Nhc Healthcare, Bristol

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

61.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 222 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 90 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.46 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 106.9 residents a day — about 89% occupied, or roughly 13 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.550 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.30 hrs/resident/day on weekends vs 3.91 on weekdays — 16% thinner on weekends. RN hours go from 0.63 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 11 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · Gcited before2025-08-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure the resident environment remains as free of accident hazards as is possible as evidenced by failure to lock the shower chair breaks prior to transfer resulting in a fall with a subsequent fracture for 1 of 16 sampled residents (Resident #7).The findings included:For Resident #7, the facility staff failed to lock the shower chair breaks prior to transfer causing the resident to fall and suffer a fracture at the base of the left thumb and skin tears to the forearms. Resident #7's diagnosis list indicated diagnoses, which included, but not limited to Chronic Obstructive Pulmonary Disease, Chronic Congestive Heart Failure, Osteoporosis, and History of Falling. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 8/04/25 assigned the resident a brief interview for mental status (BIMS) summary score of 15 out of 15 indicating the resident was cognitively intact. Resident #7's current comprehensive person-centered care plan…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-20 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to follow medical provider orders for medication administration for 6 of 16 sampled residents (Resident #10, #11, #12, #13, #14, and #15). The findings included:1. For Resident #10, the facility staff administered Levothyroxine at 9:00 PM instead of 6:00 AM as ordered by the medical provider. Levothyroxine is a medication used to treat hypothyroidism. Resident #10's diagnosis list indicated diagnoses, which included, but not limited to Dementia and Hypothyroidism. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 8/12/25 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 #10 as having received medication at the incorrect time and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, record review and facility document review, the facility staff failed to report an allegation of verbal abuse for one of 16 residents in the survey sample, resident # 1. For resident # 1 (R1), the facility staff failed to report an allegation of staff to resident verbal abuse.R1's diagnoses included but were not limited to dementia with behavior disturbance, psychotic disturbance, mood disturbance, anxiety, and adult failure to thrive. The minimum data set assessment (MDS) with an assessment reference date of 7/7/25 assigned the resident a brief interview for mental status score of 3 out of 15 indicating severe cognitive impairment. Attempts to interview R1 were unsuccessful.On 8/19/25 this surveyor asked the facility Administrator for any Facility Reported Incidents or investigations involving R1 from May of 2024. A file was provided that included a Virginia Department of Health Professions complaint form dated 6/6/24. The complaint alleged that a certified nursing assistant (CNA) had verbally abused R1 on 5/27/24. The complaint read in part, The resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-07-15 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interviews, the facility staff failed to follow professional standards of practice as evidenced by the presence of physician pre-signed blank Virginia Department of Health DDNR (Durable Do Not Resuscitate) Order forms on 2 of 2 nursing care units. The findings included: The facility staff failed to obtain the physician's signature on VDH (Virginia Department of Health) DDNR Order forms at the time of completion. The facility staff maintained the process of a physician pre-signing blank resident DDNR Order forms for availability as needed by the nursing staff. The surveyor observed 43 physician pre-signed blank VDH DDNR Order forms available on the nursing care units. On [DATE] at 9:20 am, surveyor observed a 3-ring binder labeled DNR Forms 2nd Floor located at the 2nd floor nursing station. In the front of the binder was a plastic sheet protector containing 40 physician signed VDH DDNR Order forms. The VDH DDNR Order forms were undated, did not include a resident's name, and were…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-07-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and facility document review, the facility staff failed to ensure the resident environment remained free of accident hazards on 2 of 2 nursing care units, second and third floors. The findings included: The facility staff failed to ensure water temperatures were maintained in acceptable parameters to decrease the risk of resident injury. All temperatures referenced reflect the Fahrenheit temperature scale. 07/14/2021 11:34 a.m., the MD (maintenance director) checked the water temperature in the bathroom sink of room [ROOM NUMBER] using a digital thermometer. This temperature read 128. 07/14/2021 11:39 a.m., the surveyor and the MD went to the roof and the MD adjusted the mixing valve. The MD stated the mixing valve was being replaced, water temperatures were checked in four rooms twice a week, and they did not have to adjust the mixing valve very often. 