Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
87
80 employees · 7 contractors · 28 on an average day Bluestone Health and Rehabilitation
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Bluefield, WV
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the West Virginia average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the West Virginia average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Bluestone Health and Rehabilitation
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Bluefield, WV
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the West Virginia average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the West Virginia average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Bluestone Health and Rehabilitation accepts Medicaid, Medicare, and private pay.
Overview of Bluestone Health and Rehabilitation
Bluestone Health and Rehabilitation, in Bluefield, WV, carries skilled nursing, memory care, a nursing home designation, and hospice care across 60 beds. The nursing coverage is written down as a program rather than assumed. Memory care means somebody is watching rather than merely nearby, which is the part a household cannot cover.
Oncology care and hospice are both on the list, so the move from treating a cancer to managing its last weeks happens at one address. Four needs land here: short recovery, nursing care that continues, dementia support, and hospice. Short-term rehabilitation, orthopedic rehab, and post-surgical care cover recovery after an operation or an injury.
Pulmonary and bariatric care answer needs of a different kind. Six programs carry names in all: 24/7 Nursing Care, Orthopedic Rehab, Post-Surgical Care, Pulmonary Care, Bariatric Care, and Oncology Care.
A recreation area, a patio, a library, and a salon are what the building holds outside the clinical list. Two hours and 52 minutes of nursing reach each resident daily. Private pay, Medicaid, and Medicare are the three routes, and Matt Fife administers the home for Maples SNF Operations.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 24th out of 41 nursing homes we track in West Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 19m
This nursing home is ranked 24th out of 41 nursing homes we track in West Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 19mStandout metric: Physical therapist is +96% above West Virginia average
4 of 6 metrics below West Virginia average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 9.1-hour shifts
29m
↓ 32% · WV 42mThis facility: 29m per resident per day, 32% below the West Virginia average of 42m (among West Virginia facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 9.1-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 10 are the facility's own employees; no agency contractors work in this role.
10 staff · 9.8-hour shifts
55m
≈ 0% · WV 55mThis facility: 55m per resident per day, level with the West Virginia average of 55m (among West Virginia facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 10 are the facility's own employees; no agency contractors work in this role.
10 staff · 9.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 40 total: 33 of the facility's own employees and 7 agency contractors.
40 staff · 9.2-hour shifts
1h 55m
↓ 7% · WV 2h 4mThis facility: 1h 55m per resident per day, 7% below the West Virginia average of 2h 4m (among West Virginia facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 40 total: 33 of the facility's own employees and 7 agency contractors.
40 staff · 9.2-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
6m
↑ 96% · WV 3mThis facility: 6m per resident per day, 96% above the West Virginia average of 3m (among West Virginia facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 2m
↓ 4% · WV 3h 11mThis facility: 3h 2m per resident per day, 4% below the West Virginia average of 3h 11m (among West Virginia facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
14m
↓ 40% · WV 23mThis facility: 14m per resident per day, 40% below the West Virginia average of 23m (among West Virginia facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
87
80 employees · 7 contractors · 28 on an average day
87 total staff / 57 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.53 : 1
↑ 4% · WV 1.47This facility: 1.53 staff per resident, 4% above the West Virginia average of 1.47 (among West Virginia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
87 staff ÷ 57 residents
See full West Virginia ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.7 h
↑ 2% · WV 8.5 hThis facility: 8.7 h, 2% above the West Virginia average of 8.5 h (among West Virginia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
22,238 staff hours this quarter
See full West Virginia ranking →99% of staff hours were worked by the facility's own employees
West Virginia average: 93.2% · Contractors this quarter: Certified Nursing Assistant (7)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #30 / 41Bed count — State benchmarked This nursing home is ranked 30th out of 41 nursing homes we track in West Virginia for bed count. Shows this facility's certified or reported bed count compared to other West Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #30 / 41Bed count — State benchmarked This nursing home is ranked 30th out of 41 nursing homes we track in West Virginia for bed count. Shows this facility's certified or reported bed count compared to other West Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #24 / 38Years in operation — State benchmarked This nursing home is ranked 24th out of 38 nursing homes we track in West Virginia for years in operation. Shows how long this facility has been in operation compared to other West Virginia facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #24 / 38Years in operation — State benchmarked This nursing home is ranked 24th out of 38 nursing homes we track in West Virginia for years in operation. Shows how long this facility has been in operation compared to other West Virginia facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #19 / 37Occupancy rate — State benchmarked This nursing home is ranked 19th out of 37 nursing homes we track in West Virginia for occupancy. Shows this facility's occupancy rate versus the West Virginia average, with its Statewide rank out of 37. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #19 / 37Occupancy rate — State benchmarked This nursing home is ranked 19th out of 37 nursing homes we track in West Virginia for occupancy. Shows this facility's occupancy rate versus the West Virginia average, with its Statewide rank out of 37. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
93.7%
This home usually has limited availability
Based on 56.2 residents and 60 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Similar to the West Virginia average: 92.3%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
260
days
About This Community
Facility TypeNursing Home (NH)
StatusActive
IssuanceJuly 1, 2025
CountyMercer
License Number57
CMS Certification Number515186
Bluestone Health and Rehabilitation is legally operated by Maples SNF Operations, LLC, and administered by Matt Fife.
