Total staff
56
Employees
37
Contractors
19
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Bloomington Nursing & Rehabilitation Center
Nursing Home, Skilled Nursing, Hospice Care & Respite Care · Bloomington, IN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Bloomington Nursing & Rehabilitation Center
Nursing Home, Skilled Nursing, Hospice Care & Respite Care · Bloomington, IN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Bloomington Nursing & Rehabilitation Center accepts Medicare, Medicaid, and private pay.
Situated in the beautiful Indiana, the Bloomington Nursing & Rehabilitation Center exemplifies compassionate care and support. Operating as a nonprofit community, this facility comprises 38 beds, providing essential nursing and rehab services to those in need. Here, dedicated staff and residents foster a sense of community infused with empathy and understanding, offering a helping hand to families and seniors alike.
From IV therapy and skilled nursing care to restorative nursing and hospice care, the center ensures comprehensive support. Additionally, they prioritize holistic well-being through therapeutic diet plans, engaging social activities, and robust physical, occupational, and speech therapy programs. Moreover, the center understands the importance of seamless transitions, offering discharge planning services for those returning home, along with convenient transportation options for medical appointments.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 282nd out of 287 homes in Indiana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 282nd out of 287 homes in Indiana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 16m per day
Rank #282 / 287Nurse hours — State benchmarkedThis home is ranked 282nd out of 287 homes in Indiana. Shows adjusted nurse hours per resident per day benchmarked to the Indiana average, with a ranking across 287 Indiana SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Indiana avg
-34%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 31m per day | ▼ 22% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 31m per day | ▼ 33% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 58m per day | ▼ 13% State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 13m per day | ▼ 31% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▼ 4% State avg: 27m per day · National avg: 29m per day |
Types of Care at Bloomington Nursing & Rehabilitation Center
Skilled Nursing
Hospice Care
Respite Care
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
74.3%
Rank #152 / 433Occupancy rate — State benchmarkedThis home is ranked 152nd out of 433 homes in Indiana. Shows this facility's occupancy rate versus the Indiana average, with its Statewide rank out of 433. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
156 days
Occupancy rate
74.3%
Rank #152 / 433Occupancy rate — State benchmarkedThis home is ranked 152nd out of 433 homes in Indiana. Shows this facility's occupancy rate versus the Indiana average, with its Statewide rank out of 433. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
156 days
Walk Score: 64 / 100 Rank #115 / 588Walk Score — State benchmarkedThis home is ranked 115th out of 588 homes in Indiana. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Indiana SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.60:1
1599900% better than Indiana average
Avg staff/day
17
Average shift
7.6 hours
0% compared with Indiana average
Total staff hours (quarter)
11,833
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8.7%
1,031 contractor hours this quarter
Occupational Therapy Aide: 3
Registered Nurse: 3
Physical Therapy Aide: 2
Clinical Nurse Specialist: 2
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Speech Language Pathologist: 1
Mental Health Service Worker: 1
Medical Director: 1
Other Physician: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 16 | 0 | 16 | 4,983 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 8 | 0 | 8 | 1,561 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,071 | 91 | 99% | 9.6 |
| Registered Nurse | 3 | 3 | 6 | 773 | 64 | 70% | 9.9 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 1 | 2 | 498 | 62 | 67% | 7.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 474 | 62 | 67% | 7.6 |
| Dietitian | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 58 | 63% | 7.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 308 | 54 | 59% | 5.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 291 | 59 | 64% | 4.9 |
| RN Director of Nursing | 1 | 0 | 1 | 186 | 25 | 27% | 7.4 |
| Clinical Nurse Specialist | 1 | 2 | 3 | 122 | 23 | 25% | 5.3 |
| Occupational Therapy Aide | 0 | 3 | 3 | 98 | 26 | 28% | 3.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 53 | 37 | 40% | 1.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 32 | 36 | 39% | 0.8 |
| Other Physician | 0 | 1 | 1 | 12 | 4 | 4% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
16 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
3 Medication Aide/Technician
% of Days
99%
6 Registered Nurse
% of Days
70%
1 Administrator
% of Days
68%
2 Mental Health Service Worker
% of Days
67%
1 Speech Language Pathologist
% of Days
67%
1 Dietitian
% of Days
60%
1 Nurse Practitioner
% of Days
63%
2 Physical Therapy Aide
% of Days
59%
1 Other Dietary Services Staff
% of Days
64%
1 RN Director of Nursing
% of Days
27%
3 Clinical Nurse Specialist
% of Days
25%
3 Occupational Therapy Aide
% of Days
28%
2 Respiratory Therapy Technician
% of Days
40%
2 Physical Therapy Assistant
% of Days
39%
1 Other Physician
% of Days
4%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.1
76% worse than Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
45% worse than Indiana averageIndiana average: 17.1
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
31.2%
Percent of long-stay residents whose need for help with daily activities has increased
31.2%
159% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.9%
Percent of long-stay residents whose ability to move independently worsened
23.9%
66% worse than Indiana averageIndiana average: 14.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
22% better than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.4%
Percent of long-stay high risk residents with pressure ulcers
4.4%
In line with Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.2%
Percent of long-stay residents who lose too much weight
11.2%
98% worse than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
87.8%
Percent of long-stay residents who have depressive symptoms
87.8%
264% worse than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
54.5%
Percent of long-stay residents who received an antipsychotic medication
54.5%
338% worse than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
5% better than Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
In line with Indiana averageIndiana average: 95.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.04
Number of hospitalizations per 1,000 long-stay resident days.
