Inspection Reports for
Bickford of Bloomington
14 Heartland Dr, Bloomington, IL 61704, United States, IL, 61704
Back to Facility Profile17 Reports
Inspection Report — Jun 30, 2026
Complaint Investigation
Date: Jun 30, 2026
Visit Reason
Facility Reported Incident IL202501 to 6/17/26 incident.
Complaint Details
Facility Reported Incident IL202501 to 6/17/26.
Findings
For this survey, the Establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Inspection Report — Jun 9, 2026
Complaint Investigation
Date: Jun 9, 2026
Visit Reason
Original Complaint Investigation/IL202091. Violation cited for failure to meet requirements of 295.4010 a)b)1)2)3)d)e).
Complaint Details
Complaint IL202091: Violation cited.
Findings
The establishment failed to ensure fall interventions were implemented, post fall evaluations were completed, post fall interventions were added, and Service Plans were completed timely for three residents reviewed for falls.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to ensure fall interventions were implemented, post fall evaluations were completed, post fall interventions were added, and Service Plans were completed timely as per policy for three of three residents reviewed for falls.
Report Facts
Residents affected: 3
Inspection Report — Apr 22, 2026
Complaint Investigation
Date: Apr 22, 2026
Visit Reason
Original Complaint Investigation 2664582/IL201339 and 2664820/IL201415 for Section 295.9040a Environmental Requirements.
Complaint Details
Complaint #2664582/IL201339: Section 295.9040a cited. Complaint #2664820/IL201415: Section 295.9040a cited.
Findings
The establishment failed to maintain resident room air conditioning/heating units, kitchen faucet, and kitchen light in good working order for two of three residents reviewed. The Executive Director acknowledged the delays in repairs.
Deficiencies (1)
A9040 (295.9040 Environmental Requirements) - The establishment failed to ensure the resident room air conditioning/heating units, kitchen faucet, and kitchen light were repaired and in good working order for two of three residents reviewed.
Report Facts
Residents affected: 2
Residents reviewed: 3
Inspection Report — Apr 14, 2026
Complaint Investigation
Date: Apr 14, 2026
Visit Reason
This survey included a Facility Reported Incident IL 201014 and a Complaint Investigation IL201210. For this survey, the establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Complaint Details
Facility Reported Incident IL 201014: no violations cited. Complaint Investigation IL201210: no violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this survey.
Inspection Report — Mar 30, 2026
Annual Inspection
Date: Mar 30, 2026
Visit Reason
Annual Licensure Survey - Violations Cited: 295.2000 a) 3) 5), 295.2040 a) 5) c) 1) 2) 3) d), 295.2050 a) b) c), 295.4060 b) c) g), 295.3000 a) b) 2) A) f) 1) 3), 295.3020 b) 5), 295.3040, 295.4050, 295.7000 b) 5), 295.9040 a).
Findings
The establishment was found to have multiple violations including failure to meet residency requirements for one resident, inadequate disaster preparedness and emergency orientation for residents, failure to report incidents, insufficient staff qualifications and training, incomplete background checks and tuberculosis testing, inadequate care for residents with Alzheimer's and dementia, missing documentation of resident orientation to evacuation plans, and poor environmental conditions. The facility did not have sufficient staff to safely supervise residents with cognitive impairments and failed to maintain clean and safe premises.
Deficiencies (10)
A2000 (295.2000 Residency Requirements) - The establishment failed to ensure residency requirements for one resident who required total assistance and more than minimal assistance in emergencies, creating a substantial probability of severe harm.
A2040 (295.2040 Disaster Preparedness) - The establishment failed to orient residents to emergency evacuation plans and failed to conduct required fire and tornado drills, creating a substantial probability of severe harm to all residents.
A2050 (295.2050 Incident and Accident Reporting) - The establishment failed to report serious incidents for two residents, creating a substantial probability of harm.
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to ensure four staff had documented CPR training, tuberculosis testing, and compliance with background checks, creating a substantial probability of harm to all residents.
A3020 (295.3020 Employee Orientation and Ongoing Training) - The establishment failed to ensure CPR certification was obtained and documented for all employees, creating a substantial probability of harm to all residents.
A3040 (295.3040 Health Care Worker Background Check) - The establishment failed to ensure background checks were completed for three employees, creating a substantial probability of harm to all residents.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The establishment failed to ensure tuberculosis testing was completed and documented for four employees, creating a substantial probability of harm to all residents.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to ensure residency requirements and adequate supervision for two residents with Alzheimer's and dementia, creating a substantial probability of severe harm.
