Brian Center Health & Retirement

Detailed report on the nursing home located in Winston-Salem, North Carolina (NC).

Brian Center Health & Retirement is a small, for-profit, nursing home with 40 beds based at 4911 Brian Center Lane in Winston-Salem, NC. The facility has 38 residents indicating 95% of its beds are occupied, which is about average within this state. The provider participates in the medicare & medicaid programs and provides resident counseling services. The home is not located in a hospital or continuing care retirement community and is fully sprinklered. A total of 83 Medicare patients were given 2,529 days of non-swing bed care and services in 2006, and the provider was reimbursed $674,217 by Medicare. 40 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $40,683 by Medicare for these services.

On a state level, the number of registered nurse hours per resident per day is average. Certified nursing assistant hours per resident per day is much higher than average. The number of licensed practical or vocational nurse hours per resident per day is average. Licensed staff hours per resident per day is average.

When compared to other nursing homes in the state, it is more likely for short-stay residents to be given a influenza vaccination at Brian Center Health & Retirement.

When compared to other nursing homes in the state, it is less likely for short-stay residents to be given a pneumococcal vaccination, short-stay residents to have delirium, short-stay residents to have moderate to severe pain, and short-stay residents to have pressure sores.

Overall Rating

Rated 2.00 out of 5 from 1 User Review

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Quality of Care Rating

Rated 1.00 out of 5 on this user rated measure.

Staff Rating

Rated 2.00 out of 5 on this user rated measure.

Facility Rating

Rated 3.00 out of 5 on this user rated measure.

Promptness Rating

Rated 1.00 out of 5 on this user rated measure.

Ownership Type

For-Profit - Corporation

Multiple Ownership

Yes

Address

4911 Brian Center Lane
Winston-Salem, NC 27106

Phone Number

(336) 744-5674

Geographic Coordinates

36.159875, -80.292499

* The accuracy of these coordinates is at a address level.

Programs Accepted

Medicare & Medicaid

Counseling Available

Resident

Sprinkler System

The amount of the facility that is sprinklered. All fire code regulations at different locations must be met.

Fully Sprinklered

Beds

The total number of beds the facility operates. Each resident is assigned to a single bed.

This Provider: 40
Winston-Salem Average: 121
Forsyth County Average: 119
North Carolina Average: 103
United States Average: 106

Beds Occupied

The percentage of total beds that are occupied by residents.

This Provider: 95.00%
Winston-Salem: 80.20%
Forsyth County: 81.17%
North Carolina: 86.71%
United States: 84.18%

Residents

The total number of residents residing at the facility.

This Provider: 38
Winston-Salem Average: 98
Forsyth County Average: 97
North Carolina Average: 90
United States Average: 90

Located in a Hospital

Indicates whether the facility is located within a hospital.

This Provider: No
Winston-Salem: 1 (10.00%)
Forsyth County: 1 (8.33%)
North Carolina: 37 (8.77%)
United States: 1,271 (8.03%)

Located in a CCRC

Indicates whether the facility is located within a continuing care retirement community.

This Provider: No
Winston-Salem: 2 (20.00%)
Forsyth County: 2 (16.67%)
North Carolina: 37 (8.77%)
United States: 1,255 (7.93%)

Recent Surveys

07/26/2007 - Fire Safety Survey
06/14/2007 - Health Survey
06/15/2006 - Fire Safety Survey
05/09/2006 - Health Survey
07/14/2005 - Fire Safety Survey
06/02/2005 - Health Survey

Discuss Review (1)

Directions

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Staff

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RN Hours Per Resident

The average number of registered nurse hours per resident per day.

This Provider: 0.71
Winston-Salem Average: 1.00
Forsyth County Average: 0.88
North Carolina Average: 0.68
United States Average: 0.64

CNA Hours Per Resident

The average number of certified nursing assistant hours per resident per day.

This Provider: 3.20
Winston-Salem Average: 2.13
Forsyth County Average: 2.07
North Carolina Average: 2.34
United States Average: 2.34

LPNLVN Hours Per Resident

The average number of licensed practical or vocational nurse hours per resident per day.

This Provider: 0.89
Winston-Salem Average: 0.91
Forsyth County Average: 0.83
North Carolina Average: 0.86
United States Average: 0.79

Licensed Staff Hours Per Resident

The average number of licensed staff hours per resident per day.

This Provider: 1.60
Winston-Salem Average: 1.91
Forsyth County Average: 1.72
North Carolina Average: 1.54
United States Average: 1.43

Quality Measures

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Long-Stay Residents Given Influenza Vaccination

The percentage of long-stay residents given influenza vaccination during the flu season.

