Brian Ctr Health & Retirement - Winston-salem Nursing Home
General Information
UPDATEFederal Provider Number
345149
Provider Name
BRIAN CTR HEALTH & RETIREMENT
Provider Address
4911 BRIAN CENTER LANE
WINSTON-SALEM, NC 27106
WINSTON-SALEM, NC 27106
Provider Phone Number
(336) 744-5674
Provider SSA County
330
Provider County Name
Forsyth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC WINSTON-SALEM OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1980-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.34833
Reported LPN Staffing Hours per Resident per Day
1.37167
Reported RN Staffing Hours per Resident per Day
1.58833
Reported Licensed Staffing Hours per Resident per Day
2.96000
Reported Total Nurse Staffing Hours per Resident per Day
7.30833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34667
Expected CNA Staffing Hours per Resident per Day
2.48684
Expected LPN Staffing Hours per Resident per Day
0.73762
Expected RN Staffing Hours per Resident per Day
1.49967
Expected Total Nurse Staffing Hours per Resident per Day
4.72412
Adjusted CNA Staffing Hours per Resident per Day
4.29039
Adjusted LPN Staffing Hours per Resident per Day
1.54346
Adjusted RN Staffing Hours per Resident per Day
0.79138
Adjusted Total Nurse Staffing Hours per Resident per Day
6.23590
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
16575
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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