic or antidepressant medication was taken at any time during the 7-day look-back period.
Incomplete Documentation of Resident Records
Penalty
Summary
The facility failed to ensure complete and accurate documentation of resident records for three residents, leading to deficiencies in maintaining medical records. Resident B's clinical record showed missing documentation for wound treatments on multiple dates in December 2024 and January 2025. The Director of Nursing (DON) acknowledged that the documentation for Resident B's treatments should have been completed. Resident C's record also lacked documentation for wound dressing changes as ordered by the physician. Despite the resident indicating that the nurses completed the dressing changes, the Treatment Administration Record (TAR) did not reflect this for several dates in January 2025. The DON confirmed that the documentation for Resident C's treatments was incomplete. Similarly, Resident D's clinical record was missing documentation for various wound care treatments in January 2025. The DON and an LPN both indicated that the documentation should have been completed in the medical record. The facility's policy on medical record documentation, which requires complete, accurate, and timely documentation, was not adhered to, resulting in this deficiency.
Failure to Follow Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to ensure physician orders were followed for a resident requiring respiratory care. Resident 213 was observed multiple times with the oxygen concentrator set at 3 liters per minute, contrary to the physician's order of 2 liters per minute via nasal cannula. On several occasions, the nasal cannula was not properly positioned in the resident's nostrils, which could affect the delivery of the prescribed oxygen therapy. The resident's clinical record indicated diagnoses including anemia, supraventricular tachycardia, and hypertension, which necessitated careful adherence to prescribed oxygen levels. Despite the physician's order starting on 10/11/24, the facility staff, including LPN 1, confirmed the oxygen was consistently set at 3 liters per minute, indicating a failure to follow the prescribed dosage. The facility's policy on medication administration, which includes following the right dose, was not adhered to in this instance.
Medication Cart Security Breach
Penalty
Summary
The facility failed to ensure that a medication cart on the 300 unit was locked, as required by their policy and professional principles. On October 30, 2024, between 10:18 a.m. and 10:38 a.m., a medication cart located outside a specific room on the 300 unit was observed to be unlocked and unattended by staff. This cart contained medications for residents on the unit. During an interview conducted shortly after the observation, RN 1 acknowledged that she was at the other end of the hallway providing care to residents from another medication cart and confirmed that the medication cart should have been locked when unattended. On November 4, 2024, the Director of Nursing provided the facility's Drug Product Storage Requirements policy, revised on February 22, 2022, which mandates that all drug storage areas must be secure from unauthorized entry and limited to authorized personnel. This incident highlights a breach in the facility's medication security protocol.
Missing Facility Name on Daily Staffing Sheets
Penalty
Summary
The facility failed to ensure that the posted daily nurse staffing information sheets included the facility name, as observed in five reviewed sheets dated from 10/29/24 to 11/4/24. The deficiency was identified when the staffing information sheet, posted near the front entrance door, was found lacking the facility name. During an interview, the Administrator acknowledged that the staffing sheet was generated daily through a new company program and admitted to being unaware that the facility name should be included on the report. Additionally, the Administrator confirmed that the facility did not have a policy regarding the posting of daily staffing information.
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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) |
|---|---|---|---|---|
| Stonecroft Health Campus | 1.3 mi | ★★★★★ | 0 | 0 |
| Aperion Care Monroe | 2.8 mi | ★★★★★ | 6 | 0 |
| Hearthstone Health Campus | 3.1 mi | ★★★★★ | 3 | 0 |
| Brickyard Healthcare - Bloomington Care Center | 3.6 mi | ★★★★★ | 1 | 1 |
| Bell Trace Health And Living Center | 5.1 mi | ★★★★★ | 1 | 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.