Bluestone Health and Rehabilitation
1600 Bland Street · Bluefield, WV · 24701 · 3043272485
60 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$52,189 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.95 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 2.69 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 1 · $52,189 |
Inspection citations (77 in the current record)
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Immediate jeopardy · K April 30, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Actual harm · G April 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 30, 2026 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 30, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · E April 30, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has no plan of correction · Nursing and Physician Services
-
Potential for harm · F April 30, 2026 · found via complaint
Post nurse staffing information every day.
Deficient, Provider has no plan of correction · Nursing and Physician Services
-
Potential for harm · E December 17, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 6, 2026 · Resident Rights
-
Potential for harm · D December 17, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 6, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E December 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 6, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 6, 2026 · Quality of Life and Care
-
Potential for harm · E December 17, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 6, 2026 · Nursing and Physician Services
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Potential for harm · E December 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 6, 2026 · Infection Control
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Potential for harm · E October 23, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 26, 2025 · Resident Rights
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Potential for harm · E October 23, 2025 · found via complaint
Post nurse staffing information every day.
Corrected November 26, 2025 · Nursing and Physician Services
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Actual harm · G February 13, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 10, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected March 10, 2025 · Resident Rights
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Potential for harm · D February 13, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2025 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected March 10, 2025 · Resident Rights
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Actual harm · G January 15, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 15, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D January 15, 2025
Notify 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.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D January 15, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 7, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 15, 2025 | Fine | $52,189 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 515186 · certified since May 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.