Bland County Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Bland County Nursing & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Nov 12, 2021

  Based 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. The findings include: The following information was found as part of the facility's Operational Policy Manual: Activity Programs . Intellectual activities are encouraged and are designed to stimulate the resident's mind. Intellectual activities include participation in discussion groups, clubs, and committees; voting; book reviews; and music appreciation. On the afternoon of 11/10/21, a group interview with five (5) residents was completed. […]

• No harm, potential for more than minimal, isolatedF684May 6, 2026

  Based 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.The findings included: An admission Record revealed the facility admitted Resident #3 on 4/08/26. According to the admission Record, the resident had a medical history that included chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5 level of cervical spinal cord, dependence on ventilator, and chronic pain syndrome. […]

• No harm, potential for more than minimal, isolatedF755May 6, 2026

  Based 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.The findings included:For Resident #3, the facility staff failed to ensure the antibiotic Cefepime was available for administration on 5/05/26 and 5/06/26. An admission Record revealed the facility admitted Resident #3 on 4/08/26. According to the admission Record, the resident had a medical history that included chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5 level of cervical spinal cord, dependence on ventilator, and chronic pain syndrome. […]

• No harm, potential for more than minimal, isolatedF770May 6, 2026

  Based 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.The findings included:For Resident #3, the facility staff failed to obtain a urinalysis as ordered by the medical provider on 4/22/26.An admission Record revealed the facility admitted Resident #3 on 4/08/26. According to the admission Record, the resident had a medical history that included chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5 level of cervical spinal cord, dependence on ventilator, and chronic pain syndrome. […]

• No harm, potential for more than minimal, isolatedF842May 6, 2026

  Based 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. The findings included:An admission Record revealed the facility admitted Resident #3 on 4/08/26. According to the admission Record, the resident had a medical history that included chronic respiratory failure with hypoxia, quadriplegia, central cord syndrome at C5 level of cervical spinal cord, dependence on ventilator, and chronic pain syndrome. […]