A7000 (295.7000 Resident Records) - The establishment failed to maintain documentation of orientation to emergency evacuation procedures for five residents.
A9040 (295.9040 Environmental Requirements) - The establishment failed to maintain cleanliness and good repair of ceilings, walls, flooring, doors, and carpets, creating a substantial probability of harm to all residents.
Report Facts
Residents affected: 1
Residents affected: 48
Residents affected: 2
Residents affected: 5
Residents reviewed: 5
Staff affected: 4
Staff affected: 3
Inspection Report — Mar 5, 2026
Complaint Investigation
Date: Mar 5, 2026
Visit Reason
Original Complaint Investigation 2662493/IL200438 citing Section 295.6000 a)5).
Complaint Details
Complaint 2662493/IL200438: Section 295.6000 a)5) cited.
Findings
The establishment failed to ensure gait belt use for resident transfers for one resident of three reviewed, creating a substantial probability of harm.
Deficiencies (1)
A6000 (295.6000 Resident Rights) - The establishment failed to ensure gait belt use for resident transfers for one resident of three reviewed, creating a substantial probability of harm.
Report Facts
Residents affected: 1
Residents reviewed: 3
Sample size: 4
Document — Oct 29, 2025
Date: Oct 29, 2025
Visit Reason
This letter documents that an acceptable Statement of Correction has been received by the Department for the Annual Licensure Survey conducted on 9/17/25.
Findings
No findings or deficiencies are detailed in this letter; it serves only to acknowledge receipt of the facility's corrective actions.
Inspection Report — Sep 17, 2025
Annual Inspection
Date: Sep 17, 2025
Visit Reason
Annual Licensure Survey. Violations cited: 295.2000a)c)4), 295.2040a)b)5)c)d), 295.3020c)3)6), 295.3030c)e)1)2), 295.4000a)b), 295.4010g)1)B)2), 295.4050, 295.4060h)3), 295.6000a)18).
Findings
The establishment was found to have multiple deficiencies including failure to ensure appropriate residency requirements, disaster preparedness, employee training, health evaluations, physician assessments, service plans, tuberculin testing, Alzheimer's program safety, and resident rights. The facility failed to provide proper fall investigations and interventions, maintain required disaster drill documentation, and ensure access to State Ombudsman information.
Deficiencies (9)
A2000 (295.2000 Residency Requirements) - The establishment failed to ensure only one assist was needed during transfers for one resident who required two-person assistance.
A2040 (295.2040 Disaster Preparedness) - The establishment failed to ensure residents received orientation to disaster plans and emergency exits for two residents and failed to maintain required fire and tornado drill documentation.
A3020 (295.3020 Employee Orientation and Ongoing Training) - The establishment failed to ensure ongoing training was completed for two employees, including infection control and assistance with activities of daily living.
A3030 (295.3030 Initial Health Eval for Dir Care and FS empl) - The establishment failed to ensure employee immunizations were included in pre-employment health evaluations and failed to complete TB testing or screening for several employees.
A4000 (295.4000 Physician/s Assessment) - The establishment failed to ensure physician assessments were completed and signed by a physician for three residents; assessments were signed by nurse practitioners instead.
A4010 (295.4010 Service Plan) - The establishment failed to update resident service plans to include therapeutic diets and health-related services for two residents.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The establishment failed to ensure TB testing or screening was completed for three residents.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to ensure resident falls were investigated and interventions implemented to prevent continued falls for one resident.
A6000 (295.6000 Resident Rights) - The establishment failed to ensure access to State Ombudsman contact information was available for one resident.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 3
Residents affected: 2
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents: 48
Inspection Report — Jul 25, 2025
Plan of Correction
Date: Jul 25, 2025
Visit Reason
Plan of Correction responding to a survey conducted on March 18, 2025.
Findings
The facility committed to corrective actions including staff re-education, mandatory training, audits, and monitoring to address CPR certification compliance, memory care staffing, resident rights violations, and abuse reporting and investigation.
Inspection Report — Jun 6, 2025
Complaint Investigation
Date: Jun 6, 2025
Visit Reason
Complaint Investigation IL191505 and IL193373, and Facility Reported Incident IL192635. Violations cited include sections 295.3000a)h), 295.4010d)e), 295.6000a)13), 295.6010a)1)2), 295.7000b)9)10), and 295.9040a)b).
Complaint Details
Complaint IL191505 and IL193373: Violations cited include 295.3000a)h), 295.4010d)e), 295.6000a)13), 295.6010a)1)2), 295.7000b)9)10), 295.9040a)b). Facility Reported Incident IL192635: Violations cited include 295.3000a)h), 295.6000a)13), 295.6010a)1)2).
