Bloomfield Care Center - Bloomfield Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165326
Provider Name
BLOOMFIELD CARE CENTER
Provider Address
800 NORTH DAVIS STREET
BLOOMFIELD, IA 52537
BLOOMFIELD, IA 52537
Provider Phone Number
(641) 664-2699
Provider SSA County
250
Provider County Name
Davis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ABCM CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1997-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11780
Reported LPN Staffing Hours per Resident per Day
0.35085
Reported RN Staffing Hours per Resident per Day
1.23220
Reported Licensed Staffing Hours per Resident per Day
1.58305
Reported Total Nurse Staffing Hours per Resident per Day
3.70085
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01610
Expected CNA Staffing Hours per Resident per Day
2.40805
Expected LPN Staffing Hours per Resident per Day
0.58818
Expected RN Staffing Hours per Resident per Day
0.84291
Expected Total Nurse Staffing Hours per Resident per Day
3.83914
Adjusted CNA Staffing Hours per Resident per Day
2.15795
Adjusted LPN Staffing Hours per Resident per Day
0.49510
Adjusted RN Staffing Hours per Resident per Day
1.09229
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88570
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
107
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
107
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
79.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
7950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Davis Center
22425 Overland Avenue |
BLOOMFIELD IA 52537 | 4.4 miles away