Brian Center Health & Rehabilitation/statesville - Statesville Nursing Home
General Information
UPDATEFederal Provider Number
345128
Provider Name
BRIAN CENTER HEALTH & REHABILITATION/STATESVILLE
Provider Address
520 VALLEY STREET
STATESVILLE, NC 28677
STATESVILLE, NC 28677
Provider Phone Number
(704) 873-0517
Provider SSA County
480
Provider County Name
Iredell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
147
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC STATESVILLE BRIAN CENTER OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1974-11-08
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01920
Reported LPN Staffing Hours per Resident per Day
0.80906
Reported RN Staffing Hours per Resident per Day
0.50435
Reported Licensed Staffing Hours per Resident per Day
1.31341
Reported Total Nurse Staffing Hours per Resident per Day
3.33261
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04565
Expected CNA Staffing Hours per Resident per Day
2.50086
Expected LPN Staffing Hours per Resident per Day
0.64483
Expected RN Staffing Hours per Resident per Day
1.13901
Expected Total Nurse Staffing Hours per Resident per Day
4.28470
Adjusted CNA Staffing Hours per Resident per Day
1.98113
Adjusted LPN Staffing Hours per Resident per Day
1.04139
Adjusted RN Staffing Hours per Resident per Day
0.33086
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13521
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-12-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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