This Provider: 95.00%
Winston-Salem: 88.89%
Forsyth County: 89.36%
North Carolina: 85.33%
United States: 86.01%

Long-Stay Residents Whose Need for Help With Daily Activities Has Increased

The percentage of long-stay residents whose need for help with daily activities has increased.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

High-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of high-risk long-stay residents who have pressure sores.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Were Physically Restrained

The percentage of long-stay residents who were physically restrained.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Low-Risk Long-Stay Residents Who Lose Control of Their Bowels

The percentage of low-risk long-stay residents who lose control of their bowels or bladder.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Spend Most of Their Time in Bed

The percentage of long-stay residents who spend most of their time in bed or in a chair.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents With a Urinary Tract Infection

The percentage of long-stay residents with a urinary tract infection.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Short-Stay Residents Given Influenza Vaccination

The percentage of short-stay residents given influenza vaccination during the flu season.

This Provider: 95.00%
Winston-Salem: 76.33%
Forsyth County: 77.91%
North Carolina: 69.54%
United States: 72.85%

Short-Stay Residents With Delirium

The percentage of short-stay residents with delirium.

This Provider: 0.00%
Winston-Salem: 2.67%
Forsyth County: 2.55%
North Carolina: 1.83%
United States: 2.12%

Short-Stay Residents With Pressure Sores

The percentage of short-stay residents with pressure sores.

This Provider: 5.00%
Winston-Salem: 11.11%
Forsyth County: 11.09%
North Carolina: 15.39%
United States: 17.46%

Long-Stay Residents Given Pneumococcal Vaccination

The percentage of long-stay residents who were assessed and given pneumococcal vaccination.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Have Moderate to Severe Pain

The percentage of long-stay residents who have moderate to severe pain.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Low-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of low-risk long-stay residents who have pressure sores.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who are More Depressed or Anxious

The percentage of long-stay residents who are more depressed or anxious.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Have Catheter Inserted and Left

The percentage of long-stay residents who have/had a catheter inserted and left in their bladder.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Whose Ability to Move Around Their Room Got Worse

The percentage of long-stay residents whose ability to move about in and around their room got worse.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Lose Too Much Weight

The percentage of long-stay residents who lose too much weight.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Short-Stay Residents Given Pneumococcal Vaccination

The percentage of short-stay residents who were assessed and given pneumococcal vaccination.

This Provider: 45.00%
Winston-Salem: 72.11%
Forsyth County: 73.82%
North Carolina: 67.95%
United States: 73.02%

Short-Stay Residents Who Had Moderate to Severe Pain

The percentage of short-stay residents who had moderate to severe pain.

This Provider: 12.00%
Winston-Salem: 17.56%
Forsyth County: 17.73%
North Carolina: 17.87%
United States: 20.65%

Treatment Figures

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Non-Swing Bed Patients

The number of non-swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: 83
Winston-Salem Average: 129
Forsyth County Average: 120
North Carolina Average: 139
United States Average: 133

Non-Swing Bed Patient Discharges

The number of non-swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: 67
Winston-Salem Average: 111
Forsyth County Average: 104
North Carolina Average: 115
United States Average: 124

Non-Swing Bed Utilization Days

The number of days of non-swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: 2,529
Winston-Salem Average: 4,342
Forsyth County Average: 4,166
North Carolina Average: 4,920
United States Average: 4,470

Outpatients

The number of outpatients treated by this provider that were covered by Medicare Part B in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider: 40
Winston-Salem Average: 2,818
Forsyth County Average: 2,358
North Carolina Average: 363
United States Average: 301

Financials

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Medicare Non-Swing Bed Payments

The total non-swing bed associated Medicare Part A payments made to this provider in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $674,217
Winston-Salem Average: $1,031,372
Forsyth County Average: $982,637
North Carolina Average: $1,307,606
United States Average: $1,318,701

Medicare Payments Per Non-Swing Bed Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $267
Winston-Salem Average: $238
Forsyth County Average: $236
North Carolina Average: $266
United States Average: $295

Medicare Outpatient Payments

The total outpatient associated Medicare Part B payments made to this provider in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider: $40,683
Winston-Salem Average: $1,976,881
Forsyth County Average: $1,653,673
North Carolina Average: $298,472
United States Average: $266,523

Medicare Payments Per Non-Swing Bed Patient

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $8,123
Winston-Salem Average: $8,001
Forsyth County Average: $8,211
North Carolina Average: $9,438
United States Average: $9,943

Medicare Payments Per Non-Swing Bed Patient Discharge

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $10,063
Winston-Salem Average: $9,292
Forsyth County Average: $9,448
North Carolina Average: $11,347
United States Average: $10,652

Medicare Payments Per Outpatient

The average Medicare payments made to this provider per Medicare Part B covered outpatient in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider: $1,017
Winston-Salem Average: $702
Forsyth County Average: $701
North Carolina Average: $821
United States Average: $885

Deficiencies

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07/26/2007 - Exits and Egress

Type:: Fire Safety
Category:: Exits and Egress
Issue:: exits that are accessible at all times.
Found Via:: Survey
Scope:: Widespread
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 07/26/2007
Date Fixed:: 08/24/2007

07/26/2007 - Furnishings and Decorations

Type:: Fire Safety
Category:: Furnishings and Decorations
Issue:: exits that are free from obstructions and can be used at all times.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 07/26/2007
Date Fixed:: 08/24/2007

