Bedford Co Nursing Home
1229 County Farm Road · Bedford, VA · 24523 · 5405867658
90 certified beds Government - County
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.06 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
0.23 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Weekends run noticeably short-staffed
Weekend staffing is 57% of the overall level. Visit on a Saturday or Sunday before deciding.
99% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 0.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.06 | 0.55–0.75 |
| Weekend hours / resident-day | 0.13 | ≈ weekday level |
| Nursing turnover / year | 99% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D April 15, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 18, 2023 · Quality of Life and Care
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Potential for harm · D August 16, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected September 18, 2023 · Pharmacy Service
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Potential for harm · D August 16, 2023
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected September 18, 2023 · Nutrition and Dietary
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No harm found · C August 16, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected September 18, 2023 · Administration
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Potential for harm · D August 5, 2021
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.
Corrected August 27, 2021 · Resident Rights
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Potential for harm · D August 5, 2021
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 27, 2021 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 27, 2021 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2021
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 27, 2021 · Resident Assessment and Care Planning
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Potential for harm · E August 5, 2021
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.
Corrected August 27, 2021 · Administration
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Actual harm · G September 5, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 8, 2019 · Quality of Life and Care
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Potential for harm · D September 5, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 8, 2019 · Resident Rights
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Potential for harm · E September 5, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 8, 2019 · Resident Assessment and Care Planning
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Potential for harm · D September 5, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 8, 2019 · Resident Assessment and Care Planning
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Potential for harm · E September 5, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 8, 2019 · Quality of Life and Care
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Potential for harm · D September 5, 2019
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected October 8, 2019 · Quality of Life and Care
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Potential for harm · D September 5, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 8, 2019 · Nutrition and Dietary
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No harm found · C September 5, 2019
Provide and implement an infection prevention and control program.
Corrected October 8, 2019 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 49E004 · certified since January 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.