Bedford Co Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 90 beds and averages 76.7 residents a day — about 85% occupied, or roughly 13 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.48 hrs/resident/day on weekends vs 4.18 on weekdays — 17% thinner on weekends. RN hours go from 0.67 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 98% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · G2019-09-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review, the facility staff failed to use footrest and a foot board/plate on a wheelchair to prevent accidents resulting in a clavicle fracture for one of 21 residents in the survey sample, Resident #15; and failed to ensure physician orders and ensure an assessment was completed for the use of a Broda specialized wheelchair, for one of 21 residents sample, Resident #37. The findings include: 1. Resident #15 was originally admitted on [DATE] with diagnoses that included Alzheimer' disease, acute embolism and thrombosis of deep veins - left lower extremity, edema, bipolar disorder, cardiac murmur, depression, hypertension and constipation. The most recent minimum data set (MDS) dated [DATE] was a quarterly assessment and assessed Resident #15 has having long and short term memory problems, moderately impaired for daily decision making and have continuous periods of inattention and disorganized thinking. Section G - Functional Status on the MDS assessed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-15 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, the facility staff failed to ensure an accurate clinical record for the one resident in the survey sample (Resident #1). The findings include: Resident #1 (R1) was admitted to the facility with diagnoses that included congestive heart failure, ischemic heart disease, chronic kidney disease, peripheral artery disease, dementia, hypertension, anxiety, history of myocardial infarction and osteoarthritis. The minimum data set (MDS) dated [DATE] assessed R1 with severely impaired cognitive skills. R1's closed clinical record documented a physician's order dated [DATE] changing the resident's resuscitation status from full code (requiring cardiopulmonary resuscitation) to do not resuscitate (DNR). R1's electronic health record viewed on [DATE] documented the resident's code status as do not intubate (DNI) and did not reflect the DNR status ordered on [DATE] that was in place of the time of R1's death on [DATE]. R1's face sheet, printed from the electronic health…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-08-16 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of practice during a medication pass on one of three units (100 unit). The findings include: A nurse documented that the medication Eliquis was administered to Resident #61 (R61) during an 8:00 a.m. medication pass when the medicine was omitted. The Eliquis was not administered to Resident #61 until 8/15/23 at 9:20 a.m. A medication pass observation was conducted 8/15/23 at 7:57 a.m., with licensed practical nurse (LPN #2) administering medications to R61. The medication Eliquis was omitted and not administered to R61 during the 8:00 a.m. medication pass. R61's clinical record documented a physician's order dated 7/3/23 for Eliquis 5 mg to be administered twice per day (at 8:00 a.m. and 8:00 p.m.) due to personal history of pulmonary embolism. On 8/15/23 at 8:53 a.m., LPN #2 was interviewed about the omitted Eliquis during R61's 8:00 a.m. medication pass. LPN #2…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-08-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review, the facility staff failed to follow physician orders for one of twenty-four residents in the survey sample (Resident #10). The findings include: Resident #10 (R10) was observed during dining without food items cut in bite-sized pieces as ordered by the physician. R10 was admitted to the facility with diagnoses that included multiple sclerosis, dysphagia, dementia, psychotic disturbance, affective mood disorder, anxiety, depression, bipolar disorder, hypertension, history of urinary tract infections and history of COVID-19. The minimum data set (MDS) dated [DATE] assessed R10 with severely impaired cognitive skills. R10's clinical record documented a nursing note on 3/15/23 stating, Resident choking and coughing with each bite of food .MD .notified of choking episode, order to continue mechanical soft diet but cut meals into bite sized pieces. A physician's progress note dated 3/15/23 documented, Seen today for choking. Speech therapist witnessed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-16 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate of less than five percent. Medication pass observations revealed four errors out of thirty three opportunities resulting in a 12.5% error rate. 1. Resident #69 (R69) Administration instructions were not followed, and the wrong dose of Flovent was administered. 2. Resident #61 (R61) extended release Metoprolol was crushed prior to administering, and Eliquis was not administered timely. The Findings Include: 1. During a medication pass and pour observation conducted on 815/23 at 8:00 AM, license practical nurse (LPN #1) began pulling medications out of the medication cart for R69 and handing the medications to this surveyor to document. One of the medications pulled from the medication cart was Flovent inhaler 44 MCG (micrograms). The label on the Flovent read Rinse and spit. LPN #1 administered Flovent to R69 and did not instruct R69 to rinse and spit after…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-16 · tag F0810 — isolated
