BLUESTONE HEALTH AND REHABILITATION

Special Focus Facility candidate · CMS abuse icon · CCN 515186 · MAPLES SNF OPERATIONS LLC · For profit - Limited Liability company · HILL VALLEY HEALTHCARE chain · 60 certified beds · Mercer · WV


BLUESTONE HEALTH AND REHABILITATION is a 60-bed nursing home in BLUEFIELD, West Virginia. CMS has certified it for Medicare and Medicaid since 2004-05-01. It averages 58.0 residents a day.

What harm was found in the violations cited at BLUESTONE HEALTH AND REHABILITATION?

CMS lists 77 health-inspection deficiencies for BLUESTONE HEALTH AND REHABILITATION since 2023-04-28, 68 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-18.

Survey dateTagDeficiencySeverity
2026-06-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-04-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2026-04-30F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2026-04-30F0656, F0732, F0835, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Post nurse staffing information every day. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.F
2026-04-30F0628, F0644, F0679, F0725, F0804, F0805, F0812Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide activities to meet all resident's needs. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-04-30F0558, F0559, F0585, F0609, F0610, F0677, F0684, F0688, F0692, F0880Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program.D
2025-12-17F0584, F0677, F0725, F0842, F0880Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2025-12-17F0656, F0684Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-10-23F0584, F0732Honor 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. / Post nurse staffing information every day.E
2025-02-13F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-02-13F0559, F0610, F0626Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Respond appropriately to all alleged violations. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2025-01-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-01-15F0838Conduct 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.F
2025-01-15F0584, F0657, F0679, F0684, F0689, F0756, F0804, F0812, F0880, F0883Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2025-01-15F0561, F0625, F0641, F0645, F0656, F0677, F0686, F0693, F0741, F0757, F0806, F0842Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-03-06F0880Provide and implement an infection prevention and control program.F
2024-01-10F0550, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2023-08-28F0550, F0921Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2023-08-28F0584, F0883Honor 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2023-04-28F0880Provide and implement an infection prevention and control program.E
2023-04-28F0583, F0656, F0657, F0684, F0686, F0689, F0690, F0883Keep residents' personal and medical records private and confidential. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was BLUESTONE HEALTH AND REHABILITATION fined 2 times?

DateTypeAmount
2026-04-30Fine$80,400
2025-01-15Fine$52,189

How is BLUESTONE HEALTH AND REHABILITATION staffed relative to the WV average?

MeasureThis facilityWV average
Total nurse staffing hours per resident per day2.981903.66055
Total nursing staff turnover (%)35.044.1
Average number of residents per day58.078.4

Who owns BLUESTONE HEALTH AND REHABILITATION, and what chain is it in?

BLUESTONE HEALTH AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name MAPLES SNF OPERATIONS LLC and belongs to the HILL VALLEY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHVH MAPLES OPERATIONS HOLDINGS LLCsince 09/28/2023
W-2 MANAGING EMPLOYEEMARRS, JENNIFERsince 09/28/2023
CORPORATE OFFICERIDELS, SHIMONsince 05/24/2024

Were you or a family member harmed at BLUESTONE HEALTH AND REHABILITATION?