Skip to main content
Complaint Investigation

Nhc Healthcare, Bristol

August 20, 2025 · Bristol, VA · 245 North Street
Citations 3
CMS Rating 5/5
Beds 120
Provider ID 495131
Healthcare Facility
Nhc Healthcare, Bristol
Bristol, VA  ·  View full profile →
Inspection Summary

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.

Advertisement

Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

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:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BRISTOL, VA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from NHC HEALTHCARE, BRISTOL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement