BRIAN CENTER HEALTH & REHABILITATION
Address
647 S RAILROAD ST BOX 966
WALLACE, NC 28466
(910) 285-9700
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 80
- Certified Beds: 80
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
Nearby Cities:
SalisburyResident 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 "Very 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 & Rehabilitation. 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 Plus Extensive Services
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-10 | 2.7% |
Total Percent: | 2.7% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 7.6% |
ADL Index Range: 6-10 | 13.5% |
ADL Index Range: 0-5 | 7.2% |
Total Percent: | 28.2% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 2.0% |
ADL Index Range: 6-10 | 8.6% |
ADL Index Range: 0-5 | 23.6% |
Total Percent: | 34.2% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 9.0% |
ADL Index Range: 6-10 | 1.4% |
ADL Index Range: 0-5 | 11.3% |
Total Percent: | 21.7% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 1.1% |
ADL Index Range: 6-10 | 2.2% |
ADL Index Range: 0-5 | 1.7% |
Total Percent: | 4.9% |
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 | 0.9% |
ADL Index Range: 11-14 - Less restorative nursing | 3.8% |
ADL Index Range: 6-10 - Less restorative nursing | 3.4% |
ADL Index Range: 0-1 - Less restorative nursing | 0.2% |
Total Percent: | 8.3% |
Rating Details For Brian Center Health & Rehabilitation
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 | 50 Minutes | 1 Hour and 10 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 58 Minutes | 39 Minutes |
Certified Nursing Assistant (CNA) Hours | 1 Hour and 31 Minutes | 2 Hours and 19 Minutes |
Total Licensed Nurse Hours | 1 Hour and 48 Minutes | 1 Hour and 49 Minutes |
Total Nurse Hours | 3 Hours and 19 Minutes | 4 Hours and 8 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 North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | North Carolina Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 92% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 87% | 92% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 9% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 16% | 20% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 3% | 11% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 12% | 12% |
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 High-Risk Long-Stay Residents Who Have Pressure Sores | 10% | 11% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 42% | 60% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 12% | 15% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 4% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 89% | 83% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 54% | 84% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
Percent of Short-Stay Residents Who Have Pressure Sores | 8% | 11% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 5% | 17% |
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 01/13/2011.
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 |
Environmental
Provide Needed Housekeeping and Maintenance.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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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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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.
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Try to Resolve Each Resident's Complaints Quickly.
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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) | 03/12/2009 | $5,590 |
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 & 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 01/13/2011.
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
Properly Working Alarms on Sprinkler Valves.
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Building Construction
Approved Construction Type or Materials.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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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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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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Exits That Are Accessible at All Times.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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