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Indiana Department of Health


Indiana Department of Health

Division of Long Term Care

CONSUMER REPORT

Residential Care

Posted to the Web on: 7/30/2026

CEDAR CREEK OF BLOOMINGTON

NURSING HOME

RESIDENTIAL FACILITY

Basic Information

FACILITY CONTACT INFORMATION

Address: 2770 S ADAMS RD

City: BLOOMINGTON

Telephone: 8123318153

NAME CHANGES

Most recent name change: N/A

Date of most recent name change: N/A

LICENSE INFORMATION

License number: 26-004016-1

License name: BLOOMINGTON AL, LLC

License id: 923220287

License effective date: 01/01/2026

License expiration date: 12/31/2026

Administration and Staff
Admin Type Name Start Date End Date
Administrator TAMARA VAUGHN 09/27/2022
Director of Nursing POLLY MILLER 01/03/2023
Bed Counts

COMPREHENSIVE CARE BEDS:

RESIDENTIAL CARE BEDS:

Total number of beds in facility: 66

Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:

CLINICAL TRAINING SITES:

This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:

COMPLAINTS

SUBSTANTIATED COMPLAINT SURVEYS:

STATE LICENSURE SURVEYS

The ISDH conducts a state licensure survey at each licensed residential facility approximately once per year. If state findings are cited on a survey, the residential facility may be requested by the ISDH to complete a plan of correction on how and when they will correct each state finding and who will be responsible to ensure the corrections are made and will not reoccur in the future. The plan of correction is generally submitted by the residential facility and reviewed by the ISDH within fifteen (15) days of the survey.

To read an overview of the survey process, click here

NOTE: The residential consumer report survey information begins with surveys that have been completed on or after December 1, 2008. Any survey performed prior to that date will not have any information in the state findings count rows or columns or will show zero.

Most Recent 2nd Most Recent 3rd Most Recent
Number of State Findings N/A N/A N/A
Survey Report N/A N/A N/A
SURVEY HISTORY

The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.

Event ID Survey Type Exit Date
TXEW11 Re-Licensure 10/08/2025
J4IE11 Re-Licensure 12/12/2024
TQY911 Re-Licensure 12/28/2023
9DFI11 Re-Licensure 02/08/2023
HP9Q11 Complaint 12/09/2022
NKE911 Complaint 05/25/2022
I14111 Re-Licensure 09/22/2021