Inspection Reports for Carriage Crossing Senior Living of Bloomington
1402 Leslie Dr, Bloomington, IL 61704, United States, IL, 61704
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 9, 2026, was a complaint investigation and found the facility in compliance with applicable assisted living regulations without deficiencies. Earlier inspections showed a mixed record, with some citations related to resident safety, medication supervision, and service plan updates. Key issues included failure to update service plans for residents with fall risks, non-functioning bathroom safety alarm pull cords, incomplete tuberculosis testing for new employees, and a substantiated complaint involving a resident eloping unsupervised that resulted in injury and falsified wellness check records. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility appears to have addressed many prior deficiencies, as recent complaint investigations have found it in compliance.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 9, 2026
Visit Reason
The inspection was conducted as an original complaint investigation entered on 2026-01-07 and exited on 2026-01-09.
Complaint Details
Original Complaint Investigation IL199238 entered on 2026-01-07 and exited on 2026-01-09. The establishment was found to be in compliance.
Findings
The establishment was found to be 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
Complaint Investigation
Deficiencies: 0
Date: Oct 14, 2025
Visit Reason
Original complaint investigation #2569870/IL197991 to determine 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
Original complaint investigation #2569870/IL197991 resulted in compliance with regulations.
Findings
The establishment was found to be in compliance with the applicable assisted living regulations and administrative code.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 25, 2025
Visit Reason
This document is a plan of correction outlining steps related to medication supervision and service plan updates following an inspection or regulatory review.
Findings
The plan addresses medication packaging requirements before switching to medication supervision, updating medication orders, and notification procedures for changes in medication administration.
Report Facts
Last review date: 2025
Inspection Report
Annual Inspection
Census: 75
Capacity: 75
Deficiencies: 2
Date: Jun 18, 2025
Visit Reason
Annual licensure survey conducted from June 10, 2025 to June 18, 2025 to assess compliance with health and safety regulations.
Findings
The facility failed to complete required tuberculosis testing for two employees hired in January 2025, and resident bathroom safety alarms were found with non-functioning or improperly installed pull cords in six residents' bathrooms and common areas.
Deficiencies (2)
Failure to complete tuberculosis testing upon hire for two employees (E4 and E8).
Resident bathroom safety alarms had non-functioning or improperly installed pull cords for six residents (R6, R8-R12) and in common areas.
Report Facts
Residents affected: 75
Residents reviewed for environment: 12
Residents with bathroom safety alarm issues: 6
Employees reviewed for TB test: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E4 | Resident Assistant | Employee missing required tuberculosis testing upon hire. |
| E8 | Resident Assistant | Employee missing required tuberculosis testing upon hire. |
| E1 | Executive Director | Confirmed missing TB tests and bathroom safety alarm issues. |
| E7 | Resident Care Assistant | Provided information about resident bathroom usage related to safety alarm issues. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 4, 2025
Visit Reason
The visit was conducted as an original complaint investigation (#2561518/IL187200) to assess 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
Original Complaint Investigation #2561518/IL187200; the establishment was found compliant.
Findings
The establishment was found to be in compliance with the applicable assisted living and shared housing regulations during this complaint investigation.
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jan 20, 2025
Visit Reason
This document is a plan of correction submitted in response to a cited violation regarding failure to update service plans for residents as required by regulation.
Findings
The facility failed to update service plans for residents R1, R2, and R3 to reflect fall risks and interventions despite documented falls. Corrective actions include updating service plans, staff training, and implementing procedures to ensure timely updates following significant changes in resident conditions.
Deficiencies (1)
Failure to update service plans for residents R1, R2, and R3 regarding fall risks and interventions despite documented falls.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia West | Executive Director | Named as the Executive Director submitting the plan of correction and responsible for oversight. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 16, 2025
Visit Reason
Original investigation of Complaint 2560324 / IL 184362 regarding the safety and care of a resident in the Alzheimer's and Dementia program.
Complaint Details
Complaint 2560324 / IL 184362 was substantiated as the facility failed to ensure resident safety, leading to injury and falsification of wellness check records by staff.
