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
Data as of July 1, 2026
5 of 5 overall
NHC Healthcare, Bristol has a 5 out of 5 overall rating, with strong health inspection and quality measures scores but only a 3-star staffing rating. Reported nurse staffing is 3.74 hours per resident per day, below the 4.1-hour federal benchmark, and it had $12,735 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.7355 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 3.7355.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 1.04
- Nurse aides
- 2.14
- Weekend nursing
- 3.30
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.5%13.8%No change
Residents with a fall causing major injury
2.4%7.1%Worsening
Residents with pressure ulcers (bedsores)
5.4%5.9%No change
Residents with a urinary tract infection
2.4%0%Improving
Residents who lost too much weight
9%12.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.8%26.9%Worsening
Residents whose ability to walk got worse
5.6%13.8%Worsening
Long-stay residents on antianxiety or sleep medication
29%32.9%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
19.5%23.9%Worsening
Residents with depressive symptoms
5.4%8.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
95.2%98.8%Improving
Short-stay residents given the seasonal flu vaccine
—99.5%—
Short-stay residents given the pneumonia vaccine
100%99%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 · 69 homes · 3.9 stars avg
- Occupancy
- 106.9 residents on an average day (89% 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.