All citations for Bluestone Health and Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bluestone Health and Rehabilitation

Last standard health inspection on record

April 30, 2026

Showing 1 to 25 of 32 citations

  1. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  2. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  3. No harm, with potential for more than minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 3, 2025).

  5. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 3, 2025).

  6. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  7. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  8. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  9. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  11. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  13. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  14. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  15. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  16. No harm, with potential for more than minimal harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0559, Resident Rights Deficiencies. Inspection of February 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  17. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 13, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (January 23, 2025).

  18. No harm, with potential for more than minimal harm

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0626, Resident Rights Deficiencies. Inspection of February 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  19. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  20. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  21. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  22. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  23. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  24. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  25. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.