Friendship Village Of Bloomington

Penalties

• May 2, 2024 — Fine ($99,500)

Inspection findings

1. May 7, 2026 Health · 13 findings
   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 10, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected May 6, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected May 6, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected May 6, 2026 · CMS fire safety

2. Mar 27, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Apr 22, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0676 Quality of Life and Care Deficiencies

     Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

     Corrected Apr 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 22, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0930 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper storage of liquid oxygen.

     Corrected Apr 22, 2025 · CMS fire safety

3. May 2, 2024 Health · 18 findings
   • Not serious Scope/severity E

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected May 29, 2024 · CMS health inspection

   • Serious Scope/severity K

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity B

     F0623 Resident Rights Deficiencies

     Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected May 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Jun 19, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0225 Egress Deficiencies

     Have stairways and smokeproof enclosures used as exits that meet safety requirements.

     Corrected May 1, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0226 Egress Deficiencies

     Have horizontal exits used in accordance with safety requirements.

     Corrected Jul 3, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 19, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Apr 20, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jul 3, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jun 28, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Apr 20, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• BEVER, JENNIFER — w-2 managing employee, NOT APPLICABLE, since 11/09/2015
• BLACKFORD, GARY — corporate director, NOT APPLICABLE, since 12/01/2021
• DARKEY-HRINYA, JOYCE — corporate director, NOT APPLICABLE, since 01/15/2018
• DUTRA, ANA — corporate director, NOT APPLICABLE, since 07/18/2016
• FIELDS, VENITA — corporate director, NOT APPLICABLE, since 01/15/2018
• GORMAN, JOSEPH — corporate officer, NOT APPLICABLE, since 07/26/2022
• HAMM, SARA — corporate officer, NOT APPLICABLE, since 03/30/2015
• HARSHFIELD, NICHOLAS — corporate officer, NOT APPLICABLE, since 07/01/2020
• JANTZEN, JESSE — corporate officer, NOT APPLICABLE, since 06/22/2021
• JENSEN, CLAUS — corporate director, NOT APPLICABLE, since 04/26/2023
• KRESSE, NIKKI — corporate officer, NOT APPLICABLE, since 04/19/2021
• MCDONOUGH, AMY — corporate director, NOT APPLICABLE, since 04/26/2023
• POPE, ERIN — corporate officer, NOT APPLICABLE, since 07/25/2022
• SALAMINO, JENIFER — corporate director, NOT APPLICABLE, since 04/26/2023
• SOKEYE, JONATHAN — corporate director, NOT APPLICABLE, since 12/01/2021
• SPANGLER, PATRICK — corporate director, NOT APPLICABLE, since 07/18/2016
• STRETCH, CLYDE — corporate director, NOT APPLICABLE, since 04/26/2023
• WILLIAMS, DAVID — corporate director, NOT APPLICABLE, since 12/01/2021
• YANOFSKY, NEAL — corporate director, NOT APPLICABLE, since 07/18/2016
• LIFESPACE COMMUNITIES INC — 5% or greater direct ownership interest, 100%, since 07/09/2009
• LIFESPACE COMMUNITIES INC — operational/managerial control, NOT APPLICABLE, since 07/08/2009