Owner NameMaples SNF Operations, LLC
Resident Council
Short-Term Rehab
Orthopedic Rehabilitation
Post-Surgical Care
Pulmonary Care
Oncology Care
Bariatric CareSpecialized care for people with severe obesity, including safe transfers, equipment, mobility support, and management of related health needs.
Transportation
Fax(304) 323-4103
Pets not allowed
Recreation Area
Patio
Beauty Salon
Library
Pastoral Care
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
13 points below the West Virginia average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
332 severity-weighted points (77 deficiencies) · 3× higher than the typical CMS-certified WV facility (median: 131)
Enforcement
Concern
$132,589 in fines · 2 enforcement actions
Persistence
Strong
29 days to fix issues · faster than the typical CMS-certified WV facility (median: 36)
Total health inspections
9
↑ 109% · WV 4.3This facility: 9, 109% above the WV average of 4.3 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
73
Rank #38 / 41Health citations — State benchmarked This nursing home is ranked 38th out of 41 nursing homes we track in West Virginia for health citations. Shows this facility's total health deficiency citations benchmarked to the West Virginia State average, with a ranking across all 41 WV facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 82% · WV 40.2This facility: 73, 82% above the WV average of 40.2 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
8.11
Rank #10 / 41Citations per inspection — State benchmarked This nursing home is ranked 10th out of 41 nursing homes we track in West Virginia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the West Virginia mean across 41 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 15% · WV 9.54This facility: 8.11, 15% below the WV average of 9.54 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
73 of 73 citations corrected
Critical
J–L
1
↑ 25% · WV 0.8This facility: 1, 25% above the WV average of 0.8 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
3
↑ 500% · WV 0.5This facility: 3, 500% above the WV average of 0.5 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
69
↑ 78% · WV 38.7This facility: 69, 78% above the WV average of 38.7 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · WV 0.2This facility: 0, 100% below the WV average of 0.2 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 18, 2026 · 1 citation (Quality of Care, moderate), corrected
Most cited category: Quality of Life & Care, 21 of 73 citations · 9 categories in total
Citations history
Most recent first
Jun 18, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Apr 30, 2026
23 citations
Quality of Care critical citation
Corrected
Corrected
Abuse/Neglect serious citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Dec 17, 2025
7 citations
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 23, 2025
2 citations
Resident Rights moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Feb 13, 2025
4 citations
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jan 15, 2025
13 citations
Abuse/Neglect serious citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Showing the 50 most recent of 73 citations.