Findings
The facility failed to ensure a nurse was not under the influence of narcotics while providing care, administered incorrect insulin dosage to a resident, and failed to secure medications on the memory care unit. The facility also failed to update a resident's service plan after repeated falls, prevent theft of narcotic medication by a nurse, properly investigate and report missing narcotics, document a resident's fall and injury, and maintain a clean, odor-free environment with carpet in good repair.
Deficiencies (6)
A3000 (295.3000 Personnel Requirments, Qualifns, and Trng) - The facility failed to ensure a nurse was not under the influence of narcotics while providing care, administered incorrect insulin dosage to one resident, and failed to secure medications on the memory care unit, resulting in potential severe harm to all residents.
A4010 (295.4010 Service Plan) - The facility failed to update a resident's service plan with new interventions after repeated falls, resulting in continued falls.
A6000 (295.6000 Resident Rights) - The facility failed to prevent the theft of a resident's narcotic medication by a nurse.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The facility failed to investigate and report missing narcotics when notified by the nurse.
A7000 (295.7000 Resident Records) - The facility failed to document a resident's fall and laceration in the medical record.
A9040 (295.9040 Environmental Requirements) - The memory care unit had a strong urine odor, stained and damaged carpet, and sticky dining room floor, indicating the establishment was not kept in a clean, safe, and orderly condition.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Lorazepam tablets missing: 2
Inspection Report — May 2, 2025
Complaint Investigation
Date: May 2, 2025
Visit Reason
Complaint Investigations 2563574/IL190787, 2563475/IL190583, 2563644/IL190930, 2563645/IL190931, 2563646/IL190932, 2563647/IL190933, 2563648/IL190935 cited various sections including 295.4010, 295.6000, 295.3000, 295.1060, 295.2000, 295.2050, 295.3020, 295.4060.
Findings
The establishment failed to provide adequate staffing, training, and supervision to meet residents' needs, including safe transfers and medication administration. Several residents had untreated wounds, missed medications, and unmet care needs. The facility also failed to secure the building properly and delayed reporting and responding to critical incidents such as elopement and changes in resident condition.
Deficiencies (10)
A1060 (295.1060 Remedies and Sanctions) - The establishment failed to re-evaluate and address the needs of a resident (R9) with cognitive decline and exit-seeking behavior, resulting in safety risks and inappropriate placement.
A2000 (295.2000 Residency Requirements) - The establishment failed to find appropriate placement for a resident (R9) needing a higher level of care and failed to secure the building, allowing residents to wander unsupervised.
A2050 (295.2050 Incident and Accident Reporting) - The establishment failed to report an incident of elopement for resident R9 to the state agency.
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to maintain sufficient staffing with appropriate training and CPR certification, resulting in unsafe resident transfers, missed care, and inadequate supervision.
A3020 (295.3020 Employee Orientation and Ongoing Training) - The establishment failed to provide adequate training and maintain training records for staff, including safe resident transfers and dementia care.
A4010 (295.4010 Service Plan) - The establishment failed to create and revise individualized service plans addressing wounds and transfer needs for residents R1, R2, and R3.
A4020 (295.4020 Mandatory Services) - The establishment failed to provide adequate activities of daily living, feeding, and secure access to the building, affecting residents R5, R8, R10, and R11.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to provide required dementia-specific training and supervision for staff working in the memory care unit.
A5000 (295.5000 Medication Reminders, Supervision of Self-Medication, Medication Administration and Storage) - The establishment failed to track and dispose of discontinued narcotic medication and failed to administer medications as ordered for residents R8 and R13.
A6000 (295.6000 Resident Rights) - The establishment failed to identify and treat pressure ulcers for residents R1 and R2, failed to address pain and timely hospital transfer for residents R2, R6 and R7, and failed to provide required resident rights and protections.
Report Facts
Residents affected: 57
Residents affected: 14
Residents affected: 3
Residents affected: 6
Inspection Report — Apr 18, 2025
Complaint Investigation
Date: Apr 18, 2025
Visit Reason
Original investigation of Complaints 2563126 / IL 189934, 2563192 / IL 190034, 2563322 / IL 190293, 2563344 / IL 190322. Complaint 2563192 / IL 190034 cited violations of 295.5000 f) 2) 3).
Complaint Details
Complaint 2563126 / IL 189934: No violations cited. Complaint 2563192 / IL 190034: 295.5000 f) 2) 3) cited. Complaint 2563322 / IL 190293: No violations cited. Complaint 2563344 / IL 190322: No violations cited.
