MEADOWBROOK AT BLOOMER
1840 PRIDDY ST, BLOOMER, WI 54724 · CCN 525580
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 31
- Avg residents/day
- 21.7
- Phone
- 7155682503
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-13 | 5 | 9.8 | 9.5 | -4.8 better |
| 2 | 2024-03-06 | 4 | 9.2 | 9.8 | -5.2 better |
| 3 | 2023-01-12 | 7 | 8.3 | 9.3 | -1.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.40 | 48.6% |
| RN staffing (reported) | 1.33 | 42.9% |
| Total nurse staffing (adjusted) | 4.91 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- SYNERGY SENIOR CARE
- Facilities in chain
- 5
- Chain avg overall
- 2.40 / 5
Inspection citations (16)
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-13 · Health · corrected 2025-03-27
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-03-13 · Health · corrected 2025-03-27
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-13 · Health · corrected 2025-03-27
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-13 · Health · corrected 2025-03-27
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-03-13 · Health · corrected 2025-03-27
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-26 · Health · corrected 2024-09-16
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-06 · Health · corrected 2024-03-07
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-03-06 · Health · corrected 2023-12-31
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-03-06 · Health · corrected 2024-03-07
Potential for more than minimal harm
- BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-01-12 · Health · corrected 2023-02-09
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-12 · Health · corrected 2023-02-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-12 · Health · corrected 2023-02-09
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-01-12 · Health · corrected 2023-02-09
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-01-12 · Health · corrected 2023-02-09
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-12 · Health · corrected 2023-02-09
Potential for more than minimal harm
- CF0888Ensure staff are vaccinated for COVID-192023-01-12 · Health · corrected 2023-02-09
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MASLOVSKY, BORIS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2019-12-01 |
| PUKSHANSKY, ROSTISLAV | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2019-11-01 |
| SYNERGY SENIOR CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| DICKSON, ERIK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-17 |
| LINDEMANN, MITUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| SHRADER, KAIYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-10 |
| VANDER VELDEN, BARBARA | Individual | CORPORATE DIRECTOR | — | 2019-12-01 |
| LINDEMANN, MITUL | Individual | CORPORATE OFFICER | — | 2019-12-01 |
Other facilities in BLOOMER
| Name | Overall | Beds |
|---|---|---|
| DOVE HEALTHCARE - BLOOMER | ★★★★★ | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.