01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-07 | 0 | 2026-04-07 | 4 |
| Cycle 2 | 2024-10-09 | 0 | 2024-10-09 | 2 |
| Cycle 3 | 2022-11-17 | 6 | 2022-11-17 | 4 |
CMS CCN 3657422026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
National Church Residences Bristol Village
444 Cherry St · Waverly, OH 45690 · Pike County
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.
02 / CITATION DETAIL
16 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes 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 · 2026-06-052026-04-07 · 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 · 2026-06-052026-04-07 · 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 · 2026-06-052026-04-07 · 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 · 2026-06-052024-10-09 · 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 · 2024-11-012024-10-09 · 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 · 2024-11-012023-11-07 · 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 · complaint2023-11-07 · 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 · complaint2022-11-17 · 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 · 2023-01-052022-11-17 · 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 · 2023-01-052022-11-17 · 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 · 2023-01-052022-11-17 · 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 · 2023-01-052022-11-17 · 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 · 2023-01-052022-11-17 · 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 · 2023-01-052022-11-17 · 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 · 2023-01-052022-11-17 · 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 · 2023-01-0503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NATIONAL CHURCH RESIDENCESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/12/1991
- ALEXANDER, SEANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- ANDERSON, DENISEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- BROWN, SONYAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KESSLER, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/07/2017
- MEYUNG, KELLIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- RULE, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- STITZER, PARKERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- DEHRING, LINDSEYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- METTLER, BRIANNAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- WOOLLEY, JULIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2021
- NATIONAL CHURCH RESIDENCES HEALTH CAREOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/02/2019
- CLEMMONS, AMYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- NATIONAL CHURCH RESIDENCES HEALTH CAREOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/02/2019
- CLEMMONS, AMYIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/21/2025
- KESSLER, DAVIDIndividual · ADP OF THE SNFNOT 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
Reported hours and turnover
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
Open the Ohio ledger →Other published facilities nearby
No second facility in the same city met the directory rule.