Nursing homeActive
Nhc Healthcare, Bristol
245 North Street, Bristol, VA 242012766694711120 certified beds · 107 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2018
Deficiencies
16
● 0● 15● 1
Penalties · 3 yrs
$12,735
1 fine
Last survey
2025-08-20
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Virginia Office of Licensure and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-20 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2023-12-06 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2021-07-15 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2018-08-24 | Standard | 080 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Virginia Office of Licensure and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-01Record 495131-20250820-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 495131-20250820-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 495131-20250820-F684
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-27Record 495131-20210715-F578
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-08-27Record 495131-20210715-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-27Record 495131-20210715-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-08-27Record 495131-20210715-F689
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-27Record 495131-20210715-F757
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F580
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F641
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F676
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F695
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F697
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F757
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-10-11Record 495131-20180824-F842
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-20 | Civil money penalty | $12,735 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.55
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day3.74
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours3.30
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover53%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover43%
Facility
Virginia
National
Virginia 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.5% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.4% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.7% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 21.5% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.1% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 30.6% | 20.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bowling, Alexandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dodson, Vicki Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Foran, Michelle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kidd, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nason Jr., Howard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| National Healthcare Corporation Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nhc-Op LP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ussery, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Whorley, Major Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blackrock Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bowling, Alexandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dodson, Vicki Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kidd, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morgan Stanley Institutional Advisors LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nason Jr., Howard Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nason Jr., Howard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| National Health Corporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| National Health Investors, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| National Healthcare Corporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nhc/Delaware Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Vanguard Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Whorley, Major Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
National Healthcare Corporation — 69 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Virginia.
No county cost figures on file for Bristol City.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Rehab Center At Bristol Bristol | 5.7 mi | 2025-10-01 | 0131 |
| Waters Of Bristol A Rehabilitation And Nursing Blountville | 6.7 mi | 2025-08-26 | 020 |
| Greystone Health Care Center Blountville | 13.8 mi | 2025-05-14 | 0181 |
| Ivy Hall Nursing Home Elizabethton | 17.4 mi | 2025-09-17 | 000 |
| Life Care Center Of Elizabethton Elizabethton | 17.5 mi | 2024-02-29 | 073 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |