Bluestone Health and Rehabilitation: Dirty HVAC Units - WV
Inspectors documented the condition on the morning of October 20, moving through five rooms on what appeared to be the same corridor. The PTAC units in rooms 113, 125, 130, 131, and 132 all had filters covered in layers of dust. Room 113's unit had the additional problem: the brown substance, dried and visible inside the vents themselves.
The Maintenance Director, interviewed ten minutes after the observation, confirmed everything inspectors had found. He identified each of the five rooms by name and acknowledged the brown substance in room 113. His explanation was brief: housekeeping normally cleans those vents when they clean the resident's room.
Normally. The word implied a routine. The condition of the filters suggested the routine had not been followed.
The facility housed 59 residents at the time of the survey. Inspectors cited the deficiency as having the potential to affect more than a limited number of residents, noting the dirty units were a random discovery during the complaint process, meaning the problem could extend beyond the rooms they happened to check.
CMS rated the level of harm as minimal harm or potential for actual harm, the lower end of the deficiency scale. The citation covered the facility's obligation to provide a safe, clean, comfortable, and homelike environment.
No one described when the filters had last been cleaned, or how long the brown substance had been inside the vents of room 113. The Maintenance Director did not dispute the findings. He confirmed them and pointed to housekeeping. Housekeeping had not been there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bluestone Health and Rehabilitation from 2025-10-23 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
BLUESTONE HEALTH AND REHABILITATION in BLUEFIELD, WV was cited for violations during a health inspection on October 23, 2025.
Inspectors documented the condition on the morning of October 20, moving through five rooms on what appeared to be the same corridor.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.