The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
NHC HEALTHCARE, BRISTOL
BRISTOL, VA · Medicare-certified · 120 beds
Needs attention
For-profitChain member
5 of 5 overall
NHC Healthcare, Bristol has a 5-star overall rating, with strong quality measures (5 stars) and a solid health inspection rating (4 stars), but staffing is only 3 stars and reported nurse staffing is 3.60 hours per resident per day, below the 4.1-hour federal benchmark. It also had $12,735 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving accident hazards, care orders, and professional standards of quality.
Facility ratings
Health inspections
Staffing
3.6002 hrs/resident/day
Quality measures
Last inspection: August 20, 2025Penalties, last 24 months: $12,735recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6002.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.98
- Nurse aides
- 2.16
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 44%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.5%Worsening
Residents with a fall causing major injury
3.3%Worsening
Residents with pressure ulcers (bedsores)
5%Worsening
Residents with a urinary tract infection
2.1%Improving
Residents who lost too much weight
6.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.9%Worsening
Residents whose ability to walk got worse
16.1%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
28.1%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
21.5%Worsening
Residents with depressive symptoms
6.1%Improving
Long-stay residents given the seasonal flu vaccine
97.8%Steady
Long-stay residents given the pneumonia vaccine
97%Worsening
Short-stay residents given the seasonal flu vaccine
99.5%Steady
Short-stay residents given the pneumonia vaccine
99.4%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited July 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2018 — limited pattern, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited August 2018 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,735 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,735 in total fines.
- $12,735
Federal fine
Aug 20, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of NATIONAL HEALTHCARE CORPORATION · 68 homes · 4 stars avg
- Occupancy
- 111.2 residents on an average day (93% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.