NATIONAL CHURCH RESIDENCES BRISTOL VILLAGE
444 CHERRY ST
WAVERLY, OH, 45690
7409472113
CCN: 365742
5
Overall5
Health3
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (4)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CARE-A-VAN, INC
1128a1
Excluded 1990-08-28
FRIENDLY CARE, INC
1128a1
Excluded 2023-12-20
MP CARE INC
1128b8
Excluded 2007-06-20
RPH CARE, INC
1128b8
Excluded 2009-07-20
Ownership
| Name | Role | % |
|---|---|---|
| NATIONAL CHURCH RESIDENCES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| KESSLER, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| ANDERSON, DENISE | CORPORATE DIRECTOR | NOT APPLICABLE |
| BROWN, SONYA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MEYUNG, KELLI | CORPORATE DIRECTOR | NOT APPLICABLE |
| RULE, MATTHEW | CORPORATE DIRECTOR | NOT APPLICABLE |
| STITZER, PARKER | CORPORATE DIRECTOR | NOT APPLICABLE |
| ALEXANDER, SEAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEHRING, LINDSEY | CORPORATE OFFICER | NOT APPLICABLE |
| METTLER, BRIANNA | CORPORATE OFFICER | NOT APPLICABLE |
| WOOLLEY, JULIE | CORPORATE OFFICER | NOT APPLICABLE |
| CLEMMONS, AMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NATIONAL CHURCH RESIDENCES HEALTH CARE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (7)
2023-11-07 · Health
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2022-11-17 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F646 · Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F623 · 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.
2020-01-23 · Health
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.49
RN Hrs/Resident/Day0.54
0.81
LPN Hrs/Resident/Day0.81
0.75
CNA Hrs/Resident/Day2.33
1.93
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01