Top deficiency categories
Share of 73 citations
Quality of Life & Care
21 deficiencies (29%)
Resident Rights
13 deficiencies (18%)
Resident Assessment & Care Planning
12 deficiencies (16%)
Infection Control
7 deficiencies (10%)
Nutrition & Dietary
7 deficiencies (10%)
Abuse, Neglect & Exploitation
5 deficiencies (7%)
Nursing & Physician Services
4 deficiencies (5%)
Administration
2 deficiencies (3%)
Pharmacy Services
2 deficiencies (3%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
47 of 73 citations resulted from standard inspections; 17 of 73 resulted from complaint investigations; and 9 of 73 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
2 penalties in the past 3 years
Latest: Apr 30, 2026 · $80,400 civil money penalty
Apr 30, 2026 · $80,400 civil money penalty
Jan 15, 2025 · $52,189 civil money penalty
Total fines
$132,589
↑ 139% · WV $56KThis facility: $132,589, 139% above the West Virginia average of $55,524. Average among the 65 West Virginia facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #39 / 41Federal fines — State benchmarked This nursing home is ranked 39th out of 41 nursing homes we track in West Virginia for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the West Virginia average among facilities with fines, and where it ranks among 41 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↑ 30% · WV 1.54This facility: 2, 30% above the West Virginia average of 1.54. Average among the 65 West Virginia facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
WV avg 0.05West Virginia average: 0.05. Average among the 65 West Virginia facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Apr 30, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$80,400
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$80,400
Jan 15, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$52,189
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$52,189Fine amount comparison
This facility
$132,589
West Virginia average
$55,524
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. West Virginia and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the West Virginia average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 26% · WV 3.2This facility: 4.0, 26% above the WV average of 3.2 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 51% · WV 2.0This facility: 1.0, 51% below the WV average of 2.0 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.1
Score · lower is better
↓ 39% · WV 8.4This facility: 5.1, 39% below the WV average of 8.4 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
13.4
Score · lower is better
↓ 18% · WV 16.4This facility: 13.4, 18% below the WV average of 16.4 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 6 better, 5 worse, 2 near WV average
7 short-stay measures: 3 better, 2 worse, 2 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
↓ 30% · WV 13.8This facility: 9.6, 30% below the WV average of 13.8 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
↓ 30% · WV 13.8This facility: 9.6, 30% below the WV average of 13.8 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
7.6%
↓ 45% · WV 13.9This facility: 7.6, 45% below the WV average of 13.9 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
7.6%
↓ 45% · WV 13.9This facility: 7.6, 45% below the WV average of 13.9 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.9%
↑ 7% · WV 21.4This facility: 22.9, 7% above the WV average of 21.4 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.9%
↑ 7% · WV 21.4This facility: 22.9, 7% above the WV average of 21.4 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.9%
↑ 96% · WV 1.5This facility: 2.9, 96% above the WV average of 1.5 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.9%
↑ 96% · WV 1.5This facility: 2.9, 96% above the WV average of 1.5 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
↓ 47% · WV 4.3This facility: 2.3, 47% below the WV average of 4.3 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
↓ 47% · WV 4.3This facility: 2.3, 47% below the WV average of 4.3 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.0%
↓ 24% · WV 3.9This facility: 3.0, 24% below the WV average of 3.9 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.0%
↓ 24% · WV 3.9This facility: 3.0, 24% below the WV average of 3.9 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
3.2%
↓ 48% · WV 6.1This facility: 3.2, 48% below the WV average of 6.1 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.2%
↓ 48% · WV 6.1This facility: 3.2, 48% below the WV average of 6.1 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
15.0%
↑ 84% · WV 8.2This facility: 15.0, 84% above the WV average of 8.2 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
15.0%
↑ 84% · WV 8.2This facility: 15.0, 84% above the WV average of 8.2 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
19.6%
↑ 52% · WV 12.9This facility: 19.6, 52% above the WV average of 12.9 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
19.6%
↑ 52% · WV 12.9This facility: 19.6, 52% above the WV average of 12.9 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
↑ 3% · WV 96.5This facility: 99.5, 3% above the WV average of 96.5 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
↑ 3% · WV 96.5This facility: 99.5, 3% above the WV average of 96.5 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
↑ 1% · WV 97.3This facility: 98.3, 1% above the WV average of 97.3 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
↑ 1% · WV 97.3This facility: 98.3, 1% above the WV average of 97.3 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.23
↓ 34% · WV 1.86This facility: 1.23, 34% below the WV average of 1.86 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.23
↓ 34% · WV 1.86This facility: 1.23, 34% below the WV average of 1.86 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.65
↑ 90% · WV 1.92This facility: 3.65, 90% above the WV average of 1.92 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.65
↑ 90% · WV 1.92This facility: 3.65, 90% above the WV average of 1.92 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
23.3%
↓ 54% · US 50.6This facility: 23.3, 54% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
23.3%
↓ 54% · US 50.6This facility: 23.3, 54% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
↑ 65% · WV 1.0This facility: 1.7, 65% above the WV average of 1.0 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
↑ 65% · WV 1.0This facility: 1.7, 65% above the WV average of 1.0 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.0%
↑ 9% · WV 79.0This facility: 86.0, 9% above the WV average of 79.0 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.0%
↑ 9% · WV 79.0This facility: 86.0, 9% above the WV average of 79.0 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 14% · WV 78.8This facility: 89.7, 14% above the WV average of 78.8 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 14% · WV 78.8This facility: 89.7, 14% above the WV average of 78.8 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.1%
↓ 39% · WV 23.0This facility: 14.1, 39% below the WV average of 23.0 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.1%
↓ 39% · WV 23.0This facility: 14.1, 39% below the WV average of 23.0 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.7%
↑ 19% · WV 12.4This facility: 14.7, 19% above the WV average of 12.4 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
14.7%
↑ 19% · WV 12.4This facility: 14.7, 19% above the WV average of 12.4 (among WV facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Bluestone Health and Rehabilitation’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 38 West Virginia nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
23.7% operating margin
+40.0 pts vs prior year
Positive margin in 3 of the last 8 reported years. Net income $2.3M after other income.
