Elder Care Record

West Virginia › Mercer County › Bluefield

Bluestone Health and Rehabilitation

1600 Bland Street, Bluefield, WV 24701

CCN 515186 · For-profit, limited liability company · 60 certified beds · chain Hill Valley Healthcare

CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 60 beds, Bluestone Health and Rehabilitation serves Bluefield in Mercer County, West Virginia and has taken Medicare and Medicaid residents since 2004.

CMS gives it 1 of 5 stars overall, below the West Virginia median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.

Inspectors recorded 77 health deficiencies across the three most recent survey cycles (33, 28, 16 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 128.3 per 100 beds, more than the state median of 47.3.

CMS lists 2 penalties in the period covered: fines totalling $133K.

Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the West Virginia median of 3.5; nursing staff turnover is 35.0%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.

77health deficiencies, 3 survey cycles4 at actual harm or worse
$133Kfines listed by CMS2 penalties in period
3.0nurse hours per resident per daystate median 3.5
97%occupancy (residents ÷ beds)58 residents a day

Compared with county, state and nation

MeasureThis facilityMercer Co. medianWest Virginia medianUS average
Overall star rating1333.0
Health citations, 3 cycles77773828.7
Citations per 100 beds128.366.747.326.8
Total nurse hours per resident day3.04.23.53.9
RN hours per resident day0.50.60.70.7
Nursing staff turnover35.0%44.2%43.2%45.8%
Fines listed$132,589$28,060$8,021—

County and state figures are medians across facilities (4 in the county, 123 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)33
Cycle 228
Cycle 316

Dark bar: this facility. Grey bar: West Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2026, 15 Jan 2025.

Severity mix: K ×1 G ×3 D ×40 E ×27 F ×6

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
18 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation14 Jul 2026
30 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation29 May 2026
30 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation29 May 2026
30 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FStandard survey29 May 2026
30 Apr 2026F0732Post nurse staffing information every day.FComplaint investigation29 May 2026
30 Apr 2026F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey29 May 2026
30 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard survey14 Jul 2026
30 Apr 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey29 May 2026
30 Apr 2026F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard survey14 Jul 2026
30 Apr 2026F0679Provide activities to meet all resident's needs.EStandard survey29 May 2026
30 Apr 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation29 May 2026
30 Apr 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey29 May 2026
30 Apr 2026F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey29 May 2026
30 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey29 May 2026
30 Apr 2026F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey14 Jul 2026
30 Apr 2026F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard survey29 May 2026
30 Apr 2026F0585Honor 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.DComplaint investigation29 May 2026
30 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey29 May 2026
30 Apr 2026F0610Respond appropriately to all alleged violations.DStandard survey29 May 2026
30 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey29 May 2026
30 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation29 May 2026
30 Apr 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey29 May 2026
30 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 May 2026
30 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey14 Jul 2026
17 Dec 2025F0584Honor 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.EComplaint investigation6 Jan 2026
17 Dec 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation6 Jan 2026
17 Dec 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation6 Jan 2026
17 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation6 Jan 2026
17 Dec 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation6 Jan 2026
17 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Jan 2026
17 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation6 Jan 2026
23 Oct 2025F0584Honor 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.EComplaint investigation26 Nov 2025
23 Oct 2025F0732Post nurse staffing information every day.EComplaint investigation26 Nov 2025
13 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation10 Mar 2025
13 Feb 2025F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint investigation10 Mar 2025
13 Feb 2025F0610Respond appropriately to all alleged violations.DComplaint investigation23 Jan 2025
13 Feb 2025F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint investigation10 Mar 2025
15 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey7 Feb 2025
15 Jan 2025F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey7 Feb 2025
15 Jan 2025F0584Honor 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.EStandard survey7 Feb 2025
15 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey7 Feb 2025
15 Jan 2025F0679Provide activities to meet all resident's needs.EStandard survey7 Feb 2025
15 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey7 Feb 2025
15 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey7 Feb 2025
15 Jan 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey7 Feb 2025
15 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey7 Feb 2025
15 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Feb 2025
15 Jan 2025F0880Provide and implement an infection prevention and control program.EStandard survey7 Feb 2025
15 Jan 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey7 Feb 2025
15 Jan 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation7 Feb 2025
15 Jan 2025F0625Notify 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.DStandard survey7 Feb 2025
15 Jan 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation7 Feb 2025
15 Jan 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey7 Feb 2025
15 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Feb 2025
15 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey7 Feb 2025
15 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation7 Feb 2025
15 Jan 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey7 Feb 2025
15 Jan 2025F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DStandard survey7 Feb 2025
15 Jan 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey7 Feb 2025
15 Jan 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey7 Feb 2025
15 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey7 Feb 2025
6 Mar 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation5 Apr 2024
10 Jan 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation15 Feb 2024
10 Jan 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation15 Feb 2024
28 Aug 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation3 Oct 2023
28 Aug 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation3 Oct 2023
28 Aug 2023F0584Honor 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.DComplaint investigation3 Oct 2023
28 Aug 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DInfection control inspection3 Oct 2023
28 Apr 2023F0880Provide and implement an infection prevention and control program.EStandard survey24 May 2023
28 Apr 2023F0583Keep residents' personal and medical records private and confidential.DStandard survey24 May 2023
28 Apr 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 May 2023
28 Apr 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey24 May 2023
28 Apr 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 May 2023
28 Apr 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey24 May 2023
28 Apr 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey24 May 2023
28 Apr 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey24 May 2023
28 Apr 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey24 May 2023

Penalties

DateTypeAmountDetail
30 Apr 2026Fine$80,400
15 Jan 2025Fine$52,189

Staffing

Total nursing2.98 h
Nurse aides1.59 h
LPN0.88 h
RN0.51 h
Weekend total2.63 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the West Virginia average. Turnover: nursing staff 35.0%, RNs 50.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityWest Virginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.2%14.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%4.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.9%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.7%15.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.6%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.3%10.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Maples Snf Operations Llc. Chain: Hill Valley Healthcare (43 facilities).

OrganisationRole in the CMS recordInterestSince
Hvh Maples Operations Holdings LLC5% or greater direct ownership interest100%09/28/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mercer County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Glenwood Healthcare CenterPrinceton1004443333.0—13 Feb 2025
Princeton Health Care CenterPrinceton1203443932.5—5 Feb 2026
Mercer Healthcare CenterBluefield1232238266.7$28K18 Jun 2026

All 4 facilities in Mercer County

Questions and answers

How many deficiencies has Bluestone Health and Rehabilitation been cited for?

77 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The West Virginia median is 38 per facility.

Has Bluestone Health and Rehabilitation been fined?

Yes. CMS lists fines totalling $133K in the period covered.

How does staffing at Bluestone Health and Rehabilitation compare?

Reported total nurse staffing is 3.0 hours per resident per day against a West Virginia median of 3.5 and a national average of 3.9.

Who operates Bluestone Health and Rehabilitation?

It is part of the Hill Valley Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Hvh Maples Operations Holdings LLC. Individual owners and managers are not listed on this site.

When was Bluestone Health and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 30 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.