Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bland County Nursing & Rehab Center during CMS and state inspections, most recent first.
Failure to Administer Ordered Gabapentin: Staff did not follow a provider order for Gabapentin for a resident with severe cognitive impairment, quadriplegia, ventilator dependence, and chronic pain syndrome. The MAR showed two missed doses, while nursing notes stated the medication was on hold until the prescription came in; however, the Omnicell inventory listed Gabapentin as available, and the DON stated staff should have pulled it from the emergency supply.
A resident with severe cognitive impairment, quadriplegia, ventilator dependence, and pneumonia with CRP-positive sputum culture did not receive all ordered doses of Cefepime. The MAR showed missed doses, and the DON stated the pharmacy sent only a partial supply, additional doses were taken from the Omnicell, and no more were available. A pharmacy non-covered medication notice in the record showed the refill was canceled pending facility authorization, but the authorization section was left blank.
Failure to Obtain Ordered Urinalysis: Facility staff did not obtain a urinalysis ordered by the medical provider for a resident with severe cognitive impairment, chronic respiratory failure with hypoxia, quadriplegia, ventilator dependence, and chronic pain syndrome. The resident had an elevated temp and hypotension, the provider was notified, and a UA with reflex was ordered, but the clinical record contained no results or evidence that it was completed; the DON stated it was not obtained and did not know why.
Incomplete Documentation of Provider Notification for Unobtained X-ray: A resident with severe cognitive impairment, ventilator dependence, quadriplegia, and Stage IV wounds had an order for a bilateral scapula x-ray due to concern for osteomyelitis. The x-ray company could not obtain the study because of the resident’s anatomy, and although the DON said the medical provider was notified, that notification was not documented in the clinical record.
Failure to Follow Contact Precautions for a Resident with CRPA: An RN entered a resident’s room wearing gloves only and exposed the resident’s enteral feeding tube site despite contact isolation orders and a posted sign requiring a gown and gloves. The resident had severe cognitive impairment, chronic respiratory failure with hypoxia, quadriplegia, ventilator dependence, and a respiratory culture positive for CRPA; the care plan and facility policy both required contact precautions.
Failure to Administer Ordered Gabapentin
Penalty
Summary
Facility staff failed to follow a medical provider order for Gabapentin for Resident #3, who was admitted on 4/08/26 with a history that included chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5, ventilator dependence, and chronic pain syndrome. The admission MDS dated 4/14/26 showed a BIMS score of 0 out of 15, indicating severe cognitive impairment. The resident’s comprehensive care plan identified pain related to pressure injuries, muscle spasms, neuropathy, C5 fracture, and contractures, with an intervention to administer pain medication as ordered. A provider order dated 4/08/26 directed Gabapentin 100 mg via PEG tube three times daily for neuropathy. The April 2026 MAR showed the medication was not administered on 4/09/26 at 2:00 PM and 10:00 PM. Nursing progress notes documented that Gabapentin was on hold until the prescription came in and later was on hold. The facility’s Omnicell inventory list showed Gabapentin 100 mg capsules were available, and the DON stated staff should have pulled the medication from the Omnicell to administer it. The facility policy on medication shortage/unavailable medications stated that if a medication is unavailable after normal pharmacy hours, a nurse should obtain the ordered medication from the emergency medication supply.
Ordered antibiotic was unavailable for administration
Penalty
Summary
The facility failed to ensure that a provider-ordered antibiotic was available for administration for one resident. Resident #3, who was admitted with chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5, dependence on a ventilator, chronic pain syndrome, and a BIMS score of 0 indicating severe cognitive impairment, was seen by the medical provider for pneumonia with a sputum culture positive for CRP (carbapenem-resistant Pseudomonas). The provider ordered Cefepime 1 gram IM twice daily for seven days, and the resident’s care plan included an intervention for medications as ordered for pneumonia infection. A review of the MAR showed Cefepime was not administered on three scheduled doses, including two doses on one day and one dose the next day. The DON stated the resident had received nine doses total, that the pharmacy sent only a partial supply of six doses, and that three additional doses were pulled from the Omnicell, after which no more doses were available. The DON also stated the resident’s Medicaid coverage was pending and that this often created problems when the pharmacy tried to bill for medication. The resident’s record contained a pharmacy non-covered medication notification form dated 5/03/26 showing the Cefepime refill was canceled because facility authorization was required for the fill and the pharmacy had initiated an insurance prior authorization; the authorization section was left blank and the form was scanned into the record.
