Federal inspection record · CMS data as of October 1, 2026
Bluestone Health And Rehabilitation
1600 Bland Street, Bluefield, WV · (304) 327-2485
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 60
- Residents per day
- 56
- Ownership
- For-Profit
- Chain
- Hill Valley Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 2004
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in West Virginia.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among West Virginia homes
Bluestone Health And Rehabilitation carries 475 inspection points. That is fewer than 0% of West Virginia's 122 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in West Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–24 pts
- 4★ 24–55 pts
- 3★ 55–92.5 pts
- 2★ 92.5–163 pts
- 1★ over 163 pts
Bars show every rated home in West Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
73 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
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K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care19E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide 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.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide activities to meet all resident's needs.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure 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.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights13E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Honor 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.
- E
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.
- E
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.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- E
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Notify 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning12F
- F
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary7E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control7F
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services4F
- F
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
Administration2F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Conduct 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.
Pharmacy Service2E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection history
2026-04-30
33 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2025-01-15
28 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2023-04-28
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 22 min
West Virginia average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$132,589 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-30 | Fine | $80,400 |
| 2025-01-15 | Fine | $52,189 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 99.5% | 96.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better | 98.3% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 2.3% | 4.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.8 pts worse | 15.0% | 8.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 3.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts worse | 31.7% | 26.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.7 pts worse | 19.6% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.3 pts better | 7.6% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better | 9.6% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 2.9% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts worse | 22.9% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 3.0% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 86.0% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts worse | 14.0% | 10.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 1.7% | 1.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.9 pts better | 89.7% | 78.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts worse | 23.4% | 22.0% | 23.4% |
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Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Hvh Maples Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Idels, Shimon | Corporate Officer · Individual | 0% | 49 facilities |
| Marrs, Jennifer | W-2 Managing Employee · Individual | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- C
Install an approved automatic sprinkler system.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1C
- C
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Mercer Healthcare Center
Bluefield, WV · Communicare Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $28,060
-
Westwood Center
Bluefield, VA · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 36 min
- Fines
- $159,612
-
Glenwood Healthcare Center
Princeton, WV · Communicare Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0