Federal inspection record · CMS data as of October 1, 2026
Nhc Healthcare, Bristol
245 North Street, Bristol, VA · (276) 669-4711
- Certified beds
- 120
- Residents per day
- 101
- Ownership
- For-Profit
- Chain
- National Healthcare Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 29, 1982
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Nhc Healthcare, Bristol carries 15 inspection points. That is fewer than 91% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning3E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights2E
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service2D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2023-12-06
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2021-07-15
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2018-08-24
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 2 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
4 h 2 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 36% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-20 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 98.5% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts better | 98.9% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts worse | 6.3% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.8 pts better | 8.7% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts worse | 10.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.6 pts worse | 31.3% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts better | 13.7% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts worse | 17.3% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts worse | 23.0% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.5% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts worse | 22.2% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.7 pts better | 98.9% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts better | 4.2% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.9 pts better | 97.2% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10 pts better | 12.0% | 22.0% | 23.4% |
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Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blackrock Inc | Adp Of The SNF · Organization | 0% | 85 facilities |
| Bowling, Alexandra | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Bowling, Alexandra | Adp Of The SNF · Individual | 0% | 2 facilities |
| Dodson, Vicki | Operational/Managerial Control · Individual | 0% | 65 facilities |
| Dodson, Vicki | Adp Of The SNF · Individual | 0% | 65 facilities |
| Foran, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kidd, Brian | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Kidd, Brian | Adp Of The SNF · Individual | 0% | 66 facilities |
| Morgan Stanley Institutional Advisors LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| Nason Jr., Howard | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Nason Jr., Howard | Corporate Officer · Individual | 0% | 8 facilities |
| Nason Jr., Howard | Operational/Managerial Control · Individual | 0% | 8 facilities |
| National Health Corporation | Adp Of The SNF · Organization | 0% | 59 facilities |
| National Health Investors, Inc. | Adp Of The SNF · Organization | 0% | 31 facilities |
| National Healthcare Corporation | Operational/Managerial Control · Organization | 0% | 61 facilities |
| National Healthcare Corporation | Adp Of The SNF · Organization | 0% | 61 facilities |
| Nhc-Op LP | Operational/Managerial Control · Organization | 0% | 62 facilities |
| Nhc/Delaware Inc | Direct Ownership Interest · Organization | 0% | 46 facilities |
| Ussery, Robert | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Vanguard Group Inc | Adp Of The SNF · Organization | 0% | 84 facilities |
| Whorley, Major | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Whorley, Major | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- D
Meet other general requirements.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- C
Inspect, test, and maintain automatic sprinkler systems.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
The Rehab Center At Bristol
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 4 min
- Fines
- $10,358
-
Waters Of Bristol A Rehabilitation And Nursing
Blountville, TN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h
- Fines
- $0
-
Greystone Health Care Center
Blountville, TN · Prestige Administrative Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 22 min
- Fines
- $15,041