BRYAN COUNTY HEALTH & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Bryan County Health & Rehab Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

BRYAN COUNTY HEALTH & REHAB CENTER
127 CARTER ST
RICHMOND HILL, GA 31324
(912) 756-6131

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 93
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Savannah | Pooler | Port Wentworth

Resident Services

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 "Ultra-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 Bryan County Health & Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1610.0%
ADL Index Range: 6-1010.2%
ADL Index Range: 0-521.5%
Total Percent:41.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.7%
ADL Index Range: 6-1013.8%
ADL Index Range: 0-54.9%
Total Percent:29.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.1%
Total Percent:5.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1610.9%
ADL Index Range: 6-101.8%
Total Percent:12.8%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
1.8%
Total Percent:1.8%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
2.6%
ADL Index Range: 6-10
- Signs of depression
2.6%
ADL Index Range: 6-10
- No Signs of depression
2.7%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:8.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
1.1%
Total Percent:1.1%
 

Rating Details For Bryan County Health & Rehab Center

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours12 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 5 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 18 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 17 Minutes1 Hour and 46 Minutes
Total Nurse Hours3 Hours and 34 Minutes4 Hours and 10 Minutes

Quality of Care -

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 Georgia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityGeorgia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%8%
Percent of Long-Stay Residents Who Were Physically Restrained8%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder33%51%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious26%15%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%10%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain26%16%
Percent of Short-Stay Residents Who Have Delirium4%4%
Percent of Short-Stay Residents Who Have Pressure Sores4%12%

Health Inspection Details -

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 02/25/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/29/2009
  • Correction Date: 03/15/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010

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.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/29/2009
  • Correction Date: 03/15/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/29/2009
  • Correction Date: 03/15/2009

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/29/2009
  • Correction Date: 03/15/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/29/2009
  • Correction Date: 03/15/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 01/29/2009
  • Correction Date: 03/15/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 01/29/2009
  • Correction Date: 03/15/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010

Resident Assessment

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: 11/29/2007
  • Correction Date: 01/13/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008
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: 02/25/2010
  • Correction Date: 04/11/2010
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: 02/25/2010
  • Correction Date: 04/11/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)02/25/2010$5,070
Civil Money Penalty (CMP)02/25/2010$6,110
Denial of Payment for New Admission (DPNA)02/25/2010-

Fire Safety

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 Bryan County Health & Rehab Center 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 02/25/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/13/2008

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/11/2010
Source: Medicare Nursing Home Compare; Department of Human Resources of Georgia - Office of Regulatory Services - Retrieved 2011