Goldwater Care Bloomington
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
1:50 PM V13 Certified Nurse Aide (CNA) stated staff have to get Resident R1 set up just like Resident R1 wants or Resident R1 won't be able to manage eating by herself. On 8/16/25 at 2:45 PM V15 Certified Nurse Aide (CNA) stated V14 CNA served Resident R1 her breakfast tray on 8/4/25. V15 CNA stated Resident R1 ended up spilling her hot coffee on her Left Hip. V15 CNA stated he heard Resident R1's call light sounding but not sure how long. V15 CNA stated the staff are all very busy at that time of morning trying to get everyone ready for breakfast. V15 CNA stated Resident R1 needs set up assistance with her meals but 'the staff never stay in the room' with Resident R1. On 8/16/25 at 3:00 PM V1 Administrator stated Resident R1's Minimum Data Set (MDS) assessment does not match Resident R1's care plan and Resident R1's Kardex. V1 Administrator confirmed Resident R1's Electronic Medical Record (EMR) does not include any documented refusals from Resident R1 of staff being present for meals to assist Resident R1 if necessary. V1 Administrator stated the facility does not have a policy on serving hot liquids to cognitively impaired residents. On 8/16/25 at 3:40 PM V2 Director of Nurses (DON) stated staff should follow the MDS and care plan. V2 DON confirmed Resident R1's MDS, care plan and Kardex do not match which could be confusing for staff. V2 DON stated Resident R1 should have been assisted with setting up her tray so that she could manage the drinks which would have prevented her from being burned. V2 DON stated the staff were in-serviced due to Resident R1 being burned and will also in-service the staff on documenting refusals of care.
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GOLDWATER CARE BLOOMINGTON in BLOOMINGTON, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BLOOMINGTON, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GOLDWATER CARE BLOOMINGTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.