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Nursing HomeMedicaid Top Rated

Nhc Healthcare, Bristol

Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy teams. Still worth an in-person visit.

245 North Street, Bristol, VA 24201120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 41 Google reviews

5
4
3
2
1
Nhc Healthcare, Bristol Nursing Home in Bristol, VA — Street View
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What this means for your family

This facility is highly regarded for its physical therapy and end-of-life care, but families must be proactive. Given the consistent reports of slow response times and medication issues, we strongly recommend that family members visit frequently, especially on weekends, and maintain direct contact with management to ensure care plans are being followed.

Google Reviews

Google Reviews

41 reviews on Google
NHC HealthCare, Bristol receives highly polarized feedback, with many families praising the therapy team and compassionate nursing staff, while others report severe neglect and communication failures. Recurring complaints highlight significant delays in responding to call buttons, issues with medication management, and poor responsiveness during weekends or off-hours. Families should be aware that experiences appear inconsistent, ranging from excellent end-of-life care to distressing reports of patient neglect.

Quality Themes

Tap a score for details
Food8.0Staff5.0Clean7.0ActivitiesN/AMeds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy teams
  • Compassionate end-of-life and palliative care
  • Professional and attentive management staff
  • Clean and well-maintained facility environment

Concerns

  • Slow or non-existent response to call buttons (mentioned by 6 reviewers)
  • Inadequate staffing or neglect during weekends/evenings (mentioned by 5 reviewers)
  • Medication management errors and delays (mentioned by 3 reviewers)
  • Rude or unprofessional staff behavior (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(2)'19(4)'21(9)'26(3)

Distribution · 47 analyzed

5
29
4
2
3
1
2
1
1
14

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how those specialists work with residents to regain independence?
  • 2How does the nursing team ensure that call buttons are answered promptly, especially during the evening hours or over the weekends?
  • 3What specific protocols do you have in place to ensure medication is administered accurately and without delays?
  • 4Could you describe the atmosphere and the types of daily activities or social events organized to keep residents engaged?
  • 5How does the management team handle communication with families to keep us updated on our loved one's care and well-being?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy teams are wonderful, which is the only reason I'm here for the second time. We are only allowed 2 showers a week. There no where near enough CNA staff. Waits on bedpans and on the commode can be clocked at 20 minutes and sometimes more.

Rehab patient · 2018★★★☆☆

The nursing staff gave her wonderful care and was attentive and therapy helped her so much. Also, It is very clear that Michelle, the director over nursing cares deeply for the patients to ensure they are well taken care of.

Granddaughter of resident · 2021★★★★★

They leave her alone for hours, often taking just as long to respond to her calls, have left her sitting in the bathroom (unable to walk herself) for HOURS to the point where she becomes raw, her beating on the walls trying to get their attention.

Granddaughter of resident · 2020☆☆☆☆
Source: 41 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.46hrs
61%
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
12.1%
VA
16.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.1%
Worse than Avg
Here
28.1%
US
19.5%
VA
20.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
93.4%
VA
91.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.9%
Worse than Avg
Here
19.9%
US
14.4%
VA
15.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.5%
Better than Avg
Here
11.5%
US
15.4%
VA
14.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
95.5%
VA
94.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
79.7%
VA
73.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
81.8%
VA
73.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
VA
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Well below state avg (14.5)
3 complaint-triggered
$12,735 in fines

Families have filed complaints that resulted in recent deficiencies including failure to report suspected abuse and safety hazards. This facility has recurring issues with treatment and care quality, medication management, and safety supervision that have persisted across multiple surveys from 2018 to 2024. While all deficiencies show correction dates, the pattern of repeated problems in core care areas suggests ongoing quality concerns that families should carefully evaluate.

Aug 20, 2025Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Dec 6, 2023Routine
3
0932Potential for harm · IsolatedCorrected

Smoke Deficiencies

Meet other general requirements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Jul 15, 2021Routine
8
0352Potential for harm · Widespread

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0353Potential for harm · Widespread

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Aug 24, 2018Routine
9
0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Federal Penalties

Fine

Aug 20, 2025

$12,735

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nhc Healthcare, Bristol

Organization Type

for profit

Chain Affiliation

Chain Name

National Healthcare Corporation

Chain Size

68 facilities nationwide

Chain avg rating: 3.9/5 · Rank 9 of 65 (Best)

Ownership & Management

Owners

Nhc/delaware INC

Owner · Organization

Morgan Stanley Institutional Advisors LLC

Owner (parent company) · Organization

Key personnel

Nason Jr., HowardManaging Control - Governing BodyNason Jr., HowardOfficer / DirectorNational Healthcare CorporationManagerNhc-Op LpManagerBowling, AlexandraManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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