06/14/2007 - Quality Care

Type:: Health
Category:: Quality Care
Issue:: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/14/2007
Date Fixed:: 07/12/2007

06/14/2007 - Environmental

Type:: Health
Category:: Environmental
Issue:: Provide needed housekeeping and maintenance.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/14/2007
Date Fixed:: 07/12/2007

06/14/2007 - Nutrition and Dietary

Type:: Health
Category:: Nutrition and Dietary
Issue:: Store, cook, and give out food in a safe and clean way.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/14/2007
Date Fixed:: 07/12/2007

06/14/2007 - Pharmacy Service

Type:: Health
Category:: Pharmacy Service
Issue:: Make sure that residents are safe from serious medication errors.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/14/2007
Date Fixed:: 07/12/2007

06/15/2006 - Hazardous Area

Type:: Fire Safety
Category:: Hazardous Area
Issue:: properly installed hallway dispensers for alcohol-based hand rub.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/15/2006
Date Fixed:: 08/25/2006

06/15/2006 - Smoke Compartmentation and Control

Type:: Fire Safety
Category:: Smoke Compartmentation and Control
Issue:: walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/15/2006
Date Fixed:: 08/25/2006

06/15/2006 - Automatic Sprinkler Systems

Type:: Fire Safety
Category:: Automatic Sprinkler Systems
Issue:: an approved automatic sprinkler system connected to the fire alarm system.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/15/2006
Date Fixed:: 08/25/2006

05/09/2006 - Quality Care

Type:: Health
Category:: Quality Care
Issue:: Give professional services that meet a professional standard of quality.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 05/09/2006
Date Fixed:: 06/06/2006

05/09/2006 - Resident Assessment

Type:: Health
Category:: Resident Assessment
Issue:: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 05/09/2006
Date Fixed:: 07/06/2006

05/09/2006 - Resident Assessment

Type:: Health
Category:: Resident Assessment
Issue:: Check and update (if needed) each resident's assessment every 3 months.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 05/09/2006
Date Fixed:: 06/06/2006

06/02/2005 - Environmental

Type:: Health
Category:: Environmental
Issue:: Make sure that the nursing home area is free of dangers that cause accidents.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/02/2005
Date Fixed:: 06/27/2005

06/02/2005 - Pharmacy Service

Type:: Health
Category:: Pharmacy Service
Issue:: Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 06/02/2005
Date Fixed:: 06/27/2005

Reviews and Ratings

(Details have not been substantiated)

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A Review by Anonymous

Overall:
Care:
Staff:
Facility:
Promptness:
Insurance:: Blue Cross / Blue Shield
Details:: Patient was to have ground food and was given a regular diet. Patient fell several times and when pain was reported, patient was told it was all in the mind - nothing was wrong. Patient had the same sheets on the bed for 14 days in a row. A bottle of open urine from roommate sat on the floor of the room the entire day. Nursing staff asked patient's spouse where to put a medication patch on the patient. Office staff constantly badgered family for payment after family explained that payment for services supposedly rendered was on the way. Therapy staff was excellent.
Member:: Anonymous
Date:: Tuesday, July 01, 2008 1:33 PM MST

Discussions

(Details have not been substantiated)

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Supplemental

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Last Modified

Monday, July 21, 2008 2:45 PM MST

Indicates the latest change to the core data for this provider. It does not reflect changes from user input, such as reviews and discussions.

Disclosure

CiteHealth is not associated with Brian Center Health & Retirement or Brian Ctr Health & Retirement. We do not endorse, sponsor, or take financial incentives from this provider.

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Winston-Salem at a Glance

Winston-Salem has a total population of 185,776, of which 43,365 are children under the age of 18 and 25,404 are seniors 65 and older. The median age is 34.6.

Total Population:: 185,776
Median Age:: 34.6
Males:: 87,345 (47.0%)
Female:: 98,431 (53.0%)
Children (0-17):: 43,365 (23.3%)
Adults (18-64):: 117,007 (63.0%)
Seniors (65+):: 25,404 (13.7%)
Age Breakdown:
Married:: 75,938 (40.9%)
Divorced:: 15,444 (8.3%)
Marriage Breakdown:
Hispanic Ethnicity:: 16,043 (8.64%)
White:: 103,243 (55.57%)
African American:: 68,924 (37.10%)
Asian:: 2,108 (1.13%)
Pacific Islander:: 67 (0.04%)
Indian:: 567 (0.31%)
Other:: 7,965 (4.29%)
Two or More:: 2,902 (1.56%)
Racial Breakdown:

Health

The average number of disabilities per resident is 0.31, which does not include institutionalized individuals.

Disabilities:: 0.31 (Per Capita)
Dialysis Centers:: 4
Doctors:: 2,190
Home Agencies:: 7
Hospitals:: 3
Nursing Homes:: 10
Medical Suppliers:: 99
Rehab Centers:: 10

Wealth

The median family income is $46,595 while the median household income is $37,006. Roughly 14.43% of the population live in poverty.

Family Income:: $46,595
Household Income:: $37,006
In Poverty:: 14.43%

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