BRIAN CENTER NURSING CARE-ALLEGHANY

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 Brian Center Nursing Care-Alleghany. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care Low

Clinically Complex

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 10/21/2010.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/07/2009 Correction Date: 11/10/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Keep Adequate and Comfortable Lighting in All Areas. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 08/28/2008 Correction Date: 10/10/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/28/2008 Correction Date: 10/10/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/28/2008 Correction Date: 10/10/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/07/2009 Correction Date: 11/10/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/07/2009 Correction Date: 11/10/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
Do an Assessment of the Resident Every Year. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
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: 08/28/2008 Correction Date: 10/10/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
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: 08/28/2008 Correction Date: 10/10/2008
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
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: 10/07/2009 Correction Date: 11/10/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 08/28/2008 Correction Date: 10/10/2008
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: 10/07/2009 Correction Date: 11/10/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/07/2009 Correction Date: 11/10/2009

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 Nursing Care-Alleghany 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 10/21/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 09/11/2008 Correction Date: 10/29/2008
Approved Construction Type or Materials. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 09/11/2008 Correction Date: 10/29/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/11/2008 Correction Date: 10/29/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 10/22/2009 Correction Date: 11/04/2009