Bluestone Health and Rehabilitation: Staffing Records - WV
Federal inspectors arrived on a complaint survey and pulled nursing staff postings covering September 2025 through the date of their visit. Of the 50 days they reviewed, 16 showed staffing levels that appeared to fall below the 2.25 minimum staffing ratio for the day shift. That is nearly one in three days.
The inspectors then pulled something else: the actual punch forms.
When staff clock in and out, those records exist separately from whatever gets posted on the public-facing board. For every one of the 16 days in question, the punch forms put actual staffing above the minimum. The two sets of numbers did not match. The posted board, the one visible to residents and families, was the one that was wrong.
On October 22, the Director of Nursing confirmed both things at once: the punch forms were correct and accurate, and the staff postings for those 16 days were not.
That confirmation is worth sitting with for a moment. The facility's own nursing director acknowledged, on the record, that the numbers displayed to the public misrepresented actual staffing levels for more than two weeks of a roughly seven-week window. Whether the postings understated staffing by a small margin or a large one, the inspection report does not specify. What it does say is that the discrepancy was consistent enough to appear across 16 separate days.
Staffing boards at nursing homes are not decorative. They exist so that residents and family members can see, on any given day, how many nurses and aides are present to care for them. When a resident's family visits and glances at the board, they are supposed to be able to trust what it says. When the numbers are wrong, that transparency disappears, replaced by a record that means nothing.
Inspectors rated the harm level as minimal, with potential for actual harm. The facility census at the time of the inspection was 59 residents.
The violation was discovered, the report notes, as a random opportunity during the complaint survey, meaning inspectors were not there specifically looking for staffing documentation problems. They found it anyway.
What the inspection does not answer is how the postings came to be wrong in the first place. A data entry error repeated 16 times over two months is a different problem than a systemic failure in how staffing numbers get transferred from punch records to the public board. The report does not draw that distinction. It records what was found: a gap between what was posted and what was real, confirmed by the facility's own leadership.
Bluestone Health and Rehabilitation has 59 residents in its care.
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.
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 7, 2026 · Our methodology
BLUESTONE HEALTH AND REHABILITATION in BLUEFIELD, WV was cited for violations during a health inspection on October 23, 2025.
Federal inspectors arrived on a complaint survey and pulled nursing staff postings covering September 2025 through the date of their visit.
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.