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review, the facility staff failed to provide an adaptive cup for one of twenty-four residents in the survey sample (Resident #180). The findings include: Resident #180 (R180) was not provided a two-handled sip cup as recommended by therapy and ordered by the physician. R180 was admitted to the facility with diagnoses that included Lewy body neurocognitive disorder, urinary tract infection, proctitis, anxiety, bipolar disorder, hypertension, asthma, depression and hypothyroidism. The minimum data set (MDS) dated [DATE] assessed R180 with moderately impaired cognitive skills and with limited/impaired vision. R180's clinical record documented a rehabilitation therapy order signed by the physician on 11/9/22 for adaptive equipment that included a two-handled mug for meals. On 8/16/23 at 8:12 a.m., R180 was in bed with her breakfast tray in front of her on the over-bed table. R180 had a single handled standard mug of orange juice. R10's meal ticket included…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-08-05 · tag F0849 — pattern
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, facility document review and clinical record review, the facility staff failed to ensure professional standards of practice by a hospice provider for one of 19 residents in the survey sample, Resident #14. Records of weekly hospice visits for Resident #14, including nursing assessments and direct-care services were not provided to the facility as required in the hospice services agreement. The findings include: Resident #14 was admitted to the facility on [DATE] with diagnoses that included congestive heart failure, dementia, cardiomyopathy, atherosclerotic heart disease, hypertension, chronic kidney disease, anemia, diabetes, COPD (chronic obstructive pulmonary disease), atrial fibrillation and hypothyroidism. The minimum data set (MDS) dated [DATE] assessed Resident #14 with short and long-term memory problems and severely impaired cognitive skills. Resident #14's clinical record documented a physician's order dated 9/10/19 for hospice services. The resident's plan of care (revised…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-08-05 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview the facility staff failed to ensure a homelike environment on one of three nursing units. A resident room on unit 2 had damage to the entrance door, paint damage across the width of the restroom door and paint scraped from the wall beside the resident's bed. The findings include: On 8/3/21 at 11:20 a.m., room [ROOM NUMBER] on nursing unit two was inspected. The entrance door to the room was damaged with a chunk of wood missing from the door edge approximately 8 inches from the floor. The edges of the entrance doors were scraped and missing paint. An approximate 1-foot section across the width of the restroom door was scraped, damaged and missing paint near the floor. On the wall beside the left bed (left upon entrance to the room) was a section, approximately 2 feet wide, with scrapes and missing paint. This scraped section was irregular in shape and visible above the height of the bed mattress. On 8/5/21 at 8:47 a.m., accompanied by the facility's maintenance director…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-08-05 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, the facility failed to ensure a Level 1 Preadmission Screening and Resident Review (PASARR) was completed before admission to the facility for one of 19 residents in the survey sample, Resident # 44. The findings were: Resident # 44 was admitted to the facility on [DATE], and most recently readmitted on [DATE] with diagnoses that included Wernicke's Encephalopathy, bipolar disorder, depression, neurogenic bladder, hereditary ataxia, dementia, history of stress fractures of the left fingers, and Vitamin-D deficiency. According to the most recent Quarterly Minimum Data Set, with an Assessment Reference Date of 6/10/2021, the resident was assessed under Section C (Cognitive Patterns) as having short and long term memory problems with moderately impaired daily decision making skills. During review of Resident # 44's Electronic Health Record, it was revealed the record did not contain a completed PASARR. At approximately 9:20 a.m. on 8/4/2021, the Director of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2021-08-05 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, the facility staff failed to review and revise a comprehensive care plan for one of 19 in the survey sample, Resident #36. Resident #36's care plan was not reviewed and revised for code status change. The findings include: Resident #36 was admitted to the facility on [DATE] with diagnoses that included vascular dementia with behavioral disturbance, bipolar disorder, generalized anxiety disorder, osteoarthritis, edema, aphasia, and hypertension. The most recent minimum data set (MDS) dated [DATE] was the admission assessment and assessed Resident #36 as severely impaired for daily decision making with a score of 1 out of 15. On 08/04/2021 Resident #36's clinical record was reviewed. Observed on the physician's order report was the following order: Start Date - 06/03/2021. End Date - Open Ended. Code Status: DNR Observed on the care plans were the following two code status care plans: Code Status: DNR. Edited: 06/17/2021. Code Status: FULL CODE. Edited:…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2021-08-05 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, facility document review and clinical record review, the facility staff failed to clarify a physician's order prior to administration of medication to one of seven residents in the medication pass, Resident #67. Resident #67 was administered ICaps multivitamin when the physician's order was for ICaps AREDS. The findings include: A medication pass observation was conducted on 8/4/21 at 7:27 a.m. with licensed practical nurse (LPN) #3 administering medications to Resident #67. Included in the medications administered to Resident #67 was a softgel ICaps multivitamin (10/2/280). Resident #67's clinical record documented a physician's order dated 7/7/21 for, ICaps AREDS (vitamins a, c, e-zinc-copper) capsule; 14, 320-226-200 unit-mg-unit; amt: 1 capsule; oral . The order required one capsule to be administered each day for treatment of macular degeneration. On 8/4/21 at 8:20 a.m., LPN #3 was interviewed about the administration of the ICaps multivitamin instead of the ICaps…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in VA