Brian Ctr Hlth & Rehabilitatio - Wallace Nursing Home
General Information
UPDATEFederal Provider Number
345323
Provider Name
BRIAN CTR HLTH & REHABILITATIO
Provider Address
647 S RAILROAD STREET BOX 966
WALLACE, NC 28466
WALLACE, NC 28466
Provider Phone Number
(910) 285-9700
Provider SSA County
300
Provider County Name
Duplin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC WALLACE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1990-08-16
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.72123
Reported LPN Staffing Hours per Resident per Day
0.96370
Reported RN Staffing Hours per Resident per Day
0.61507
Reported Licensed Staffing Hours per Resident per Day
1.57877
Reported Total Nurse Staffing Hours per Resident per Day
3.30000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07808
Expected CNA Staffing Hours per Resident per Day
2.66426
Expected LPN Staffing Hours per Resident per Day
0.69823
Expected RN Staffing Hours per Resident per Day
1.17042
Expected Total Nurse Staffing Hours per Resident per Day
4.53291
Adjusted CNA Staffing Hours per Resident per Day
1.58520
Adjusted LPN Staffing Hours per Resident per Day
1.14557
Adjusted RN Staffing Hours per Resident per Day
0.39266
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93453
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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