Bloomfield Care Center

In the surveyor’s words

From the most serious findings on record at Bloomfield Care Center, in the surveyor’s own words.

• Actual harm, isolatedF760Jun 25, 2026

  Based 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.Findings include:The Minimum Data Set (MDS), dated [DATE], list of diagnoses for Resident #2 included heart failure, diabetes (a disease which caused abnormalities in blood sugar), and non-Alzheimer's dementia. The MDS listed a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. A 2/10/26 11:53 a.m. […]

• No harm, potential for more than minimal, patternF812Nov 20, 2025

  Based 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. Findings include: During an observation on 11/17/25 at 10:55 AM, the dish washer noted to have a low temperature. Review of the Dishwasher Temperature/Sanitizer Checklist revealed the following: a. For the month of September 2025, 15/90 entries were made documenting the wash temperature, rinse temperature, and the sanitizer parts per million (PPM)b. For the month of October 2025, 13/93 entries were made documenting the wash temperature, rinse temperature, and the sanitizer PPMc. […]

• No harm, potential for more than minimal, patternF680Aug 4, 2022

  Based on review of job qualifications and interview with staff, the facility failed to ensure that the Activity Coordinator met the requirements of the job. Findings include: On 08/04/22 at 1:51 PM, the Human Resources Director (HDR) stated the Activity Coordinator's date of hire for the Activity Coordinator position had been on 04/16/21. The HDR reported that the Activity Coordinator had enrolled in the certification program but had not completed it. On 08/04/22 at 2:25 PM, the Administrator stated the Activity Coordinator (AC) had completed about one-third of the curriculum for certification. On 08/02/22 at 1:40 PM, the AC reported that she had been working as a cook in the kitchen for the last few months and had not been involved in activities. […]

• No harm, potential for more than minimal, isolatedF688Jul 30, 2026

  Based 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. Findings include: 1.Review of the Minimum Data Set (MDS), dated [DATE] revealed Resident #3 scored a 12 of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition moderately impaired. The diagnoses list included stroke, hemiplegia/hemiparesis, and depression. […]

• No harm, potential for more than minimal, isolatedF657Nov 20, 2025

  Based 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.Findings include: 1.The Minimum Data Set (MDS) Assessment completed on 10/3/25 revealed Resident #1 with Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Diagnoses include anemia, cancer, muscle wasting, pain and rheumatoid arthritis. The MDS documented no pressure injuries a the time of the assessment and noted Resident #1 was a risk for the development of pressure injuries. […]