Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Presbyterian Homes Of Bloomington during CMS and state inspections, most recent first.
The facility failed to maintain complete and accurate documentation of supplemental O2 use for two residents with respiratory conditions. One resident with CAD, COPD, respiratory failure, and pneumonia was weaned to room air per orders, yet later had intermittent O2 via nasal cannula without nursing notes explaining the respiratory assessment or indication, even as therapy notes referenced shortness of breath, fever, and O2 use. Another resident with encephalopathy, Parkinson’s disease, chronic A-fib, and pulmonary HTN had orders and a care plan for nocturnal O2 at 1 L/min, but records showed daytime O2 use with high O2 saturations and denial of SOB, without corresponding nursing documentation of assessment, rationale, or provider notification. Staff and the DON acknowledged that the medical record did not clearly support or explain these deviations from ordered O2 use.
Surveyors identified that staff did not consistently monitor or remove expired and unlabeled food items from kitchen refrigerators and freezers, including items such as dressings, noodles, juice, and breakfast foods. Staff interviews revealed confusion about proper procedures, and facility policies requiring labeling and dating of food were not followed, potentially affecting all residents receiving meals from the kitchens.
A resident with a new diagnosis of unspecified psychosis was not reported to the county (designated SMHA) as required. Despite changes in mental health status and new antipsychotic medication orders, staff did not notify the appropriate authority or resubmit a Level I PASARR, contrary to facility policy.
Incomplete Documentation of Supplemental Oxygen Use for Two Residents
Penalty
Summary
The deficiency involves the facility’s failure to maintain complete and accurate medical records regarding supplemental oxygen use for two residents with respiratory conditions. For one resident with intact cognition and diagnoses including CAD, COPD, respiratory failure, and pneumonia, the admission MDS and subsequent orders documented continuous oxygen at 2 L/min via nasal cannula, later followed by an order to wean oxygen as able. Skilled documentation on 2/6 indicated the resident was weaned to room air with an oxygen saturation of 92%, and the oxygen saturation summary showed room air at that time. However, subsequent entries showed intermittent use of oxygen via nasal cannula on later dates without corresponding nursing documentation explaining the respiratory indication or assessment supporting reapplication of oxygen. During the same period, therapy notes documented that this resident reported a rough night, shortness of breath, and needing supplemental oxygen, and that oxygen was weaned off again during therapy. Another therapy note indicated the resident reported a fever, feeling awful, and needing 1 L/min oxygen the prior night. A discharge summary note stated there was no drop in oxygen saturation and uncertainty whether oxygen use was for shortness of breath or anxiety, while a nurse practitioner note documented clear but diminished lung sounds and removal of supplemental oxygen. A new provider order later changed oxygen to PRN at 2 L/min to maintain saturation above 89%. Despite these clinical events and changes in use, nursing progress notes from 2/6 through 2/12 documented stable vital signs (aside from a fever) and did not specify the reason or respiratory assessment supporting supplemental oxygen use on 2/11. For a second resident with encephalopathy, Parkinson’s disease, chronic atrial fibrillation, and pulmonary hypertension, the care plan and provider orders specified nocturnal oxygen at 1 L/min via nasal cannula to maintain saturations above 91%, particularly when not using CPAP. The MDS nursing note indicated the resident denied shortness of breath and that SOB appeared absent or well controlled. Oxygen saturation summaries showed room air during the day and nocturnal oxygen use until documentation reflected daytime oxygen use, including an oxygen saturation of 98% on supplemental oxygen in the afternoon, and continued oxygen use into the following morning. Skilled documentation noted stable vital signs and denial of SOB, and PT documentation showed the resident on 1 L oxygen at the start of a therapy session, then maintaining 96–99% saturation on room air during the session. Interviews with staff and family confirmed the resident used oxygen at night because she did not like CPAP and also used oxygen during the day while in bed, but nursing progress notes did not document the assessment, rationale, or provider notification for this daytime oxygen use, and the DON and RN staff acknowledged the lack of documentation explaining the change from ordered nocturnal-only use.
Failure to Monitor and Remove Expired or Unlabeled Food Items
Penalty
Summary
Surveyors found that the facility failed to monitor and promptly remove expired or unlabeled food items from refrigerators and freezers in both the main kitchen and a unit kitchen. During inspections, multiple opened and expired food items, such as ranch dressing, Chow Mein noodles, salsa, chocolate ice cream, grape juice, cocktail sauce, and various breakfast items, were discovered. Some items were unlabeled or undated, and staff were unclear about the procedures for labeling, dating, and discarding these foods. The assistant dietary director and kitchen staff confirmed that the process required daily checks for expired foods, but these checks were not consistently performed or documented. Interviews with dietary staff revealed confusion and lack of training regarding the handling of unlabeled or undated food items, particularly for single-use items like cream cheese and creamers. The facility's own policies required all opened food to be labeled and dated, with undated items to be discarded, but these policies were not followed. The deficiency had the potential to affect approximately 20 residents on one floor and all residents receiving meals from the main kitchen.
Failure to Notify State Mental Health Authority of New Onset Mental Illness
Penalty
Summary
The facility failed to notify the county, which serves as the designated State Mental Health Authority (SMHA), regarding a resident who developed a new onset of mental illness. Initially, the resident's pre-admission screening did not identify any mental illness or indicate the need for a Level II PASARR assessment. However, subsequent provider orders documented the use of olanzapine for symptoms such as anxiety, paranoia, and lack of redirection. Later assessments revealed the resident was dependent on staff for activities of daily living, had diagnoses including dementia, anxiety, depression, and a psychotic disorder, and was receiving antipsychotic medications both routinely and as needed. A new diagnosis of unspecified psychosis was added to the resident's medical record, but there was no documentation that the county (SMHA) had been notified of this change. Interviews with facility staff confirmed awareness of the new diagnosis but revealed that no action was taken to contact the SMHA or resubmit a Level I PASARR. Facility policy required evaluation and referral to the state authority when a resident developed a newly evident or serious mental disorder, but this process was not followed in this case.
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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) |
|---|---|---|---|---|
| The Estates At Bloomington Llc | 1.8 mi | ★★★★★ | 12 | 0 |
| Martin Luther Care Center | 2.6 mi | ★★★★★ | 0 | 0 |
| Minnesota Masonic Home Care Center | 2.7 mi | ★★★★★ | 11 | 0 |
| The Villas At Richfield | 3.4 mi | ★★★★★ | 11 | 0 |
| Aurora On France | 4.3 mi | ★★★★★ | 13 | 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.