Brian Center Health & Rehab/he - Hertford Nursing Home
General Information
UPDATEFederal Provider Number
345262
Provider Name
BRIAN CENTER HEALTH & REHAB/HE
Provider Address
1300 DON JUAN ROAD
HERTFORD, NC 27944
HERTFORD, NC 27944
Provider Phone Number
2524265391
Provider SSA County
710
Provider County Name
Perquimans
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC HERTFORD OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1987-07-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96696
Reported LPN Staffing Hours per Resident per Day
0.83125
Reported RN Staffing Hours per Resident per Day
0.89732
Reported Licensed Staffing Hours per Resident per Day
1.72857
Reported Total Nurse Staffing Hours per Resident per Day
3.69553
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06250
Expected CNA Staffing Hours per Resident per Day
2.44359
Expected LPN Staffing Hours per Resident per Day
0.64389
Expected RN Staffing Hours per Resident per Day
1.05930
Expected Total Nurse Staffing Hours per Resident per Day
4.14679
Adjusted CNA Staffing Hours per Resident per Day
1.97510
Adjusted LPN Staffing Hours per Resident per Day
1.07151
Adjusted RN Staffing Hours per Resident per Day
0.63294
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59225
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
650
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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