9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Bloomfield, CT
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
200 Seabury Drive, Bloomfield, CT
(860) 286-0243
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
Beds
72
Certified beds
Average residents
67
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-04-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.15
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
3.00
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.78
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.18
CMS adjusted RN staffing hours
Adjusted total hours
4.89
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
452
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.51
Composite VBP score used to determine payment impact.
Payment multiplier
1.0221
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.11
Baseline 19.61% · Performance 18.60% · Measure score 6.11 · Achievement 6.11 · Improvement 3.41
Healthcare-associated infections
7.02
Baseline 5.62% · Performance 5.74% · Measure score 7.02 · Achievement 7.02 · Improvement 0
Total nurse turnover
10
Baseline 27.45% · Performance 23.19% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
4.68
Baseline 3.70 hours · Performance 4.41 hours · Measure score 4.68 · Achievement 4.68 · Improvement 2.9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.6% |
10.72%
3.1 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 2.84% · Lower 95% interval 5.36% |
| Discharge to community | 71.06% |
50.57%
20.5 pts better
|
Better than the National Rate · Eligible stays 168 · Observed rate 69.64% · Lower 95% interval 63.91% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.89% |
95.27%
2.6 pts better
|
Numerator 93 · Denominator 95 |
| Falls with major injury | 2.11% |
0.77%
1.3 pts worse
|
Numerator 2 · Denominator 95 |
| Discharge self-care score | 49.32% |
53.69%
4.4 pts worse
|
Numerator 36 · Denominator 73 |
| Discharge mobility score | 42.47% |
50.94%
8.5 pts worse
|
Numerator 31 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 3.16% |
2.29%
0.9 pts worse
|
Numerator 3 · Denominator 95 · Adjusted rate 3.66% |
| Healthcare-associated infections requiring hospitalization | 5.74% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 118 · Observed rate 3.39% · Lower 95% interval 3.38% |
| Staff COVID-19 vaccination coverage | 9.09% |
8.2%
0.9 pts better
|
Numerator 37 · Denominator 407 |
| Staff flu vaccination coverage | 67.35% |
42%
25.3 pts better
|
Numerator 328 · Denominator 487 |
| Discharge function score | 61.64% |
56.45%
5.2 pts better
|
Numerator 45 · Denominator 73 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 49 · Denominator 49 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 29 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 64.29% |
25.2%
39.1 pts better
|
Numerator 27 · Denominator 42 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
87.5%
9.6 pts better
|
93.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 96.2% · Q3 98.0% · Q4 100.0% · 4Q avg 97.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
93.5%
2.1 pts worse
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.4%
0.1 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 6.1% · Q4 5.6% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
17.1%
13.5 pts better
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 6.7% · Q4 3.8% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
6.4%
3 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.3% · Q3 4.8% · Q4 2.4% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.8% |
17.3%
1.5 pts better
|
19.6%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 13.0% · Q3 20.5% · Q4 19.6% · 4Q avg 15.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.6% |
19.4%
9.2 pts worse
|
16.7%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 30.8% · Q3 28.9% · Q4 25.6% · 4Q avg 28.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
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 | 15.0% |
18.1%
3.1 pts better
|
16.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
18.4%
4.8 pts better
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 10.0% · Q3 12.8% · Q4 10.0% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.9%
0.7 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 0.0% · Q4 1.9% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.7%
0.2 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 2.1% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% |
24.8%
3.2 pts worse
|
19.8%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 22.6% · Q3 20.2% · Q4 31.8% · 4Q avg 28.0% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
4.4%
1.1 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.6% · Q3 1.9% · Q4 1.7% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% |
70.5%
12.8 pts better
|
81.7%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 84.1% · Q3 87.6% · Q4 85.8% · 4Q avg 83.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
11.1%
6.1 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 14.6% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.6% · Q4 2.9% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.1% |
69.7%
4.4 pts better
|
79.7%
5.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.0% |
25.0%
10 pts better
|
23.9%
8.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 12.4% · Expected 19.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
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 2024-03-27
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-03-27
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-25
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-04-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-25
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-04-25
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-04-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-03-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-09-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-09-23
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2019-09-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-09-23
Penalties and ownership
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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