Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Health Center At Bloomingdale during CMS and state inspections, most recent first.
Surveyors identified that the facility failed to accurately code the MDS for two residents. One resident with a history of MDRO and recent insulin use was not coded for these conditions on the MDS, despite care plan and MAR documentation. Another resident with severe cognitive impairment was not coded for a recent fall on the MDS, even though care plan records and family reports indicated a fall had occurred. These discrepancies were based on direct observation, record review, and interviews.
The facility failed to timely complete and transmit MDS assessments for two residents. During survey, the CDCR stated the delay occurred because the MDS coordinator was on vacation, and record review showed both admission MDSs were completed and then transmitted after the required timeframe.
A resident with type 2 DM and intact cognition was receiving Lantus at bedtime, scheduled Novolog before meals, and sliding-scale Novolog, but the comprehensive care plan contained no plan for insulin use. An LPN and an LPN supervisor both stated that a care plan should include insulin medications, and the facility policy required a comprehensive, person-centered care plan with measurable objectives and timetables.
Physician progress notes were not accurately dated at the time of the visit for three residents with intact cognition. Records showed multiple PPNs were entered days or weeks after the effective dates for residents with seizure disorder, DM2, and HF. An LPN said the MD documented remotely, and the MD stated she uploaded the notes together later because they were needed for billing.
Medication administration error rate exceeded 5% when a surveyor observed an LPN administer meds to a resident and identified 3 errors in 25 opportunities, for a 12% error rate. The LPN gave two 500 mg tabs of ascorbic acid for a 1000 mg dose, one tab of vitamin B12 1000 mcg, and one Colace 100 mg tab orally while the resident had orders for vitamin C 1000 mg daily, B-complex plus B-12 daily, and Colace 100 mg capsule daily.
A facility failed to consistently complete and maintain dialysis communication records for a resident with End Stage Renal Disease. The resident's Dialysis Communication Binder was missing several forms, and the Director of Nursing could not explain the discrepancies. Facility policies on communication and documentation were not followed.
Inaccurate MDS Coding for Two Residents
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for two residents, resulting in deficiencies related to the management of care. For one resident, observations revealed signage and personal protective equipment indicating Enhanced Barrier Precautions (EBP) due to a history of multiple drug-resistant organisms (MDRO) in the urine. The resident's care plan documented EBP for MDRO and insulin therapy for diabetes, and the Medication Administration Record showed insulin administration during the assessment period. However, the quarterly MDS did not reflect the resident's history of MDRO or insulin use in the relevant sections. For another resident, a review of the medical record and care plan indicated a diagnosis of hypertensive heart disease and dementia, with a severely impaired cognitive status. The admission MDS documented no falls in the 2-6 months prior to admission, but the baseline care plan and other documentation noted a fall in the relevant period as reported by the resident's daughter. Additional assessments identified the resident as being at risk for falls due to an unsteady gait. The discrepancies between the MDS coding and supporting documentation contributed to the deficiency.
Late Transmission of MDS Assessments
Penalty
Summary
The facility failed to complete and transmit Minimum Data Set (MDS) assessments in accordance with federal guidelines for 2 of 21 residents reviewed, Resident #2 and Resident #6. The MDS is a federally mandated comprehensive assessment tool used to facilitate care management, and the facility is required to electronically transmit the MDS within 14 days of completing the assessment. During interview, the Corporate Director of Clinical Reimbursement stated there were two MDS coordinators, one working remotely and one who was on vacation, and later stated the MDS was submitted late because the MDS coordinator was on vacation. Record review showed Resident #2’s admission MDS had an assessment reference date of 6/9/25, was signed as completed on 6/17/25, and was not transmitted until 6/30/25. Resident #6’s admission MDS had an assessment reference date of 7/21/25, was signed as completed on 7/30/25, and was not transmitted until 8/5/25. The surveyor reviewed the two assessments with the Corporate Director of Clinical Reimbursement and later met with the Licensed Nursing Home Administrator and Regional Clinical Coordinator regarding the concern.
Missing Care Plan for Insulin Therapy
Penalty
Summary
A comprehensive, person-centered care plan was not developed for a resident receiving long-term insulin therapy. The resident was admitted with type 2 diabetes mellitus and had intact cognition, with a BIMS score of 14 out of 15 on the recent admission MDS. The MDS also indicated that the resident was receiving injections. The resident’s order summary showed Lantus 30 units subcutaneously at bedtime, Novolog 5 units subcutaneously before meals, and additional Novolog sliding-scale coverage before meals based on blood glucose levels. During record review, the resident’s comprehensive care plan contained no care plan for insulin use. The surveyor observed the resident awake, alert, and able to answer questions, and the resident confirmed having diabetes and receiving insulin injections. When interviewed, an LPN and an LPN supervisor both stated that there should be a care plan for insulin use. The facility policy stated that a comprehensive, person-centered care plan with measurable objectives and timetables is developed and implemented for each resident.