Findings
The facility failed to prevent one resident (R1) from eloping outside unsupervised, resulting in frostbite and hypothermia due to prolonged exposure to cold temperatures. Staff falsified wellness check records, and the responsible caregiver's employment was terminated.
Deficiencies (1)
Failed to prevent one resident from eloping outside unsupervised, resulting in frostbite and hypothermia.
Report Facts
Temperature: 13
Time resident was outside: 115
Resident rectal temperature: 91.5
Date of incident: Jan 13, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E4 | Caregiver | Assigned to resident R1, falsified wellness check records, employment terminated due to incident. |
| E1 | Executive Director | Provided statements regarding investigation and findings. |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Jan 14, 2025
Visit Reason
This document is a Plan of Correction submitted in response to a complaint investigation (Complaint 2560324 / IL 184362) related to violations in Alzheimer's and dementia programs.
Complaint Details
Complaint 2560324 / IL 184362 was investigated and found to involve violations related to Alzheimer's and dementia care programs, including falsified records and failure to perform wellness checks.
Findings
The investigation identified a violation involving falsified records and failure to perform required wellness checks, as well as a door alarm system failure due to a low battery that allowed a resident to exit the courtyard unsupervised.
Deficiencies (2)
Falsified records and failure to perform required wellness checks by staff member.
Door alarm system failed to activate due to low battery, compromising resident safety.
Report Facts
Date of staff shift huddles: Jan 14, 2025
Date of formal in-service training: Jan 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia West | Executive Director | Signed the Plan of Correction letter. |
| Staff member E4 responsible for falsified records and failure to perform wellness checks was terminated; full name not provided. |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jan 9, 2025
Visit Reason
The inspection was conducted to review compliance with service plan regulations, specifically to verify if service plans were updated appropriately for residents after significant changes in their condition.
Findings
The facility failed to update service plans for three residents who had multiple falls, despite interventions being implemented. The service plans did not document fall risk or preventive interventions for these residents.
Deficiencies (1)
Failed to update service plans for three residents (R1, R2, and R3) to include fall risk and interventions despite multiple falls.
Report Facts
Number of residents with unupdated service plans: 3
Number of falls for R1: 5
Number of falls for R2: 2
Number of falls for R3: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wellness Director | E2 (Wellness Director) stated that fall interventions were implemented but not placed on the service plans. |
Inspection Report
Original Licensing
Deficiencies: 0
Date: Dec 21, 2024
Visit Reason
Original investigation of FRI IL 182643 for licensing compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the applicable assisted living regulations and administrative codes during this original licensing investigation.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 9, 2024
Visit Reason
Annual Licensure Survey conducted to assess compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The facility was found to be in compliance with the applicable Illinois Assisted Living and Shared Housing regulations during this annual licensure survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 9, 2024
Visit Reason
Annual Licensure Survey conducted to assess compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The facility was found to be in compliance with the applicable Illinois Assisted Living and Shared Housing regulations for this survey period.
Inspection Report
Plan of Correction
Deficiencies: 2
Date: 6021561 View POC 009 SOC 6.18
Visit Reason
This document is a Plan of Correction addressing deficiencies found related to initial health evaluations for direct care and food service employees and environmental safety requirements regarding resident bathroom safety alarm pull cords.
Findings
The facility failed to complete TB testing upon hire for two of five employees reviewed and failed to ensure functioning pull cords for resident bathroom safety alarms for six of six residents reviewed. Corrective actions and systemic changes have been implemented to address these issues.
Deficiencies (2)
Failure to complete TB testing upon hire for two of five employees reviewed.
Failure to ensure functioning pull cords for resident bathroom safety alarms for six of six residents reviewed.
Report Facts
Employees reviewed: 5
Employees affected: 2
Residents reviewed: 6
Residents affected: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia West | Executive Director | Signed letter and responsible for overseeing training, compliance, and follow-up |
| Business office Manager | Responsible for ensuring new hires complete QuantiFERON TB test | |
| Wellness Director | Coordinates TB testing compliance and oversees training, compliance, and follow-up | |
| Maintenance Director | Responsible for timely replacement and repair of pull cords |
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