BRIAN CENTER HEALTH & REHAB
The information listed below provides an in-depth look into the type and quality of care offered at Brian Center Health & Rehab. 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
BRIAN CENTER HEALTH & REHAB
377 CLONCE STREET
WEBER CITY, VA 24290
(276) 386-9444
377 CLONCE STREET
WEBER CITY, VA 24290
(276) 386-9444
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
82%Number of Residents and Certified Beds
- Residents: 74
- Certified Beds: 90
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Individual
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Nearby Cities:
GrundyResident 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 "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 Brian Center Health & Rehab. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent 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: 11-16 | 16.1% |
| ADL Index Range: 6-10 | 4.9% |
| Total Percent: | 21.0% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 12.6% |
| ADL Index Range: 6-10 | 7.3% |
| Total Percent: | 19.9% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 23.8% |
| Total Percent: | 23.8% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 6.3% |
| Total Percent: | 6.3% |
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: 15-16 - No Signs of depression | 9.8% |
| Total Percent: | 9.8% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 2.4% |
| Total Percent: | 2.4% |
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: 15-16 - Less restorative nursing | 13.3% |
| ADL Index Range: 11-14 - Less restorative nursing | 3.5% |
| Total Percent: | 16.8% |
Rating Details For Brian Center Health & Rehab
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 24 Minutes | 1 Hour and 8 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 51 Minutes | 43 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 25 Minutes | 2 Hours and 34 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 15 Minutes | 1 Hour and 51 Minutes |
| Total Nurse Hours | 3 Hours and 40 Minutes | 4 Hours and 25 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 Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Virginia Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 2% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 9% | 10% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 6% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 9% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 15% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 21% | 17% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 24% | 13% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 48% | 59% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 11% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 82% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 89% | 83% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 8% | 16% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 13% | 12% |
| Percent of Short-Stay Residents Who Have Delirium | - | 2% |
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 12/02/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Follow All Laws and Professional Standards.
|  |  |
Give Lab Tests Only when the Attending Doctor Ordered Them.
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Keep Signed and Dated Reports of X-Rays and Other Tests.
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Follow All Laws and Professional Standards.
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Keep Complete, Dated Lab Records in the Resident's File.
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Follow All Laws and Professional Standards.
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Keep Signed and Dated Reports of X-Rays and Other Tests.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
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.
| | |
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.
| | |
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 Taken | Date | Amount |
| Civil Money Penalty (CMP) | 10/07/2008 | $46,901 |
| Denial of Payment for New Admission (DPNA) | 10/07/2008 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Brian Center Health & Rehab, as well as complaints by residents or their family in the previous three years.
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
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Follow All Laws and Professional Standards.
| | |
Keep Accurate and Appropriate Medical Records.
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Keep Accurate and Appropriate Medical Records.
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Keep Accurate and Appropriate Medical Records.
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Keep Complete, Dated Lab Records in the Resident's File.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Provide Needed Housekeeping and Maintenance.
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Provide Needed Housekeeping and Maintenance.
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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.
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Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
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.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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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.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
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Provide Written Records when a Resident is Transferred or Discharged.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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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.
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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 Brian Center Health & Rehab 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 12/21/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Properly Located and Lighted "Exit" Signs.
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Interior Finish
Fire-Resistant Room Wall Surfaces.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011