Does it invest in staff?
Spends less on payroll than most West Virginia homes
39.0% payroll share of revenue
WV average 47.1%Rank #22 / 38Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 38 nursing homes we track in West Virginia for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the West Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.1M while revenue rose $4.3M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with West Virginia homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | WV median | Compared with WV homesRank in WV | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.5M | +$4.3M | Trend 20162024 | WV median $12.1M | Rank in WV Rank #29 / 38Net patient revenue — State benchmarked This nursing home is ranked 29th out of 38 nursing homes we track in West Virginia for net patient revenue. Shows this facility's net patient revenue compared to the West Virginia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 24% of homes | Below WV median Higher net patient revenue than 24% of WV homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $7.3M | +$1.2M | Trend 20162024 | WV median $11.6M | Rank in WV Rank #33 / 38Operating expenses — State benchmarked This nursing home is ranked 33rd out of 38 nursing homes we track in West Virginia for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other West Virginia homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 14% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $2.3M | +$3.1M | Trend 20162024 | WV median $0.7M | Rank in WV Rank #7 / 38Net patient income — State benchmarked This nursing home is ranked 7th out of 38 nursing homes we track in West Virginia for net patient income. Shows net patient revenue minus operating expenses, compared with other West Virginia homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 84% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 23.7% | +40.0 pts | Trend 20162024 | WV median 7.2% | Rank in WV Rank #3 / 38Operating margin — State benchmarked This nursing home is ranked 3rd out of 38 nursing homes we track in West Virginia for operating margin. Shows net patient income as a share of net patient revenue, compared with other West Virginia homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 95% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | WV median $0.0M | Rank in WV Rank #24 / 32Other income — State benchmarked This nursing home is ranked 24th out of 32 nursing homes we track in West Virginia for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other West Virginia homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 26% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $2.3M | +$2.6M | Trend — | WV median $1.0M | Rank in WV Rank #8 / 38Net income — State benchmarked This nursing home is ranked 8th out of 38 nursing homes we track in West Virginia for net income. Shows the bottom line after other income, compared with other West Virginia homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 81% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most West Virginia homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | WV median | Compared with WV homesRank in WV | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.7M | +$1.1M | Trend 20162024 | WV median $4.7M | Rank in WV Rank #26 / 38Payroll costs — State benchmarked This nursing home is ranked 26th out of 38 nursing homes we track in West Virginia for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the West Virginia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | Below WV median Higher payroll than 32% of WV homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 39.0% | −10.9 pts | Trend 20162024 | WV median 39.7% | Rank in WV Rank #22 / 38Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 38 nursing homes we track in West Virginia for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the West Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 43% of homes | 8.1 pts under WV average The WV average is 47.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · WV benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the West Virginia payroll average.
% of net patient revenue
Payroll share Operating margin WV payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.7M | $5.7M | $5.7M | $6.2M | $5.8M | $5.1M | $5.2M | $9.5M | |
| Operating expenses | $5.8M | $5.8M | $5.6M | $6.0M | $6.5M | $5.7M | $6.1M | $7.3M | |
| Net patient income | −$0.1M | −$0.2M | $0.1M | $0.2M | −$0.6M | −$0.6M | −$0.9M | $2.3M | |
| Operating margin | −2.2% | −3.2% | 2.1% | 3.3% | −10.9% | −12.8% | −16.3% | 23.7% | |
| Net income | −$0.1M | −$0.2M | $0.1M | $0.2M | $0.1M | $0.3M | −$0.3M | $2.3M | |
| Payroll costs | $2.8M | $2.8M | $2.7M | $2.9M | $3.1M | $2.6M | $2.6M | $3.7M | |
| Payroll share of revenue | 50.0% | 48.9% | 46.7% | 47.6% | 53.3% | 51.9% | 49.9% | 39.0% | |
| Beds | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | |
| Gross revenue | $5.8M | $5.4M | $5.5M | $6.0M | $5.9M | $4.6M | $5.1M | $10.7M | |
| Salaries | $2.3M | $2.3M | $2.2M | $2.5M | $2.7M | $2.2M | $2.3M | $3.4M | |
| Wage-related costs | $0.5M | $0.5M | $0.5M | $0.4M | $0.5M | $0.4M | $0.3M | $0.3M | |
| Contract labor | $0.5M | $0.5M | $0.4M | $0.4M | $0.4M | $0.4M | $0.6M | — | |
| Other operating costs | $3.0M | $3.1M | $2.9M | $3.0M | $3.4M | $3.1M | $3.5M | $3.6M | |
| Net patient revenue per day | $280 | $298 | $312 | $295 | $310 | $348 | $345 | $464 | |
| Cost per day | $287 | $307 | $306 | $286 | $343 | $392 | $402 | $354 | |
| Average length of stay | 225.0 days | 256.7 days | 296.7 days | 410.2 days | 281.7 days | 199.9 days | 207.1 days | 260.0 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
70 admissions · FY2024
Residents admitted during the year.