Failure to Obtain Ordered Urinalysis
Penalty
Summary
Facility staff failed to provide laboratory services to meet the needs of 1 of 3 residents in the survey sample when a urinalysis ordered by the medical provider was not obtained for Resident #3. The resident was admitted on 4/08/26 and had a medical history that included chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5 level of the cervical spinal cord, dependence on ventilator, and chronic pain syndrome. An admission MDS with an ARD of 4/14/26 indicated a BIMS score of 0 out of 15, showing the resident was severely cognitively impaired. On 4/22/26, a nursing progress note documented an elevated temperature of 103.0 and hypotension, and the medical provider was notified and issued new orders, including a urinalysis with reflex. Although the order was present in the clinical record, there were no results or other evidence that the urinalysis was obtained. During interview, the DON stated the urinalysis was not obtained and did not know the reason, while noting the resident was being treated for pneumonia.
Incomplete Documentation of Provider Notification for Unobtained X-ray
Penalty
Summary
The facility failed to maintain a complete and accurate clinical record for a resident with severe cognitive impairment and significant medical complexity. Resident #3 was admitted with chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5, dependence on a ventilator, and chronic pain syndrome. The resident’s admission MDS showed a BIMS score of 0 out of 15, indicating severe cognitive impairment. The resident was seen by the medical provider for an elevated inflammatory panel with concern for osteomyelitis related to Stage IV wounds with bone exposure to the sacrum, iliac crests, and bilateral scapula, and an order was placed for an x-ray of the bilateral scapula. Although the clinical record included the order to obtain the bilateral scapula x-ray, there were no results documented in the record. During interview, the DON stated the x-ray company would not obtain the x-ray because of limitations caused by the resident’s anatomy, and the DON stated she notified the medical provider but failed to document that notification in the resident’s clinical record. The Administrator, DON, and Regional Corporate Representative were informed of the concern regarding the lack of documentation, and no further information was presented before the exit conference.
Failure to Follow Contact Precautions for Resident with CRPA
Penalty
Summary
The facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment and prevent the transmission of communicable diseases and infections by not following transmission-based precautions for one resident. Resident #3 was admitted with a history that included chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5, dependence on a ventilator, and chronic pain syndrome, and the admission MDS indicated a BIMS score of 0 out of 15, showing severe cognitive impairment. The resident’s clinical record included a lower respiratory culture dated 4/29/26 that was positive for carbapenem-resistant Pseudomonas aeruginosa (CRPA), and the provider ordered contact isolation on 4/30/26. The care plan also identified the need for isolation related to CRP in the sputum with an intervention to maintain isolation precautions per infection control policy. On 5/05/26, an RN entered the resident’s room wearing gloves only and pulled up the resident’s gown to expose the enteral feeding tube site. The RN stated the resident was on enhanced barrier precautions and that a gown was not needed because she was not working with the tubes. However, the facility’s Infection Preventionist stated that a gown and gloves were required to enter the room because the resident was on contact precautions, and a contact isolation sign posted at the door instructed staff to put on a gown before room entry. The facility policy on Transmission-Based (Isolation) Precautions stated that healthcare personnel caring for residents on Contact Precautions wear a gown and gloves for all interactions that may involve contact with the resident or potentially contaminated areas in the resident’s environment.
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Illustrative
What surveyors actually found near you
We read the 35 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bastian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mercer Healthcare Center | 6.6 mi | ★★★★★ | 0 | 0 |
| Bluestone Health And Rehabilitation | 7 mi | ★★★★★ | 15 | 1 |
| Westwood Center | 7 mi | ★★★★★ | 0 | 0 |
| Glenwood Healthcare Center | 11 mi | ★★★★★ | 0 | 0 |
| Princeton Health Care Center | 12.2 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.