BRIAN CTR HEALTH & REHABI HICK

Nursing Home Inspector

3031 TATE BOULEVARD SE
HICKORY, NC 28602
Catawba County
Phone: 828-322-3343
Provider Number: 345232
Last Inspection: 05/04/2017

About the Nursing Home

Number of Beds: 150
Number of Residents: 136
Beds Available: 14
Percent Occupancy: 91%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

0

Facility
10

County
14

NC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
12

2016
47

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

3/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 4/6/2016
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 4/6/2016
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 4/6/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 4/6/2016
 

4/24/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 5/22/2015
 
Failed To: Let residents use stationery, postage, and writing materials at the residents' own expense. Isolated : Minimal 3 5/22/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 5/22/2015
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 7/23/2015
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Immediate 5 7/23/2015
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Minimal 4 5/22/2015
 
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 5/22/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/22/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/22/2015
 
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated : Minimal 3 5/22/2015
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 5/22/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 5/22/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/23/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

7/14/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/11/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 8/11/2016
 

7/23/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 8/17/2015
 

5/29/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Immediate 5 7/23/2015
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Immediate 5 7/23/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NC State Avg
Number of Residents 136 109.83 84.96
Registered Nurses 0.58 0.72 0.72
Licensed Practical / Vocational Nurses 0.72 0.72 0.87
Certified Nursing Assistants 2.03 2.79 2.33
Total Staff Hours 3.33 4.23 3.91

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NC State Avg%
of high risk long-stay residents with pressure ulcers 9 5 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 74 93 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85 96 93
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 9 3 2
of long-stay residents who lose too much weight 10 8 8
of long-stay residents who received an antianxiety or hypnotic medication 47 36 29
of long-stay residents who received an antipsychotic medication 16 15 13
of long-stay residents who self-report moderate to severe pain 2 4 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 31 22 23
of long-stay residents whose need for help with daily activities has increased 19 13 18
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 9 5 4
of low risk long-stay residents who lose control of their bowels or bladder 45 64 55
of short-stay residents assessed and appropriately given the pneumococcal vaccine 54 86 83
of short-stay residents who had an outpatient emergency department visit 15 11 13
of short-stay residents who made improvements in function 69 67 64
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 10 10 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 65 88 81
of short-stay residents who were rehospitalized after a nursing home admission 21 19 20
of short-stay residents who were successfully discharged to the community 58 63 55
of short-stay residents with pressure ulcers that are new or worsened 0 0 0