NHC HEALTHCARE,BRISTOL

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Nhc Healthcare,Bristol. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/23/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Follow All Laws and Professional Standards. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/08/2009 Correction Date: 12/30/2009
Follow All Laws and Professional Standards. Inspection Date: 09/23/2010 Correction Date: 10/18/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/22/2008 Correction Date: 10/20/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/08/2009 Correction Date: 12/02/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/23/2010 Correction Date: 10/18/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 10/08/2009 Correction Date: 12/02/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 10/08/2009 Correction Date: 12/02/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 08/22/2008 Correction Date: 10/20/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 10/08/2009 Correction Date: 12/02/2009

The table below lists incident reports by the nursing staff or administration for Nhc Healthcare,Bristol, as well as complaints by residents or their family in the previous three years.

Environmental

Have a Program to Keep Infection from Spreading. Complaint Filed: 08/22/2008 Correction Date: 10/20/2008

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Complaint Filed: 10/08/2009 Correction Date: 12/02/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 10/08/2009 Correction Date: 12/02/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Complaint Filed: 10/08/2009 Correction Date: 12/30/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Nhc Healthcare,Bristol had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/05/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/26/2008 Correction Date: 01/01/1900
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/21/2009 Correction Date: 01/06/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/05/2010 Correction Date: 01/01/1900

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/21/2009 Correction Date: 01/06/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/05/2010 Correction Date: 12/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/21/2009 Correction Date: 01/06/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/21/2009 Correction Date: 01/06/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/21/2009 Correction Date: 01/06/2010