Bastian, VA

Bland County Nursing & Rehab Center

5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle

12185 Grapefield Road, Bastian, VA

(276) 688-4141

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

57

Certified beds

Average residents

50

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Kissito Healthcare

Operator or chain grouping

Approved since

1989-05-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.79

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.52

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.61

CMS adjusted RN staffing hours

Adjusted total hours

2.90

CMS adjusted total nurse staffing hours

Case-mix index

1.89

Higher values indicate more complex resident acuity

RN turnover

54%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,216

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.10

Composite VBP score used to determine payment impact.

Payment multiplier

0.9825

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.22

Baseline 50.00% · Performance 46.43% · Measure score 4.22 · Achievement 4.22 · Improvement 0.92

Adjusted total nurse staffing

0

Baseline 2.84 hours · Performance 2.84 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.77%
10.72%
About the same
No Different than the National Rate · Eligible stays 30 · Observed rate 13.33% · Lower 95% interval 7.12%
Discharge to community 53.78%
50.57%
3.2 pts better
No Different than the National Rate · Eligible stays 27 · Observed rate 44.44% · Lower 95% interval 38.06%
Medicare spending per beneficiary 1.23
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 25 · Denominator 25
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 25
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 8%
2.29%
5.7 pts worse
Numerator 2 · Denominator 25 · Adjusted rate 6.27%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 2.91%
8.2%
5.3 pts worse
Numerator 3 · Denominator 103
Staff flu vaccination coverage 39.16%
42%
2.8 pts worse
Numerator 56 · Denominator 143
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.2%
8.8 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
94.0%
4.1 pts better
95.5%
2.6 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of long-stay residents experiencing one or more falls with major injury 5.7%
3.6%
2.1 pts worse
3.3%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.4% · Q3 8.2% · Q4 4.1% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.8%
15.7%
14.9 pts better
11.4%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight 9.3%
5.7%
3.6 pts worse
5.4%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 4.4% · Q3 10.4% · Q4 10.9% · 4Q avg 9.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.9%
20.2%
17.7 pts worse
19.6%
18.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.4% · Q2 34.8% · Q3 38.8% · Q4 37.5% · 4Q avg 37.9%
Percentage of long-stay residents who received an antipsychotic medication 12.9%
15.0%
2.1 pts better
16.7%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 10.3% · Q3 12.5% · Q4 12.9% · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 5.5%
17.5%
12 pts better
16.3%
10.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.8%
15.7%
7.9 pts better
14.9%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.7% · Q3 2.9% · Q4 11.4% · 4Q avg 7.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.5%
0.2 pts worse
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
1.6%
1.1 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.8%
22.2%
8.4 pts better
19.8%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 18.3% · Q3 6.1% · Q4 16.7% · 4Q avg 13.8%
Percentage of long-stay residents with pressure ulcers 12.6%
5.2%
7.4 pts worse
5.1%
7.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 6.5% · Q3 18.3% · Q4 16.4% · 4Q avg 12.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.7%
74.6%
9.1 pts better
81.7%
2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 52.6% · Q2 94.3% · Q3 100.0% · Q4 91.4% · 4Q avg 83.7%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
73.6%
26.4 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-08-03 · Fire 2023-08-03

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2021-11-12 · Fire 2021-11-12

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-11-14 · Fire 2019-11-14

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-08-03

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-12-12

D · Potential for more than minimal harm 2023-08-03

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-12-12

D · Potential for more than minimal harm 2023-08-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-12

D · Potential for more than minimal harm 2023-08-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-12

D · Potential for more than minimal harm 2023-08-03

K932 · Smoke Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-12-12

F · Potential for more than minimal harm 2021-11-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-02-03

F · Potential for more than minimal harm 2021-11-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-02-03

F · Potential for more than minimal harm 2021-11-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-02-03

E · Potential for more than minimal harm 2021-11-12

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-11-12

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-11-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-11-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-11-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-01-10

F · Potential for more than minimal harm 2019-11-14

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2020-10-06

E · Potential for more than minimal harm 2019-11-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-02-26

Inspection history

Recent health citations

E · Potential for more than minimal harm 2021-11-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-12-17

D · Potential for more than minimal harm 2021-11-12

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2021-12-17

D · Potential for more than minimal harm 2021-11-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-12-17

E · Potential for more than minimal harm 2019-11-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-12-29

D · Potential for more than minimal harm 2019-11-14

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2019-12-29

D · Potential for more than minimal harm 2019-11-14

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-12-29

D · Potential for more than minimal harm 2019-11-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-12-29

D · Potential for more than minimal harm 2019-11-14

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2019-12-29

D · Potential for more than minimal harm 2019-11-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-12-29

Penalties and ownership

What sits behind the stars

Ownership

Mcclintic Operations LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2023-11-30
Ferrell, Mary

Operational/Managerial Control · Individual

0% 4 facilities 2023-11-30
Greystone Funding Company LLC

5% Or Greater Security Interest · Organization

0% 11 facilities 2023-11-30
Mcclintic Operations Holdco Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-11-30
Mcclintic Operations Holdco Ii LLC

Operational/Managerial Control · Organization

0% 4 facilities 2023-11-30
Mcclintic Operations LLC

Operational/Managerial Control · Organization

0% 3 facilities 2023-11-30
Mcclintic, Robert

5% Or Greater Indirect Ownership Interest · Individual

0% 6 facilities 2023-11-30
Mcclintic, Robert

Operational/Managerial Control · Individual

0% 6 facilities 2023-11-30
Mcclintic, Robert

Corporate Officer · Individual

0% 6 facilities 2023-11-30
Perry, Katie

Operational/Managerial Control · Individual

0% 8 facilities 2023-11-30
Rbm Of Bastian LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2023-11-30

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Staffing
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Staffing
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Fines
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#3

Westwood Center

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1-star overall rating with 1-star inspections with $247,727 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$247,727

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