Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bloomfield Care Center during CMS and state inspections, most recent first.
A resident with multiple health conditions and significant care needs was discharged without a comprehensive plan addressing their goal to return home, especially after alternative therapy services could not be arranged. The care plan lacked focus on discharge goals, and there was no documented assessment of the resident's transfer abilities, home environment, or the caregiver's capacity to provide necessary support. As a result, the resident was unable to safely return home and was taken to a hotel post-discharge.
A resident with multiple medical conditions was discharged without receiving the required 30-day written notice or information on appeal rights. The facility provided discharge instructions but did not include the necessary details about the right to appeal, the process for appealing, or contact information for the state entity responsible for appeals. The Administrator confirmed that only discharge instructions and the bed hold policy were provided, resulting in a deficiency.
Failure to Develop and Implement Adequate Discharge Plan for Resident Returning Home
Penalty
Summary
The facility failed to develop and implement an adequate discharge plan that addressed a resident's goal to return home, particularly in the event that alternative therapy services could not be obtained. The resident, who had diagnoses including heart failure, diabetes, unsteadiness, and an ostomy, required significant assistance with activities of daily living such as transferring, showering, and toileting. Despite the resident's and his wife's expressed desire for referrals to other facilities for continued therapy, the care plan did not include a focus area for discharge goals or planning related to these requests or for a safe return home if such services were unavailable. Clinical record review revealed that while the resident and his wife were informed of the end of skilled care and provided with a Notice of Medicare Non-Coverage, there was no documentation of a comprehensive assessment or discharge planning to address the resident's specific needs for a safe transition home. This included a lack of evaluation of transfer ability, safety and supervision needs, required equipment, the caregiver's capacity to provide necessary care, and the suitability of the home environment. The resident's wife ultimately took him to a hotel after discharge, as she was unable to get him into their home due to physical barriers, highlighting the absence of adequate planning for his return. Interviews with staff indicated that while some discussions occurred with the resident's wife regarding post-discharge care, there was no evidence of a formal home assessment or evaluation of the wife's ability to care for the resident. The facility's administrator confirmed that the only relevant policy was the bed hold policy and that no additional discharge planning documentation was present. The lack of a structured discharge plan and assessment resulted in the resident being discharged without assurance that his needs and preferences for a safe transition were met.
Failure to Provide Required 30-Day Discharge Notice and Appeal Rights
Penalty
Summary
The facility failed to provide a resident or the resident's representative with a 30-day written notice prior to discharge, as required. The clinical record review showed that the resident, who had diagnoses including heart failure, diabetes, and unsteadiness, required varying levels of assistance with daily activities and had intact cognition. Documentation in the electronic health record indicated that the resident was informed of the last day of therapy and had plans to return home, with subsequent orders for discharge and therapy at a new facility. However, there was no evidence that a formal discharge notice, including required information about appeal rights, was given. The discharge instructions provided to the resident included details about the discharge location, responsible party, primary physicians, pharmacy, and some care instructions. The document was signed by the resident, the MDS Coordinator, and the social worker. Despite this, the instructions did not constitute a 30-day notice and did not include information on the right to appeal the discharge, the process for appealing, or contact information for the state entity responsible for appeals. During an interview, the Administrator confirmed that the only policy related to discharges was the bed hold policy and that the resident's wife was provided with discharge instructions, but no other form was given. The facility's bed hold and return policy was reviewed, but it did not address the requirements for discharge notice or appeal rights. The lack of proper notice and appeal information constituted the deficiency identified during the survey.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bloomfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Davis Center | 4.4 mi | — | 0 | 0 |
| Good Samaritan - Ottumwa | 17.1 mi | — | 10 | 0 |
| Ridgewood Specialty Care | 17.4 mi | — | 5 | 0 |
| Accura Healthcare Of Ottumwa | 17.9 mi | — | 2 | 0 |
| Schuyler County Nursing Home District | 21.1 mi | — | 30 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.