Inspection Report
Renewal
Census: 95
Deficiencies: 0
Nov 8, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on November 7 and 8, 2024.
Findings
Bloom at Kokomo was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 0
Dec 28, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00418454.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00418454 was investigated and found to have no deficiencies related to the allegations.
Inspection Report
Complaint Investigation
Census: 82
Deficiencies: 6
Jun 21, 2023
Visit Reason
This visit was for a State Residential Licensure Survey which included the Investigation of Complaint IN00407320.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found deficient in fire and disaster preparedness, CPR and First Aid staffing, medication administration, pharmaceutical services including medication storage and labeling, and infection control related to glucometer cleaning.
Complaint Details
Complaint IN00407320 was investigated and no deficiencies related to the allegations were cited.
Deficiencies (6)
| Description |
|---|
| Failed to ensure fire drills were held in conjunction with the local fire department at least every six months. |
| Failed to ensure staff met CPR and First Aid certification requirements for 8 of 42 shifts reviewed. |
| Failed to ensure medication was administered as ordered for 1 of 5 residents reviewed (Resident 14). |
| Failed to ensure proper medication storage, disposal, and controlled substance count verification in medication rooms and carts. |
| Failed to ensure insulin medications had pharmacy labels including physician name, prescription number, date of issuance, and pharmacy name for 1 of 3 medication carts reviewed. |
| Failed to establish infection control procedures for cleaning and disinfecting blood glucose meters, resulting in shared glucometers without proper cleaning for 3 of 12 residents monitored. |
Report Facts
Fire drills: 12
Shifts without CPR coverage: 8
Residents reviewed for medication administration: 5
Residents reviewed for glucometer cleaning: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Kesler | Executive Director | Interviewed regarding fire drills, CPR/First Aid staffing, medication policies, and infection control. |
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