07/14/2021 11:56 a.m., water temperature room [ROOM NUMBER]-109.5 degrees 07/14/2021 11:59 a.m., water temperature room…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-07-15 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  2. For Resident #2, the facility staff failed to accurately complete the resident's DDNR (Durable Do Not Resuscitate) Order form. All boxes on the DDNR Order form were left unchecked. This DDNR Order form was part of the resident's electronic health record and filed in a DDNR binder on the nursing unit. Resident #2's diagnosis list indicated diagnoses, which included, but not limited to Other Early-Onset Cerebellar Ataxia, Adult Failure to Thrive, Unspecified Dementia with Behavioral Disturbance, and Post-Traumatic Hydrocephalus Unspecified. The most recent admission MDS (minimum data set) with an ARD (assessment reference date) of 7/07/21 coded the resident as being severely impaired in cognitive skills for daily decision making with short-term and long-term memory loss. A review of Resident #2's clinical record revealed an active physician's order dated 6/30/21 stating Code Status - DNR (do not resuscitate). The resident's electronic health record included a Virginia Department of Health DDNR Order form dated 7/01/21 and signed by the physician. The DDNR form was also observed in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2021-07-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, facility document review and clinical record review the facility staff failed to ensure that residents receive treatment and care by following physician's orders for 1 of 24 Residents, Resident #12 The findings included: For Resident #12 the facility staff failed to administer the medications amiodarone and metoprolol as ordered by the physician. Resident #12's face sheet listed diagnoses which included but not limited to dysphagia, hypertension, atherosclerotic heart disease, atrial fibrillation, chronic obstructive pulmonary disease, gastroesophageal reflux disease, depression, anxiety, and hypothyroidism. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 07/12/21 assigned the resident a BIMS (brief interview for mental status) score of 13 out 15 in section C, cognitive patterns. This indicates that the resident is cognitively intact. Resident #12's clinical record was reviewed on 07/14/21. It contained a physician's order summary for the month of June 2021 which read in part, 04/16/2021-06/10/2021 (DC…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2021-07-15 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and clinical record review the facility staff failed to ensure 1 of 24 residents was free from unnecessary medications, Resident #12. The findings included: For Resident #12 the facility staff failed to follow physician ordered parameters for the administration of the medications amiodarone and metoprolol. Resident #12's face sheet listed diagnoses which included, but not limited to dysphagia, hypertension, atherosclerotic heart disease, atrial fibrillation, chronic obstructive pulmonary disease, gastroesophageal reflux disease, depression, anxiety, and hypothyroidism. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 07/12/21 assigned the resident a BIMS (brief interview for mental status) of 13 out of 15 in section C, cognitive patterns. This indicates the resident is cognitively intact. Resident #12's clinical record was reviewed on 07/14/21. It contained a physician's order summary for the month of June 2021 which read in part, 04/16/2021-06/10/2021 (DC [discontinue] Date) amiodarone tablet; 200 mg; amt: 2 tabs;…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2018-08-24 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, the facility staff failed to notify the Physician of blood sugars greater than 400, for one of 23 Residents, Resident #43. Per Clinical Record Review Resident #43 was admitted to the facility on [DATE]. Diagnosis included, but were not limited to: Chronic, Pain, Diabetes Mellitus, Aftercare following explanation of shoulder joint prosthesis, Altered Mental Status, History of Falling, Orthostatic Hypotension, and Muscle Weakness (Generalized). Section C (cognitive patterns) of the Residents quarterly MDS (minimum data set) assessment with an ARD (assessment reference date) of 07/12/18 included a BIMS (brief interview for mental status) summary score of 15 out of a possible 15 points. The Residents CCP (comprehensive care plan) included the problem area; Diabetes related to the diagnosis DM (diabetes mellitus). Interventions included, but were not limited to: Administer Insulin as ordered, Rotate sites, Finger sticks as ordered, Observe for signs/symptoms of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2018-08-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, clinical record review and facility document review it was determined that the facility staff failed to store respiratory equipment in a clean and sanitary manner for 6 of 24 Residents in the sample survey, Resident #73, Resident #19, Resident #29, Resident #32, Resident #34 and Resident #68. The Findings Included: 1. For Resident #73 the facility staff failed to store a nasal cannula and a nebulizer in a clean and sanitary manner. Resident #73 was an [AGE] year old female who was admitted on [DATE]. Admitting diagnoses included, but were not limited to: fractured femur, history of falling, chronic obstructive pulmonary disease, Alzheimer's, hypertension and dementia with behaviors. The most current Minimum Data Set (MDS) assessment located in the clinical record was a 14-Day MDS assessment with an Assessment Reference Date (ARD) of 8/5/18. The facility staff coded that Resident #73 had short and long-term memory impairment and was severely impaired (3) with daily decision…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2018-08-24 · tag F0697 — failed to manage pain — pattern
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, the facility staff failed to follow physician orders in regards to pain management for one of 23 Residents, Resident #43. The findings included: Per Clinical Record Review Resident #43 was admitted to the facility on [DATE]. Diagnosis included, but were not limited to, Chronic, Pain, Diabetes Mellitus, Aftercare following explanation of shoulder joint prosthesis, Altered Mental Status, History of Falling, Orthostatic Hypotension, and Muscle Weakness (Generalized). Section C (cognitive patterns) of the Residents quarterly MDS (minimum data set) assessment with an ARD (assessment reference date) of 07/12/18 included a BIMS (brief interview for mental status) summary score of 15 out of a possible 15 points. The Residents CCP (comprehensive care plan) included the problem area; Comfort/Pain related to the diagnosis Fracture, Chronic Pain Syndrome, Fibromyalgia and Restless Legs Syndrome. Interventions included, but were not limited to, Administer medications as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$12,735 in federal fines across 1 penalty.

• $12,735 — penalty dated 2025-08-20

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to NATIONAL HEALTHCARE CORPORATION — 69 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 22 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.0M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in VA