Medicare
34 · 49%
Medicaid
18 · 26%
Private pay & other
18 · 26%
Resident snapshot
57 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
6 · 11%
Medicaid
45 · 79%
Private pay & other
6 · 11%
Leaving
79 discharges · FY2024
Residents discharged during the year.
Medicare
15 · 19%
Medicaid
44 · 56%
Private pay & other
20 · 25%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Reviews (1)
Bluestone Health and Rehabilitation Reviews
Shawnta Herald
Worst facility i have ever worked in
Places of interest near Bluestone Health and Rehabilitation
1.6 miles from city center
Estimated distance in miles from Bluefield's city center to Bluestone Health and Rehabilitation's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the WV Dept. of Health & Human Resources, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The West Virginia average is: 47.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sundale Nursing Home | NH MC PC SNF | Morgantown | 100
Facility
100
WV AVG
88
Rank
#16 / 41 | A |
92.2%
Facility
92.2%
WV AVG
92.3%
Rank
#23 / 37 | 0% | 3.34
Facility
3.34
WV AVG
3.61
Rank
#24 / 41 | -15% | -8% | $0
Facility
$0
WV AVG
$55.5k
Rank
#1 / 41 | 23
Facility
23
WV AVG
40.2
Rank
#5 / 41 | 5.8
Facility
5.8
WV AVG
9.5
Rank
#6 / 41 | - | 92 | - |
47
Facility
47
WV AVG
39
Rank
#13 / 40 | Sundale Nursing Home | $14.9MFiscal year ending 12/2024
Facility
$14.9MFiscal year ending 12/2024
WV AVG
$13.0M
Rank
#14 / 38 | $9.7MFiscal year ending 12/2024
Facility
$9.7MFiscal year ending 12/2024
WV AVG
$5.5M
Rank
#3 / 38 | 65.2%Fiscal year ending 12/2024
Facility
65.2%Fiscal year ending 12/2024
WV AVG
47.1%
Rank
#4 / 38 | 515083 | ||||
| Elkins Rehabilitation & Care Center | NH AL RC SNF | Elkins | 111
Facility
111
WV AVG
88
Rank
#12 / 41 | A |
90.5%
Facility
90.5%
WV AVG
92.3%
Rank
#26 / 37 | -2% | 4.62
Facility
4.62
WV AVG
3.61
Rank
#4 / 41 | +28% | +28% | $8.3k
Facility
$8.3k
WV AVG
$55.5k
Rank
#21 / 41 | 34
Facility
34
WV AVG
40.2
Rank
#12 / 41 | 8.5
Facility
8.5
WV AVG
9.5
Rank
#16 / 41 | 1 | 101 | - |
77
Facility
77
WV AVG
39
Rank
#2 / 40 | Elkins Regional Convalescent Center, Inc | $16.6MFiscal year ending 12/2024
Facility
$16.6MFiscal year ending 12/2024
WV AVG
$13.0M
Rank
#10 / 38 | $9.6MFiscal year ending 12/2024
Facility
$9.6MFiscal year ending 12/2024
WV AVG
$5.5M
Rank
#4 / 38 | 57.9%Fiscal year ending 12/2024
Facility
57.9%Fiscal year ending 12/2024
WV AVG
47.1%
Rank
#7 / 38 | 515025 | ||||
| Elizabeth Care Center | NH SNF | Elizabeth | 36
Facility
36
WV AVG
88
Rank
#38 / 41 | A |
100.0%
Facility
100.0%
WV AVG
92.3%
Rank
#1 / 37 | +8% | 3.54
Facility
3.54
WV AVG
3.61
Rank
#16 / 41 | +38% | -2% | $0
Facility
$0
WV AVG
$55.5k
Rank
#1 / 41 | 21
Facility
21
WV AVG
40.2
Rank
#2 / 41 | 7.0
Facility
7.0
WV AVG
9.5
Rank
#7 / 41 | - | 34 | - |
22
Facility
22
WV AVG
39
Rank
#29 / 40 | Elizabeth Care Center | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
WV AVG
$13.0M
Rank
#36 / 38 | $2.3MFiscal year ending 12/2024
Facility
$2.3MFiscal year ending 12/2024
WV AVG
$5.5M
Rank
#35 / 38 | 42.3%Fiscal year ending 12/2024
Facility
42.3%Fiscal year ending 12/2024
WV AVG
47.1%
Rank
#16 / 38 | 515195 | ||||
| Serra Village | NH AL IL SNF | Weirton (Chestnut Hill) | 137
Facility
137
WV AVG
88
Rank
#4 / 41 | A- |
95.9%
Facility
95.9%
WV AVG
92.3%
Rank
#13 / 37 | +4% | 4.45
Facility
4.45
WV AVG
3.61
Rank
#6 / 41 | +30% | +23% | $16.4k
Facility
$16.4k
WV AVG
$55.5k
Rank
#1 / 41 | 32
Facility
32
WV AVG
40.2
Rank
#25 / 41 | 8.0
Facility
8.0
WV AVG
9.5
Rank
#31 / 41 | - | 131 | - |
31
Facility
31
WV AVG
39
Rank
#26 / 40 | Weirton Geriatric Center Esop | $21.9MFiscal year ending 12/2024
Facility
$21.9MFiscal year ending 12/2024
WV AVG
$13.0M
Rank
#3 / 38 | $14.0MFiscal year ending 12/2024
Facility
$14.0MFiscal year ending 12/2024
WV AVG
$5.5M
Rank
#1 / 38 | 63.8%Fiscal year ending 12/2024
Facility
63.8%Fiscal year ending 12/2024
WV AVG
47.1%
Rank
#5 / 38 | 515037 | ||||
| Bluestone Health and Rehabilitation | NH HOS MC SNF | Bluefield | 60
Facility
60
WV AVG
88
Rank
#30 / 41 | C- |
93.7%
Facility
93.7%
WV AVG
92.3%
Rank
#19 / 37 | +1% | 3.32
Facility
3.32
WV AVG
3.61
Rank
#24 / 41 | -56% | -8% | $132.6k
Facility
$132.6k
WV AVG
$55.5k
Rank
#39 / 41 | 73
Facility
73
WV AVG
40.2
Rank
#38 / 41 | 8.1
Facility
8.1
WV AVG
9.5
Rank
#10 / 41 | 4 | 56 | - | - | Maples Snf Operations, LLC | $9.5MFiscal year ending 12/2024
Facility
$9.5MFiscal year ending 12/2024
WV AVG
$13.0M
Rank
#29 / 38 | $3.7MFiscal year ending 12/2024
Facility
$3.7MFiscal year ending 12/2024
WV AVG
$5.5M
Rank
#26 / 38 | 39%Fiscal year ending 12/2024
Facility
39%Fiscal year ending 12/2024
WV AVG
47.1%
Rank
#22 / 38 | 515186 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other WV nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Bluestone Health and Rehabilitation
Quick answers from public records and the community's own listing.01 Who is the owner of Bluestone Health and Rehabilitation?
Bluestone Health and Rehabilitation is legally operated by Maples SNF Operations, LLC, and administered by Matt Fife.
02 What is the license number of Bluestone Health and Rehabilitation?
According to WV state health department records, Bluestone Health and Rehabilitation's license number is 57.
03 What is the occupancy rate at Bluestone Health and Rehabilitation?
Bluestone Health and Rehabilitation's occupancy is 93.7%.
04 How long has Bluestone Health and Rehabilitation been in business?
Bluestone Health and Rehabilitation has been operating for approximately 1 year, based on available licensing and registration records.
05 Are pets allowed at Bluestone Health and Rehabilitation?
No, Bluestone Health and Rehabilitation has a no-pet policy.
06 Does Bluestone Health and Rehabilitation operate as a for-profit or non-profit?
Bluestone Health and Rehabilitation is registered as a for-profit in WV.
07 Who is the administrator of Bluestone Health and Rehabilitation?
Matt Fife is the administrator of Bluestone Health and Rehabilitation.
Updated on
