Arcadia Care Bloomington

Based on observation, Interview, and record review the facility failed to maintain a safe, sanitary, comfortable environment by providing inadequate supplies of toilet paper for residents and failing to maintain communal shower floors in a safe sanitary manner.

This failure has the potential to affect all 92 residents who reside in the facility.Findings Include:The facility's daily census dated 8/19/25 documents 92 residents reside at the facility.On 8/19/25 at 11:28AM, R2 stated They have been out of toilet paper more than once. I keep some extra, so I have some. R2 had two rolls of toilet paper in his drawer. On 8/19/25 at 11:15AM, R1 stated for several days last week I had to have family members bring me some (toilet paper) or I would have been without toilet paper. On 8/19/25 at 11:35AM, R3 stated we ran out of toilet paper last week. We had to use whatever we could like napkins and tissues. We went days like that. It just made me feel disrespected and ignored. On 8/20/25 at 12:30PM, V5 (CNA) Certified Nurse's Aide and V6 CNA verified there was a shortage of toilet paper a couple of days last week.

The facility sent someone out and bought some. On 8/20/25 at 11:45 AM, V1 Administrator stated, I became aware we were out of toilet paper on the floor last week and I went to (a local big box store) and purchased some toilet paper.

The facility provided a receipt dated 8/8/25 from a local big box store to support the facility purchased a supply of toilet paper to rectify the shortage.On 8/19/25 at 11:40AM, The main shower room on 100 hall was observed to have several missing ceramic tiles in the shower.

Several other tiles were cracked and loose creating an uneven, unstable surface where the shower chair is placed when giving a dependent resident a shower. On 8/19/25 at 2:58PM, V1 Administrator stated, I am aware of the broken tiles in the big shower, and I have a contractor coming to fix that.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Arcadia Care Bloomington

1509 North Calhoun Street Bloomington, IL 61701

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, Interview, and record review the facility failed to provide adequate pest control when ants were observed for one (R1) of three reviewed for pest control on the total sample of five.

Findings include:The facility census report dated 8/19/25 documents 92 residents reside at the facility.R1's current diagnosis list includes the following diagnoses: Chronic Neuropathy, Anxiety, and Major Depression.MDS (Minimum Data Set) dated 6/30/25 documents R1 is cognitively intact.On 8/19/25 at 11:15 AM, R1 was in her bed watching TV.

The windowsill was covered in dust, dead spiders, and ants. R1 stated there are ants in here all the time they crawl on the walls and the window.R2's current diagnosis list includes the following diagnosis: Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, Diabetes, Anxiety, and Depression.R2's MDS (Minimum Data Set) dated 7/19/25 documents R2 is cognitively intact.On 8/19/25 at 11:28 AM, R2 was sitting up in his room in a wheelchair.

The windowsills in R2's room were covered with dust and dead insects. R2 stated there are ants in here all the time.

They just crawl all over the wall by the window. I take my meals in here and I've had ants get in my food. On 8/20/25 at 11:30 AM, V6 and V5 Certified Nursing Assistants (CNAs) stated there are ants in the rooms and V5 stated I have even seen them on residents which is bad for residents who can't brush them off.On 8/20/25, V1 Administrator verified she was aware there had been a problem with ants and she was planning to call the exterminator (the facility) has a contract with.

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