Physician Progress Notes Not Dated at Time of Visit
Penalty
Summary
The facility failed to ensure that the resident's primary physician accurately dated physician progress notes during visits so the resident's current medical regimen was up to date. This deficient practice was identified for 3 of 21 residents. Resident #3 had diagnoses including seizure disorder and was assessed with intact cognition on the quarterly MDS with a BIMS score of 15 out of 15. Review of the electronic medical record showed physician progress notes with effective dates of 6/9/25, 7/11/25, and 8/2/25, but each was created on 8/13/25 rather than on the date of service. Resident #6 had diagnoses including type 2 diabetes mellitus and was assessed with intact cognition on the admission MDS with a BIMS score of 14 out of 15. The resident's physician progress notes in the hybrid record showed multiple entries with effective dates of 7/16/25, 7/19/25, 7/23/25, 7/25/25, 8/1/25, and 8/11/25, but the notes were created later on 7/27/25, 7/28/25, or 8/13/25. Resident #10 had diagnoses including heart failure and was assessed with intact cognition on the annual MDS with a BIMS score of 15 out of 15. The physician progress notes for this resident showed effective dates of 4/12/25, 5/13/25, 6/11/25, 7/12/25, and 8/4/25, but all were created on 8/16/25. An LPN stated the physician documented remotely, and the MD stated she uploaded the progress notes all at the same time because the company needed them for billing purposes.
Medication Administration Error Rate Exceeded 5%
Penalty
Summary
Medication administration error rates exceeded 5% during a morning med pass when a surveyor observed one LPN administering medications to one resident and identified 3 errors out of 25 opportunities, for a total error rate of 12%. During the observation, the LPN prepared and administered crushed medications to the resident and gave two 500 mg tablets of ascorbic acid for a total of 1000 mg, one tablet of vitamin B-12 1000 mcg, and one Colace 100 mg tablet orally. The LPN acknowledged the ascorbic acid dose and stated that the house stock came in 500 mg tablets, and also stated that the available house stock was vitamin B12 1000 mcg and that Colace came in a tablet that needed to be crushed. The resident involved was admitted with diagnoses including pancytopenia and type 2 diabetes mellitus without complications. The electronic medical record showed orders for vitamin C 1000 mg by mouth daily as a supplement, B-complex plus B-12 1 tablet by mouth daily for supplement, and Colace 100 mg capsule by mouth daily for constipation. The facility policies reviewed stated that medication administration documentation includes the name, strength, and dosage of the drug, and that medication orders should specify the type, route, dosage, frequency, and strength of the medication ordered.
Failure to Maintain Dialysis Communication Records
Penalty
Summary
The facility failed to consistently complete the dialysis communication form and maintain a resident's dialysis communication record. This deficiency was identified for a resident who required dialysis three times a week. The resident's Dialysis Communication Binder (DCB) was missing several Resident Facility + Dialysis Center Information Exchange (RFDCI) forms for multiple dates. The Director of Nursing (DON) acknowledged the missing and incomplete forms but was unable to explain the discrepancies. The facility's policy required the nurse to complete the RFDCI form and ensure it was sent to the Dialysis Center (DC) and reviewed upon the resident's return. However, this process was not consistently followed, leading to gaps in communication regarding the resident's condition on dialysis days. The resident in question had a diagnosis of End Stage Renal Disease and required assistance with Activities of Daily Living (ADL). The resident's care plan indicated that they attended dialysis three times a week. Despite this, the facility was unable to provide documentation that the resident's condition was communicated to the DC on several occasions. The facility's policies on the care of residents with end-stage renal disease and dialysis patients outlined the need for proper communication and documentation, which was not adhered to 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 Bloomingdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Phoenix Center For Rehabilitation And Pediatrics | 0.9 mi | ★★★★★ | 1 | 0 |
| Lakeland Nursing & Rehab | 1.5 mi | ★★★★★ | 0 | 0 |
| Cedar Crest/mountainview Gardens | 2.2 mi | ★★★★★ | 9 | 0 |
| Arbor Ridge Rehabilitation And Healthcare Center | 2.4 mi | ★★★★★ | 2 | 1 |
| Complete Care At Wayne Hills Rehab & Resp Center | 2.5 mi | ★★★★★ | 19 | 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 August 2026) and official state health department websites.