Mercer County, West Virginia · Nursing home
Bluestone Health and Rehabilitation
1 of 5 overall from CMS
1600 Bland Street, Bluefield, WV 24701
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 2.98 hours Below the state average of 3.67
- Nursing staff who left in a year 35.0% Below the state average of 44.1%
- Health citations, last 3 inspection cycles 73 4 at the harm level or above
- Fines in 3 years $132,589 2 fines
- Certified beds in use 96.7% of 60 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Bluestone Health and Rehabilitation is a 60-bed nursing home in Bluefield, West Virginia (Mercer County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.98 nurse staffing hours per resident per day, below the West Virginia average of 3.67. CMS lists 2 fines totaling $132,589 in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 58.0
- Certified since
- 2004 (22 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Hill Valley Healthcare (43 homes)CMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Bluestone Health and Rehabilitation
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $132,589 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 33 health deficiencies in the latest inspection cycle (the standard inspection on Apr 30, 2026 plus complaint and infection-control inspections); the West Virginia average is 11.7. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 West Virginia average 3.0
- Health inspections 1 of 5 West Virginia average 2.9
- Staffing 2 of 5 West Virginia average 2.6
- Quality measures 2 of 5 West Virginia average 3.6
The vertical line marks the West Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.98 h West Virginia average 3.67
- Nurse aides 1.59 h West Virginia average 2.04
- Licensed practical nurses 0.88 h West Virginia average 0.90
- Registered nurses 0.51 h West Virginia average 0.73
- All staff, weekends 2.63 h West Virginia average 3.17
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the West Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover35.0%
- West Virginia average44.1%
- Registered nurse turnover50.0%
- West Virginia average42.3%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the West Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | West Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 10.2% | 14.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.7% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 12.6% | 7.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% | 4.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% | 96.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.7% | 15.9% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.4% | 27.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% | 97.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.6% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% | 22.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 17.3% | 13.4% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.81 | 1.80 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.76 | 1.84 | 1.78 |
Short-stay residents
| Measure | This home | West Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.0% | 79.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% | 1.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.9% | 79.4% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% | 22.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% | 11.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 73 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 26 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 30, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 30, 2026 | 33 | 2 |
| Jan 15, 2025 | 28 | 4 |
| Apr 28, 2023 | 12 | 0 |
West Virginia homes averaged 11.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (73)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 14, 2026)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 29, 2026)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 29, 2026)
-
FPotential for more than minimal harm, widespread
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 29, 2026)
-
FPotential for more than minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 29, 2026)
Show 25 more
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (May 29, 2026)
-
FPotential for more than minimal harm, widespread
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 14, 2026)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (May 29, 2026)
-
EPotential for more than minimal harm, pattern
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 14, 2026)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (May 29, 2026)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 29, 2026)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (May 29, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (May 29, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Jul 14, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (May 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 14, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 6, 2026)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 6, 2026)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 6, 2026)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 6, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jan 6, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 6, 2026)
Showing the 30 most recent of 73.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 30, 2026 | Fine | $80,400 |
| Jan 15, 2025 | Fine | $52,189 |
West Virginia homes averaged 0.8 fines and $29,505 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within West Virginia
- Size104 of 123 by certified beds
- West Virginia average residents per day78.4
- ChainHill Valley Healthcare
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Mercer County4
Common questions
What is the CMS star rating for Bluestone Health and Rehabilitation?
Bluestone Health and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 2.
How many beds does Bluestone Health and Rehabilitation have?
Bluestone Health and Rehabilitation has 60 certified beds. It averages 58.0 residents per day, about 96.7% of its certified beds.
How much nursing care do residents get at Bluestone Health and Rehabilitation?
The home reports 2.98 hours of nurse staffing per resident per day, including 0.51 hours from registered nurses. The West Virginia average is 3.67 hours and 0.73 hours from registered nurses.
Has Bluestone Health and Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $132,589 in the past three years.
Does Bluestone Health and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Mercer Healthcare Center 123beds 95.9%in use 3.56nurse hours a day
- 1 of 5 Westwood Center 60beds 87.2%in use 3.80nurse hours a day
- 4 of 5 Glenwood Healthcare Center 100beds 77.6%in use 4.45nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Mercer County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 515186. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.