Nhc Healthcare, Bristol
NHC HEALTHCARE, BRISTOL in BRISTOL, VA — inspection on August 20, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During the investigation, both CNAs quit and there was no further danger to R1.On 8/20/25 at 4:30 PM this concern was discussed with the Administrator and the DON. No further information was provided prior to the exit conference.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Nhc Healthcare, Bristol
245 North Street Bristol, VA 24201
SUMMARY STATEMENT OF DEFICIENCIES
Levothyroxine 150 mcg once a day at 6:00 AM.On 8/20/25 at 2:00 PM, surveyor spoke with the DON who stated LPN #5 reported administering Levothyroxine at bedtime because the resident did not want to be awakened at 6:00 AM and the LPN thought the medication could be given on an empty stomach, so they went ahead and gave it.
The DON stated LPN #5 should have waited until the ordered administration time and they were educated that should a resident want to change their medication administration time; they should reach out to the provider for a time change. No further information regarding this concern was presented to the survey team prior to the exit conference on 8/20/25. 6.
For Resident #15, the facility staff administered Omeprazole at 9:00 PM instead of 6:00 AM as ordered by the medical provider.
Omeprazole is a medication used to treat excess stomach acid. Resident #15's diagnosis list indicated diagnoses, which included, but not limited to Charcot-Marie-Tooth and Achalasia of Cardia.
The most recent minimum data set (MDS) with an assessment reference date (ARD) of 6/03/25 assigned the resident a brief interview for mental status (BIMS) summary score of 12 out of 15 indicating the resident was moderately cognitively impaired. On 8/19/25 at 3:35 PM, surveyor spoke with Registered Nurse (RN) #1 who stated a night shift nurse administered 6:00 AM medications with residents' bedtime medications.
The Director of Nursing (DON) identified Resident #15 as having received medication at the incorrect time and provided an Event Report dated 6/06/25 indicating Licensed Practical Nurse (LPN) #5 administered Omeprazole on 6/05/25 at 9:00 PM instead of waiting until 6/06/25 at 6:00 AM as ordered. Resident #15's clinical record included an active order for Omeprazole 40 mg once a day at 6:00 AM.On 8/20/25 at 2:00 PM, surveyor spoke with the DON who stated LPN #5 reported administering Omeprazole at bedtime because the resident did not want to be awakened at 6:00 AM and the LPN thought the medication could be given on an empty stomach, so they went ahead and gave it.
The DON stated LPN #5 should have waited until the ordered administration time and they were educated that should a resident want to change their medication administration time, they should reach out to the provider for a time change. No further information regarding this concern was presented to the survey team prior to the exit conference on 8/20/25.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Nhc Healthcare, Bristol
245 North Street Bristol, VA 24201
SUMMARY STATEMENT OF DEFICIENCIES
transfer but after several days it was discovered the shower chair breaks were not locked during the transfer. DON stated CNA #4 and nursing staff were re-educated following the fall and stated the re-education included the locking of breaks prior to a resident transfer.
The DON provided a copy of CNA #4's annual competency checklist dated 3/03/25 indicating the CNA demonstrated understanding of falls prevention.
The DON stated falls prevention included locking breaks prior to transfer. On 8/20/25 at 4:09 PM, surveyor met with the Administrator and DON and discussed the concern of CNA #4 failing to lock the shower chair breaks prior to transferring Resident #7 which resulted in a fall with a fracture. No further information regarding this concern was presented to the survey team prior to the exit conference on 8/20/25.
Facility ID: