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Complaint Investigation

Bloomfield Care Center

November 20, 2025 · Bloomfield, IA · 800 North Davis Street
Citations 4
CMS Rating 4/5
Beds 91
Provider ID 165326
Healthcare Facility
Bloomfield Care Center
Bloomfield, IA  ·  View full profile →
Inspection Summary

Bloomfield Care Center in Bloomfield, IA — inspection on November 20, 2025.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0657
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Bloomfield Care Center in Bloomfield, IA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of Bloomfield Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Federal health inspectors cited Bloomfield Care Center in Bloomfield, IA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of Bloomfield Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

During an interview on 11/20/2025 at 10:43 AM, Staff F, Certified Nurse Aide (CNA) queried on fall interventions for Resident #25 and Staff F stated Resident #25 was supposed to have his foot pedals on unless Resident #25 was moving because it was a fall hazard.

During an interview on 11/20/25 at 10:50 AM, Staff G, CNA asked about Resident #25 fall interventions and Staff G stated when Resident #25 in his wheelchair, his foot pedals needed to be off so he didn't hurt his feet or trip over them when Resident #25 tried to stand up.

During an interview on 11/20/25 at 12:37 PM, the Director of Nursing (DON) queried on the process of evaluating falls and the DON stated the management team discussed falls every morning and reviewed the when, why, and where the fall occurred.

The DON stated they evaluate what happened and how to fix it.

The DON queried on the interventions for the fall on 8/30/25 and the DON stated they did a medication evaluation.

The DON asked about the interventions for the falls on 8/31 and 9/1/25 and the DON stated the intervention was to remove Resident #25-foot pedals for both of those falls.

The DON queried on the fall on 9/17/25 and the DON confirmed the foot pedals on the wheelchair when Resident #25 fell and the foot pedals needed to be off when the resident sitting.

The DON stated she put communication for Resident #25-foot pedals to be removed on 9/15/25.

The DON stated the intervention for Resident #25 fall on 9/17/25 was to reeducate staff and told them Resident #25 pedals should be off.

Review of the facility policy titled, Fall Occurrence, dated 2/2024 revealed a Purpose statement which declared: It is the policy of the facility to ensure that residents are evaluated for falls risks and implement interventions to minimize risk for falls and/or risk for injury from falls.

The Procedure step #6 directed Additional intervention(s) will be implemented post fall. IDT may change the intervention(s) if IDT (Interdisciplinary Team) investigation identifies a more appropriate intervention for the individual fall

Facility ID:

Federal health inspectors cited Bloomfield Care Center in Bloomfield, IA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-11-20.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of Bloomfield Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Bloomfield, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Bloomfield Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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