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Complaint Investigation

Bluestone Health And Rehabilitation

Inspection Date: October 23, 2025
Total Violations 2
Facility ID 515186
Location BLUEFIELD, WV
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation and staff interview the facility failed to provide a safe, clean, comfortable, homelike environment. This failed practice was a random opportunity for discovery, and had the potential to effect more than a limited number of residents during the complaint survey process. Facility Census 59. a) Packaged Terminal Air Conditioner (PTAC) unitsAn observation on 10/20/25 at 11:10 AM, revealed that the PTAC units in rooms 113, 125, 130, 131 and 132 had dirty filters that were covered with layers of dust.

Additionally, room [ROOM NUMBER]'s PTAC unit had a dried, brown substance inside of the unit's vents.During an interview on 10/20/25 at approximately 11:20 AM, The Maintenance Director verified that room [ROOM NUMBER], 125, 130, 131, and 132 had dirty filters that were covered in dust and that the PTAC unit in room [ROOM NUMBER] had dried, brown substance inside of the vents. The Maintenance Director stated, Housekeeping normally cleans those vents when they clean the residents room.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bluestone Health and Rehabilitation

1600 Bland Street Bluefield, WV 24701

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0732

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0732

Post nurse staffing information every day.

Level of Harm - Minimal harm or potential for actual harm

Based on record review, and staff interview the facility failed to provide a staff posting that was accurate with actual nurse staffing numbers. This failed practice was a random opportunity for discovery during the complaint survey. Facility Census 59.a) Nursing staff postingsA review on 10/21/25 at 2:00 PM, of the Nurse Staff Postings from 09/2025 to present, revealed that of the 50 days reviewed, 16 of those appeared to be under the staff minimum of 2.25 for the day.Further review on 10/22/25 of the staff punch forms for the days in question, revealed punches for all days in questions, that put the staffing above the minimum.

During an interview on 10/22/25 at 9:30 AM, the Director of nursing confirmed that the staff punch forms were correct and accurate and that the staff posting for the 16 days was incorrect.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

BLUESTONE HEALTH AND REHABILITATION in BLUEFIELD, WV inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BLUEFIELD, WV, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BLUESTONE HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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