Bedford, Virginia · CCN 49E004 · Phone: 5405867658 · 90 beds · Ownership: Government - County
Bedford Co Nursing Home is a Medicare-certified skilled nursing facility (CCN 49E004) in Bedford, Virginia. It holds a CMS overall Five-Star rating of 3 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 55/100 (Material Gaps).
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Bedford Co Nursing Home is a Medicare- and Medicaid-certified skilled nursing facility in Bedford, Virginia, operating under CMS Certification Number (CCN) 49E004. 90-bed facility. Government - County. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Bedford Co Nursing Home has held its Medicare/Medicaid certification for approximately 51 years (certification date on file: 1975-01-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Bedford County): Bedford Co Nursing Home is the only Medicare-certified skilled nursing facility in the same-county sample for Virginia. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★☆☆ (3 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Inspection overdue: CMS Provider Data flags Bedford Co Nursing Home as having an overdue standard health inspection. SNFs must receive a standard survey at most every 15 months on average and never more than 16 months from the last (42 CFR 488.308). Backlogged inspections can result from state agency staffing shortages but do not exempt the facility from the substantive compliance requirements during the gap.
Recent health deficiencies cited at last standard survey: 6. National average for facilities of this size is approximately 8 deficiencies per cycle. Bedford Co Nursing Home has no CMS fines in its most recent reporting cycle. Last documented standard health survey: 2023-08-16. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 21. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
At today's staffing levels, Bedford Co Nursing Home would not meet the cadre-specific minimums scheduled to take effect on the May 2027 timeline under 89 FR 40876: RN HPRD is 0.059 vs the 0.55 floor, a 0.49-hour gap and nurse-aide HPRD is 0 vs the 2.45 floor, a 2.45-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 0.23 hours per resident day (HPRD), which is 3.25 hours below the 3.48 total HPRD floor scheduled to take effect for non-rural facilities by May 2027 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.
Staffing mix: RN 0.059 HPRD, LPN 0.172 HPRD, CNA 0 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2027 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 98.9% annualized — extremely high (above the 60% red-flag threshold tracked by CMS).
RN-specific turnover: 87.5% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Bedford Co Nursing Home is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.
Provider type designation: Medicaid.
The facility is classified by CMS as urban (within a metropolitan statistical area). Urban SNFs typically face higher acuity post-acute admissions, more competitive labor markets, and stricter local-jurisdiction infection control requirements layered on top of federal CoPs.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Bedford Co Nursing Home is 55/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Bedford Co Nursing Home (CCN 49E004) holds a CMS overall Five-Star rating of 3 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Bedford Co Nursing Home is a Medicare-certified skilled nursing facility (CMS Certification Number 49E004) in Bedford, Virginia.
FileFlo scores Bedford Co Nursing Home's CMS survey-readiness at 55/100 (Material Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Bedford Co Nursing Home is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Bedford Co Nursing Home — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile