NHC Healthcare, Bristol

Name: NHC Healthcare, Bristol
Address: 245 NORTH STREET, Bristol, VA, 24201, US
Telephone: 2766694711

245 North Street, Bristol, VA 24201 · Bristol City County · 120 certified beds · avg 107 residents/day · certified since Sep 29, 1982

Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

$12,735

Fines, last 3 years

3.98

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Aug 20, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 1, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 20, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 20, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 20, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 15, 2021	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 24, 2018	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 24, 2018	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 24, 2018	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 24, 2018	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 24, 2018	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Aug 24, 2018	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 24, 2018	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 24, 2018	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2018	8	0	E
2021	5	0	E
2025	3	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $12,735.

Date	Type	Amount / length
Aug 20, 2025	Fine	$12,735

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.98	3.67	3.95	top 23% in Virginia; top 40% in the U.S.
Registered Nurse hours	0.59	0.66	0.69	top 38% in Virginia; top 50% in the U.S.
Weekend total nurse staffing	3.51	3.21	3.50	top 23% in Virginia; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.46	0.48	top 44% in Virginia; bottom 45% in the U.S.
Total nursing staff turnover (%)	53.4	48.1	45.8	bottom 38% in Virginia; bottom 28% in the U.S.
RN turnover (%)	42.9	48.2	42.9	top 38% in Virginia; bottom 49% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.74, RN 0.55, weekend 3.30. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Morgan Stanley Institutional Advisors LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/08/2024
Nhc/Delaware INC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2001
Blackrock INC	Organization	ADP of the SNF	NOT APPLICABLE	01/20/2010
Bowling, Alexandra	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Bowling, Alexandra	Individual	ADP of the SNF	NOT APPLICABLE	03/10/2025
Dodson, Vicki	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2019
Dodson, Vicki	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2019
Foran, Michelle	Individual	Operational/Managerial Control	NOT APPLICABLE	04/15/1992
Kidd, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	05/31/2023
Kidd, Brian	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2017
Nason Jr., Howard	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/18/2016
Nason Jr., Howard	Individual	Corporate Officer	NOT APPLICABLE	04/18/2016
Nason Jr., Howard	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2016
National Health Corporation	Organization	ADP of the SNF	NOT APPLICABLE	07/07/2025
National Health Investors, INC.	Organization	ADP of the SNF	NOT APPLICABLE	10/17/1991
National Healthcare Corporation	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2001
National Healthcare Corporation	Organization	ADP of the SNF	NOT APPLICABLE	07/07/2025
Nhc-Op LP	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2001
Ussery, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2000
Vanguard Group INC	Organization	ADP of the SNF	NOT APPLICABLE	11/30/2006

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
The Rehab Center at Bristol	5.7 mi	Bristol, VA	★★☆☆☆	3/5
Waters of Bristol a Rehabilitation and Nursing	6.7 mi	Blountville, TN	★★★★☆	5/5
Greystone Health Care Center	13.8 mi	Blountville, TN	★☆☆☆☆	1/5
Wexford House	16.3 mi	Kingsport, TN	★☆☆☆☆	2/5
Holston Rehabilitation and Care Center	16.5 mi	Kingsport, TN	★☆☆☆☆	2/5
NHC Healthcare, Kingsport	16.6 mi	Kingsport, TN	★★★★★	4/5
Deer Meadows Rehabilitation and Nursing	16.7 mi	Abingdon, VA	★☆☆☆☆	2/5
Ivy Hall Nursing Home	17.4 mi	Elizabethton, TN	★★★★★	5/5
Life Care Center of Elizabethton	17.5 mi	Elizabethton, TN	★★★☆☆	3/5
Signature Healthcare of Elizabethton Rehab & Welln	17.9 mi	Elizabethton, TN	★★★★★	5/5
Life Care Center of Gray	18.1 mi	Gray, TN	★☆☆☆☆	1/5
Hermitage Health Center	18.2 mi	Elizabethton, TN	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Bristol →

Facility data as of CMS processing date 2026-08-01. CCN 495131.

The Care File

Visit checklist — NHC Healthcare, Bristol

245 North Street, Bristol, VA 24201 · 2766694711

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $12,735

Most serious findings on record:

▲ Aug 20, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495131 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)