Bland County Nursing & Rehab Center
12185 Grapefield Road, Bastian, VA 24314 · Bland County · (276) 688-4141
57 certified beds, about 52 residents a day · For profit - Partnership · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495191 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 20, 2026, inspectors cited 2 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 10 health citations since November 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.17 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.
46.3% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
May 6, 2026Complaint inspection · 5 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to follow medical provider orders for the administration of Gabapentin for 1 of 3 sampled residents, Resident #3.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure that a provider ordered medication was available for administration for 1 of 3 sampled residents, Resident #3.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide laboratory services to meet the needs of 1 of 3 residents in the survey sample, Resident #3.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record by failing to document medical provider notification of an x-ray that could not be obtained as ordered for 1 of 3 sampled residents, Resident #3.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment and to help prevent the development and transmission of communicable diseases and infections by failing to follow transmission-based precautions for 1 of 3 sampled residents, Resident #3.
February 20, 2026Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review the facility staff failed to develop a comprehensive care plan related to hearing loss for one of 18 current residents in the survey sample, resident # 47.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to review, revise and/or reassess the effectiveness of the interventions of the comprehensive person-centered activity care plan for 3 of 18 current residents, Resident #7, Resident #9 and Resident #35.
August 3, 2023Standard inspection · 0 citations
November 12, 2021Standard inspection · 3 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interviews and the and facility document review, the facility staff failed to ensure eleven (11) of 47 residents were provided the opportunity to to vote: Resident #1, Resident #2, Resident #10, Resident #18, Resident #21, Resident #24, Resident #36, Resident #37, Resident #38, Resident #43, and Resident #48.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to obtain physician ordered medications for 2 of 20 residents in the survey sample, Resident #25 and #45.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and during a medication pass and pour observation, the facility staff failed to ensure a medication error rate of less than 5%. There were three (3) errors in 33 opportunities for a medication error rate of 9.09%. These medication errors affected Resident #4 and #35.
Fire safety inspections
14 fire safety citations on file: 1 on February 20, 2026, 5 on August 3, 2023, 8 on November 12, 2021.
Every fire safety citation14 citations
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have proper medical gas storage and administration areas.
- D Meet other general requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- E Have properly located and lighted "Exit" signs.
- E Have elevators that firefighters can control in the event of a fire.
- D Install corridor and hallway doors that block smoke.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.17 | 3.76 | 3.86 |
| Registered nurses | 0.88 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.54 | 3.29 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 46.3% | 48.1% | 45.8% |
| Registered nurse turnover | 12.5% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.42 on weekdays and 3.54 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 4.17 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.17 | 0.88 | 4.42 | 3.54 | 1.1% | 0 of 90 | 52 |
| Oct to Dec 2025 | 3.79 | 0.80 | 4.05 | 3.15 | 3.2% | 0 of 92 | 55 |
| Jul to Sep 2025 | 4.01 | 0.85 | 4.23 | 3.46 | 3.0% | 0 of 92 | 50 |
| Apr to Jun 2025 | 3.79 | 0.80 | 4.02 | 3.23 | 0.0% | 0 of 91 | 54 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.4 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.2 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 12.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.6 | 14.2 | 15.4 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 6, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 6, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 6, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on May 6, 2026: "Provide timely, quality laboratory services/tests to meet the needs of residents."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Mercer Healthcare Center Bluefield, 6.6 mi · 2 of 5 stars · 82 citations
- Bluestone Health and Rehabilitation Bluefield, 7 mi · 1 of 5 stars · 73 citations
- Westwood Center Bluefield, 7 mi · 1 of 5 stars · 46 citations
- Glenwood Healthcare Center Princeton, 11 mi · 4 of 5 stars · 25 citations
- Princeton Health Care Center Princeton, 12.2 mi · 3 of 5 stars · 39 citations
- Holston Health & Rehabilitation Wytheville, 15 mi · 1 of 5 stars · 68 citations
- Wythe Cnty Community Hosp Ecu Wytheville, 15.7 mi · 5 of 5 stars · 6 citations
- Heritage Hall Tazewell Tazewell, 19.3 mi · 2 of 5 stars · 21 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Bland County Nursing & Rehab Center's Medicare star rating?
- CMS rates Bland County Nursing & Rehab Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bland County Nursing & Rehab Center get at its last inspection?
- 2 health deficiencies at the standard inspection on February 20, 2026. The Virginia average is 14.3.
- Has Bland County Nursing & Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Bland County Nursing & Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bland County Nursing & Rehab Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.