Bloomfield Care Center
800 North Davis Street, Bloomfield, IA 52537 · Davis County · (641) 664-2699
91 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165326 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 20, 2025, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 11 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.96 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
31.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
July 30, 2026Complaint inspection · 1 citation
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on record review, resident interview, and staff interviews, the facility failed to consistently provide restorative services for 2 of 4 residents reviewed for rehabilitation/restorative services (Resident #2 and Resident #3). The facility reported a census of 41 residents.
June 25, 2026Complaint inspection · 1 citation
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, policy review, and staff and resident interviews, the facility failed to ensure nursing staff administered the right medications to the right resident for 1 of 3 (Resident #2) residents reviewed for significant medication error. The error caused Resident #2 to become unresponsive and required hospitalization. The facility reported a census of 40 residents.
November 20, 2025Standard inspection, Complaint inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of kitchen dishwasher checklists, U.S. Food and Drug Administration Food Code 2017, and staff interviews the facility failed to monitor the dishwasher to ensure proper sanitization of resident dishes and utensils. The facility reported a census of 42.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, facility policy review and staff interviews, the facility failed to update and personalize resident Care Plans for 3 of 17 resident Care Plans reviewed (Resident #1, #21, and #30). The facility reported a census of 42.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, facility policy review and staff interviews, the facility failed to follow professional standards of care for 2 of 17 residents reviewed. Staff did not update the clinical record to add an identified medication allergy (R#21) and did not notify the physician with blood sugar results (Resident #6) as ordered. The facility reported a census of 42.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, clinical record review, facility policy review and family and staff interviews, the facility failed to evaluate effectiveness and revise fall interventions in an effort to prevent future falls for 1 of 3 residents (Resident #25) reviewed for falls. The facility reported a census of 42 residents.
June 19, 2025Complaint inspection · 2 citations
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to develop and implement a discharge plan which focused on the resident's goal to return home, in the event alternative therapy services could not be obtained for 1 of 3 residents (Resident #1) reviewed for discharge planning. The facility reported a census of 34 residents.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to provide the resident or resident's representative 30 day written notice before discharge, with instruction on how to appeal for 1 of 3 residents (Resident #1) reviewed for discharges. The facility reported a census of 34 residents.
September 26, 2024Standard inspection · 0 citations
February 1, 2024Standard inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interviews, the facility failed to address the resident's Care Plan for the medical diagnosis of diabetes, and address the resident's diuretic medication for 2 of 5 residents reviewed for unnecessary medications Resident #5, #9). The facility reported a census of 41 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to ensure insulin held per physician ordered parameters. The facility also failed to document if insulin, and blood glucose checks were completed for 1 of 5 residents reviewed for unnecessary medications (Resident #9). The facility reported a census of 41 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident only received their own medications, and that the resident received the correct physician ordered dosage of their medication for 1 of 10 resident reviewed for medication administration (Resident #5). The facility reported a census of 41 residents.
Fire safety inspections
7 fire safety citations on file: 1 on November 20, 2025, 2 on September 26, 2024, 4 on February 1, 2024.