2.04
28% worse than Indiana averageIndiana average: 1.60
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
58% worse than Indiana averageIndiana average: 1.48
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
13% better than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
4% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
75% of new residents, often for long-term daily care.
Typical stay
6 - 7 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
35
Medicare
2
5.7% of residents
Medicaid
31
88.6% of residents
Private pay or other
2
5.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Bloomington Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
74.3%
↓ 3.8pp vs 2022
Net Income
$516.8K
↓ ~$7.3K vs 2022
Total Payroll
$2.1M
↑ ~$271.2K vs 2022
Profit Margin
15.4%
↓ 0.5pp vs 2022
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$3.3M
Surplus of revenue
$516.8K
Governmental community
Operated by county authorities.
Home revenue
$3.3M Rank #281 / 290Revenue — State benchmarkedThis home is ranked 281st out of 290 homes in Indiana. Shows this facility's annual revenue compared to the Indiana SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$516.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #281 / 290Payroll — State benchmarkedThis home is ranked 281st out of 290 homes in Indiana. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #281 / 290Payroll — State benchmarkedThis home is ranked 281st out of 290 homes in Indiana. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$738.7K
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.8M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Bloomington Nursing & Rehabilitation Center
1.6 miles from city center
Estimated distance in miles from Bloomington's city center to Bloomington Nursing & Rehabilitation Center's address, calculated via Google Maps.
— 0.58 miles to nearest hospital (IU Health Southern Indiana Physicians)
Calculate Travel Distance to Bloomington Nursing & Rehabilitation Center
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Financial Assistance for
Nursing Home in Indiana
Bloomington Nursing & Rehabilitation Center is located in Bloomington, Indiana.
Here are the financial assistance programs available to residents in Indiana.
Compare Nursing Home around Bloomington
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Filter by care type
| Stonecroft Health Campus |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Bloomington | 124 | 75.0% | +8% | 3.59 | +18% | +4% | $0 | 4 | 2.0 | - | 52 | A+ | 9 | Daviess County Hospital | $11.9M | $5.8M | 49.1% | 155838 | ||||
| Majestic Care of Bloomington |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomington | 224 | 50.0% | -28% | 2.95 | -30% | -14% | $0 | 6 | 2.0 | - | 106 | - | 44 | Columbus Regional Hospital | $13.0M | $6.2M | 48% | 155019 | ||||
| Brickyard Healthcare – Bloomington Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Bloomington (Sunny Slopes) | 153 | 82.4% | +19% | 3.46 | -1% | +1% | $14.0k | 26 | 2.6 | 2 | 115 | - | 33 | Ggnsc Bloomington LLC | $14.2M | $7.5M | 52.6% | 155278 | ||||
| Bloomington Nursing & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomington (Barclay Gardens) | 38 | 74.3% | +7% | 2.26 | +9% | -34% | $0 | 29 | 4.1 | - | 34 | - | 64 | Aperion Care Monroe, LLC | $3.3M | $2.1M | 62.5% | 155532 |
Frequently Asked Questions about Bloomington Nursing & Rehabilitation Center
What neighborhood is Bloomington Nursing & Rehabilitation Center in?
Bloomington Nursing & Rehabilitation Center is in the Barclay Gardens neighborhood.
Is Bloomington Nursing & Rehabilitation Center in a walkable area?
Bloomington Nursing & Rehabilitation Center has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the phone number of Bloomington Nursing & Rehabilitation Center?
(812) 336-1055 will put you in contact with the team at Bloomington Nursing & Rehabilitation Center.
Is Bloomington Nursing & Rehabilitation Center Medicare or Medicaid certified?
Yes — Bloomington Nursing & Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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