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D
Poor

BLUESTONE HEALTH AND REHABILITATION

1600 BLAND STREET · BLUEFIELD, WV 24701

3043272485 · For profit - Limited Liability company

60 beds57.7 residents69 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BLUESTONE HEALTH AND REHABILITATION receives an overall staffing grade of D (Poor). With 2.8778 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3911 HPRD, below the recommended 0.75. It is 1.02 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.55% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8778 HPRD — needs 0.60 more hours per resident per day.
⚠️RN staffing (0.3911 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.8778hrs/resident/day▼ 1.02
CMS benchmark: 3.48
RN HPRD
0.3911hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
12.55%
2.9836 weekday → 2.6092 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4584hrs/resident/day
Direct care aides
LPN HPRD
1.0283hrs/resident/day
Licensed practical nurses
Consistency
0.3093std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Mercer County Average-0.88 HPRD
3.75
02.88 HPRD
vs. West Virginia State Average-0.82 HPRD
3.70
02.88 HPRD
vs. National Average-1.02 HPRD
3.90
02.88 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BLUESTONE HEALTH AND REHABILITATION ★
BLUEFIELD · This facility
—
D
2.87780.3911★☆☆☆☆
MERCER HEALTHCARE CENTER
BLUEFIELD
1.3 mi
C
3.67220.5256★★☆☆☆
GLENWOOD HEALTHCARE CENTER
PRINCETON
6.5 mi
B
3.99230.8382★★★★☆
PRINCETON HEALTH CARE CENTER
PRINCETON
8.5 mi
C
4.47550.4893★★☆☆☆
MCDOWELL HEALTHCARE CENTER
GARY
18.6 mi
C
3.58730.4302★★★★☆
WYOMING HEALTHCARE CENTER
NEW RICHMOND
25.7 mi
B
3.96160.7964★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
71
Total Deficiencies
$52,189
Fines Assessed
Dec 17, 2025Health
7 deficiencies cited
▼
Oct 23, 2025Health
2 deficiencies cited
▼
Feb 13, 2025Health
4 deficiencies cited· Includes actual harm
▼
Jan 15, 2025Health
24 deficiencies cited· Includes actual harm
▼
Mar 6, 2024Health
1 deficiency cited
▼
Jan 10, 2024Health
2 deficiencies cited
▼
Aug 28, 2023Health
4 deficiencies cited
▼
Apr 28, 2023Health
9 deficiencies cited
▼
Oct 12, 2022Health
18 deficiencies cited
▼

Penalty History

Jan 15, 2025Fine
$52,189
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.