The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
BLUESTONE HEALTH AND REHABILITATION
BLUEFIELD, WV · Medicare-certified · 60 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Bluestone Health and Rehabilitation in Bluefield, WV has a 1-star overall rating, with 1-star staffing and 2-star health inspection results. It reports 2.95 nurse hours per resident per day versus the 4.1 federal benchmark, $52,189 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.9533 hrs/resident/day
Quality measures
Last inspection: December 17, 2025Penalties, last 24 months: $52,189recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9533.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 1.03
- Nurse aides
- 1.48
- Weekend nursing
- 2.69
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.9%14.7%Worsening
Residents with a fall causing major injury
0%1.9%Worsening
Residents with pressure ulcers (bedsores)
5.5%4.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.4%2.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.3%8.7%Worsening
Residents whose ability to walk got worse
8%4.5%Improving
Long-stay residents on antianxiety or sleep medication
39.2%30%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.6%33.1%Worsening
Residents with depressive symptoms
0%14.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—76.9%—
Short-stay residents given the pneumonia vaccine
83.8%83.8%No change
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $52,189 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $52,189 in total fines.
- $52,189
Federal fine
Jan 15, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
- Occupancy
- 57.8 residents on an average day (96% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.