CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3657422026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

National Church Residences Bristol Village

CMS lists this provider in Waverly, OH, with 40 certified beds, an overall rating of 5/5, and 16 citation rows in the current August 2026 release.

444 Cherry St · Waverly, OH 45690 · Pike County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds40CMS provider file
Recent citation rows16current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

National Church Residences Bristol Village survey cycles in this release

CMS supplies 3 survey-cycle rows for National Church Residences Bristol Village in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-04-0702026-04-074
Cycle 22024-10-0902024-10-092
Cycle 32022-11-1762022-11-174
02 / CITATION DETAIL

National Church Residences Bristol Village citations in the current release

CMS reports 16 citation rows, including 0 with G–L codes and 0 with J–L codes.

0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag code appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-07 · FIREK0271Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-04-07 · FIREK0761Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-04-07 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-04-07 · FIREK0921Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2024-10-09 · FIREK0344Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Have an alternate power supply for its alarm system.

Correction field: Deficient, Provider has date of correction · 2024-11-01
2024-10-09 · FIREK0761Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-11-01
2023-11-07 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2023-12-08 · complaint
2023-11-07 · HEALTHF0692Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2023-12-08 · complaint
2022-11-17 · HEALTHF0623Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2023-01-05
2022-11-17 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2023-01-05
2022-11-17 · HEALTHF0646Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Correction field: Deficient, Provider has date of correction · 2023-01-05
2022-11-17 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2023-01-05
2022-11-17 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-01-05
2022-11-17 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2023-01-05
2022-11-17 · FIREK0521Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2023-01-05
2022-11-17 · FIREK0711Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2023-01-05
03 / ENFORCEMENT FILE

CMS penalties reported for National Church Residences Bristol Village

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for National Church Residences Bristol Village

CMS matched 16 ownership disclosure rows to National Church Residences Bristol Village; names and roles are reported fields, not independently verified identities.

  • NATIONAL CHURCH RESIDENCESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 12/12/1991
  • ALEXANDER, SEANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • ANDERSON, DENISEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • BROWN, SONYAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • KESSLER, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 03/07/2017
  • MEYUNG, KELLIIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/01/2024
  • RULE, MATTHEWIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2021
  • STITZER, PARKERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • DEHRING, LINDSEYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2024
  • METTLER, BRIANNAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2020
  • WOOLLEY, JULIEIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 05/01/2021
  • NATIONAL CHURCH RESIDENCES HEALTH CAREOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/02/2019
  • CLEMMONS, AMYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2025
  • NATIONAL CHURCH RESIDENCES HEALTH CAREOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/02/2019
  • CLEMMONS, AMYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 07/21/2025
  • KESSLER, DAVIDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/07/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for National Church Residences Bristol Village

CMS reports 3.62 total nurse hours and 0.77 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.62per resident day
RN hours0.77per resident day
Weekend nurse hours3.22per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS

Facilities published near National Church Residences Bristol Village

No second published facility record in Waverly, OH met the local peer rule in this release.

Open the Ohio ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.