Findings
The establishment failed to have policies and a system in place to keep an appropriate count of discontinued narcotics for seven of eight sampled residents.
Deficiencies (1)
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The establishment failed to have policies and a system in place to keep an appropriate count of discontinued narcotics for seven of eight sampled residents.
Report Facts
Residents affected: 7
Inspection Report — Apr 18, 2025
Plan of Correction
Date: Apr 18, 2025
Visit Reason
The plan of correction answers the survey dated April 18, 2025.
Findings
The facility committed to destroy discontinued narcotics by the Health and Wellness Director and a second licensed nurse, retrain staff on medication disposal and med cart audit procedures, and implement ongoing monitoring with weekly audits and quarterly reviews. All corrective actions are to be completed by August 15, 2025.
Report Facts
Residents affected: 7
Inspection Report — Mar 14, 2025
Complaint Investigation
Date: Mar 14, 2025
Visit Reason
Original Complaint # 2561779/IL187418 cited Sections 295.3000 b) and 295.4060 b). Original Complaint #2562210/IL188048 cited Sections 295.6000 a)1)5)13) and 295.6010 a)b). Original Complaint #2561840/IL187506 found no violation.
Complaint Details
Original Complaint # 2561779/IL187418 cited Sections 295.3000 b) and 295.4060 b). Original Complaint #2562210/IL188048 cited Sections 295.6000 a)1)5)13) and 295.6010 a)b). Original Complaint #2561840/IL187506 found no violation.
Findings
The establishment failed to have CPR certified staff on duty 24 hours a day and failed to provide staffing for the memory care unit as specified in their Special Care Disclosure. The facility failed to follow their policy regarding reporting of potential abuse, failed to assist one resident with hygiene and care as specified in her service plan, and failed to report an allegation of abuse to the State Department.
Deficiencies (4)
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to have CPR certified staff on duty 24 hours a day, affecting all 51 residents.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to provide staffing for the memory care unit as specified in their Special Care Disclosure, affecting all 14 residents in the memory care unit.
A6000 (295.6000 Resident Rights) - The facility failed to follow their policy regarding reporting of potential abuse and failed to assist one resident with hygiene and care as specified in her service plan.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The establishment failed to report an allegation of abuse to the State Department for one resident reviewed for abuse.
Report Facts
Residents affected: 51
Residents affected: 14
Residents affected: 3
Inspection Report — Jan 7, 2025
Complaint Investigation
Date: Jan 7, 2025
Visit Reason
Original Complaint Investigation #2460385/IL182955
Complaint Details
Complaint #2460385/IL182955: violations cited in Sections 295.4000, 295.4060, and 295.5000.
Findings
The establishment failed to obtain annual physician assessments for three residents, lacked sufficient staff on the Alzheimer's unit affecting 13 residents, and failed to accurately control/count scheduled II medications affecting six residents on the assisted living side.
Deficiencies (3)
A4000 (295.4000 Physician/s Assessment) - The establishment failed to obtain annual physician assessments for three of three residents reviewed for physician assessments in a sample of six.
A4060 (295.4060 Alzheimer's and Demential Programs) - The establishment failed to have sufficient staff on duty in their Alzheimer's unit as detailed in their Alzheimer's Special Care Disclosure, potentially affecting all 13 residents in the unit.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The establishment failed to accurately control and count scheduled II medications, potentially affecting all six residents on the assisted living side receiving narcotic medications.
Report Facts
Residents affected: 3
Residents affected: 13
Residents affected: 6
Inspection Report — Aug 26, 2024
Complaint Investigation
Date: Aug 26, 2024
Visit Reason
Original investigation of Complaint 2466680 / IL 177037.
Complaint Details
Complaint 2466680 / IL 177037: Section 295.6000 a) 13) cited.
Findings
The establishment neglected to safely transfer one resident using a mechanical lift, resulting in a fall that caused a subarachnoid hemorrhage and subsequent death.
Deficiencies (1)
A6000 (295.6000 Resident Rights) - The establishment neglected to safely transfer one of three sampled residents from wheelchair to bed using a mechanical lift, resulting in the resident suffering a subarachnoid hemorrhage and subsequent death.
Report Facts
Residents affected: 1
Residents sampled: 3
Document — 6021028 View POC 009 SOC
Date: 6021028 View POC 009 SOC
Visit Reason
This document is a scanned Plan of Correction with no readable text layer.
Findings
The facility's Plan of Correction document is a scanned image with no extractable text. No deficiencies or severity counts are reported here.
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