01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-18 | 5 | 2025-12-18 | 1 |
| Cycle 2 | 2024-08-15 | 0 | 2024-08-15 | 3 |
| Cycle 3 | 2023-05-17 | 2 | 2023-05-17 | 1 |
CMS CCN 1059242026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Blountstown Health And Rehabilitation Center
16690 Sw Chipola Rd · Blountstown, FL 32424 · Calhoun County
Certified beds96CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
12 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-18 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-02-262025-12-18 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2026-02-262025-12-18 · HEALTHF0638Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2026-02-262025-12-18 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-02-262025-12-18 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2026-02-262025-12-18 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-02-262024-08-15 · FIREE0015Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2024-08-142024-08-15 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-08-142024-08-15 · FIREK0371Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly sized and located compartments to protect residents from smoke.
Correction field: Deficient, Provider has date of correction · 2024-08-142023-05-17 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-06-092023-05-17 · HEALTHF0914Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Correction field: Deficient, Provider has date of correction · 2023-06-092023-05-17 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2023-07-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- VARGHESE, MATHEWIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/10/2021
- FAROOQI, MISBAHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/15/2022
- WILLIAMS, GRANTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/15/2022
- FAROOQI, MISBAHIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/15/2022
- WILLIAMS, GRANTIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/15/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.27per resident day
RN hours0.58per resident day
Weekend nurse hours3.81per resident day
Staff turnover40.7%CMS reported field
06 / LOCAL RECORDS
Open the Blountstown ledger →