BRIAN CENTER HEALTH AND REHABILITATION

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 Plus Extensive Services". 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 and Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care Low

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 01/20/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 04/03/2009 Correction Date: 05/17/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 01/20/2011 Correction Date: 03/04/2011
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 01/20/2011 Correction Date: 03/04/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/20/2011 Correction Date: 03/04/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/29/2010 Correction Date: 03/15/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/03/2009 Correction Date: 05/17/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/20/2011 Correction Date: 03/04/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/03/2009 Correction Date: 05/17/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/03/2009 Correction Date: 05/17/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/20/2011 Correction Date: 03/04/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/20/2011 Correction Date: 03/04/2011
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: 01/20/2011 Correction Date: 03/04/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/03/2009 Correction Date: 05/17/2009
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: 04/03/2009 Correction Date: 05/17/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 04/03/2009 Correction Date: 05/17/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
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: 01/29/2010 Correction Date: 03/15/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/29/2010 Correction Date: 03/15/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/20/2011 Correction Date: 03/04/2011

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. Inspection Date: 04/03/2009 Correction Date: 05/17/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/29/2010 Correction Date: 03/15/2010

The table below lists incident reports by the nursing staff or administration for Brian Center Health and Rehabilitation, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 04/10/2008 Correction Date: 05/15/2008

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 04/10/2008 Correction Date: 05/15/2008
Have a Program to Keep Infection from Spreading. Complaint Filed: 04/10/2008 Correction Date: 05/15/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 04/10/2008 Correction Date: 05/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 05/05/2011 Correction Date: 06/07/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Complaint Filed: 05/05/2011 Correction Date: 06/07/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Complaint Filed: 05/05/2011 Correction Date: 06/07/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 04/10/2008 Correction Date: 05/15/2008

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 and Rehabilitation 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 01/26/2011.

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/02/2009 Correction Date: 04/20/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 04/02/2009 Correction Date: 04/20/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/02/2009 Correction Date: 04/20/2009