Every fire safety citation7 citations
- F Conduct testing and exercise requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.96 | 3.82 | 3.86 |
| Registered nurses | 0.82 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.55 | 3.37 | 3.42 |
| Nurse aides | 2.95 | ||
| Licensed practical nurses | 0.19 | ||
| Nursing staff turnover (share who left in a year) | 31.8% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.84 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.13 on weekdays and 3.55 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.25 in April to June 2025 to 3.96 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.96 | 0.82 | 4.13 | 3.55 | 0.4% | 0 of 90 | 43 |
| Oct to Dec 2025 | 3.99 | 0.89 | 4.17 | 3.54 | 0.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 3.96 | 0.93 | 4.14 | 3.52 | 0.1% | 0 of 92 | 40 |
| Apr to Jun 2025 | 4.25 | 0.99 | 4.45 | 3.74 | 0.0% | 0 of 91 | 37 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.7 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.4 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: BLOOMFIELD IA SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shabat, Menachem | Corporate officer | Individual | 08/15/2024 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 08/15/2024 | |
| Beasley, Karla | Operational/managerial control | Individual | 08/15/2024 | |
| Behounek, Linsey | Operational/managerial control | Individual | 08/15/2024 | |
| Borcherding, Jenny | Operational/managerial control | Individual | 08/15/2024 | |
| Burken, Sheri | Operational/managerial control | Individual | 08/15/2024 | |
| Case, Janelle | Operational/managerial control | Individual | 07/21/2025 | |
| Friedenberg, Laura | Operational/managerial control | Individual | 08/15/2024 | |
| Hedberg, Jennifer | Operational/managerial control | Individual | 08/15/2024 | |
| Heying, Larina | Operational/managerial control | Individual | 08/15/2024 | |
| Houston, Mindy | Operational/managerial control | Individual | 08/15/2024 | |
| Jaeger, Krystle | Operational/managerial control | Individual | 08/15/2024 | |
| Kice, Tonya | Operational/managerial control | Individual | 08/15/2024 | |
| Larson, Melissa | Operational/managerial control | Individual | 08/15/2024 | |
| McClure, Dorothy | Operational/managerial control | Individual | 08/15/2024 | |
| Otterbeck, Patricia | Operational/managerial control | Individual | 08/15/2024 | |
| Rajchenbach, Chaim | Operational/managerial control | Individual | 08/15/2024 | |
| Shabat, Menachem | Operational/managerial control | Individual | 08/15/2024 | |
| Shear, Kiley | Operational/managerial control | Individual | 08/15/2024 | |
| Van Veghel, Elizabeth | Operational/managerial control | Individual | 08/15/2024 | |
| Wei, Shipeng | Operational/managerial control | Individual | 08/15/2024 | |
| Wierschem, Bobbie | Operational/managerial control | Individual | 08/15/2024 | |
| Friedman, Brian | Trustee of the SNF | Individual | 01/03/2012 | |
| Rajchenbach, Avrum | Trustee of the SNF | Individual | 04/28/2008 | |
| Rajchenbach, Rivka | Trustee of the SNF | Individual | 04/28/2008 | |
| Shabat, Ahuva | Trustee of the SNF | Individual | 01/03/2012 | |
| Cascade Capital Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Cascade Capital Partners LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Ccg Gorgona LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Propco Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Sub Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Mn8 Rh Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Case, Janelle | Adp of the SNF | Individual | 07/21/2025 | |
| Kice, Tonya | Adp of the SNF | Individual | 08/15/2024 | |
| Rajchenbach, Chaim | Adp of the SNF | Individual | 08/15/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 20, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 30, 2026: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 25, 2026: "Ensure that residents are free from significant medication errors."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 19, 2025: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Good Samaritan - Ottumwa Ottumwa, 17.1 mi · 2 of 5 stars · 44 citations
- Ridgewood Specialty Care Ottumwa, 17.4 mi · 3 of 5 stars · 18 citations
- Accura Healthcare of Ottumwa Ottumwa, 17.9 mi · 4 of 5 stars · 6 citations
- Schuyler County Nursing Home District Queen City, 21.1 mi · 1 of 5 stars · 42 citations
- Centerville Specialty Care Centerville, 23.4 mi · 3 of 5 stars · 15 citations
- Mercyone Centerville Medical Center Centerville,, 23.5 mi · 2 of 5 stars · 16 citations
- Country Lane Manor Keosauqua, 23.6 mi · 1 of 5 stars · 54 citations
- Golden Age Care Center Centerville, 23.8 mi · 3 of 5 stars · 15 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Bloomfield Care Center's Medicare star rating?
- CMS rates Bloomfield Care Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bloomfield Care Center get at its last inspection?
- 4 health deficiencies at the standard inspection on November 20, 2025. The Iowa average is 6.5.
- Has Bloomfield Care Center been fined?
- CMS lists no fines in the last three years.
- Does Bloomfield Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bloomfield Care Center?
- CMS lists 36 owners and managers, and links the home to Legacy Healthcare. Legal business name: BLOOMFIELD IA SKILLED NURSING FACILITY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.