Bloomfield, IA

Bloomfield Care Center

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

800 North Davis Street, Bloomfield, IA

(641) 664-2699

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

91

Certified beds

Average residents

40

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.93

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.16

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.87

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.96

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.52

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.94

CMS adjusted RN staffing hours

Adjusted total hours

3.98

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

11%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

18%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,705

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

54.64

Composite VBP score used to determine payment impact.

Payment multiplier

1.0095

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.01

Baseline 70.89% · Performance 40.91% · Measure score 6.01 · Achievement 5.57 · Improvement 6.01

Adjusted total nurse staffing

4.92

Baseline 4.46 hours · Performance 4.48 hours · Measure score 4.92 · Achievement 4.92 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.23%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 6.64%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.04	1.02 About the same
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.61%	8.2% 6.6 pts worse	Numerator 1 · Denominator 62
Staff flu vaccination coverage	48.84%	42% 6.8 pts better	Numerator 42 · Denominator 86
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.3	1.5 1.2 pts better	1.9 1.6 pts better	Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.1	2.1 1 pts worse	1.8 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.7% 3.7 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	10.7%	4.9% 5.8 pts worse	5.4% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 16.7% · Q3 6.5% · Q4 16.1% · 4Q avg 10.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.2%	20.6% 3.4 pts better	19.6% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 20.0% · Q3 16.1% · Q4 9.7% · 4Q avg 17.2%
Percentage of long-stay residents who received an antipsychotic medication	32.3%	19.8% 12.5 pts worse	16.7% 15.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 32.0% · Q3 34.6% · Q4 30.4% · 4Q avg 32.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.9%	18.5% 10.6 pts better	16.3% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	18.3% 14.6 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 7.4% · Q4 3.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	1.7% 0.1 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.3% · Q4 2.9% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	2.5% 1.7 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.8%	26.0% 2.2 pts better	19.8% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 16.7% · Q3 22.4% · Q4 27.2% · 4Q avg 23.8%
Percentage of long-stay residents with pressure ulcers	8.4%	4.3% 4.1 pts worse	5.1% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 10.2% · Q3 12.3% · Q4 7.7% · 4Q avg 8.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.0%	84.3% 4.3 pts worse	81.7% 1.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 76.2% · Q2 80.0% · Q3 81.5% · Q4 81.1% · 4Q avg 80.0%
Percentage of short-stay residents who newly received an antipsychotic medication	5.4%	1.9% 3.5 pts worse	1.6% 3.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.6%	73.3% 7.3 pts better	79.7% 0.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 80.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-09-26 · Fire 2024-09-26

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2024-02-01 · Fire 2024-02-01

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-20

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-12-10

F · Potential for more than minimal harm 2024-09-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-10

E · Potential for more than minimal harm 2024-09-26

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-10-10

F · Potential for more than minimal harm 2024-02-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-06

E · Potential for more than minimal harm 2024-02-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-08

E · Potential for more than minimal harm 2024-02-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-02-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-02-07

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-11-20

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-11-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-11-20

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-06-19

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-19

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-07-18

D · Potential for more than minimal harm 2024-02-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-01

Penalties and ownership

What sits behind the stars

Ownership

Iowa Portfolio Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2024-08-15

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

68% 83 facilities 2024-08-15

Oakway Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

23% 48 facilities 2024-08-15

Doros Generation Trust U/A/D 1/3/12

5% Or Greater Indirect Ownership Interest · Organization

5% 78 facilities 2024-08-15

Beasley, Karla