Brian Ctr Health & Rehabi Hick - Hickory Nursing Home
General Information
UPDATEFederal Provider Number
345232
Provider Name
BRIAN CTR HEALTH & REHABI HICK
Provider Address
3031 TATE BOULEVARD SE
HICKORY, NC 28602
HICKORY, NC 28602
Provider Phone Number
(828) 322-3343
Provider SSA County
170
Provider County Name
Catawba
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC HICKORY EAST OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1982-12-01
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.06842
Reported LPN Staffing Hours per Resident per Day
0.78647
Reported RN Staffing Hours per Resident per Day
0.56617
Reported Licensed Staffing Hours per Resident per Day
1.35263
Reported Total Nurse Staffing Hours per Resident per Day
3.42106
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03609
Expected CNA Staffing Hours per Resident per Day
2.33971
Expected LPN Staffing Hours per Resident per Day
0.67135
Expected RN Staffing Hours per Resident per Day
1.14422
Expected Total Nurse Staffing Hours per Resident per Day
4.15528
Adjusted CNA Staffing Hours per Resident per Day
2.16919
Adjusted LPN Staffing Hours per Resident per Day
0.97233
Adjusted RN Staffing Hours per Resident per Day
0.36972
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31866
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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