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Brian Center Nursing Care - St Andrews

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Reviews
Overall Rating 3.8 / 5.0 ★★★★★

  • ★★★★★ 3 weeks ago

    Great facility!! The staff is ALWAYS polite and professional. Diane,Shirley, Josette, Ms. Kathy, Sheila, & Ms. Mack, Mrs. Nancy , I truly can't enough about The Staff or facility..

  • ★★★★★ 3 months ago

    Let's start off by saying Brian Center Nursing Care of St.Andrews is NOT the fanciest or most modern of facilities. Their current ownership group Choice, took over a few years back and haven't had "esthetics" and "appearance" as their top priorities. Pretty much what has been said about few activities is correct. Sitting in rocking chairs on nice days out front OR observing the hyper-active trigger fish in their huge salt water acquarium is about it. They do have other activities BUT let's be frank. This is NOT an assisted living facility OR even one for quick in-and-out rehab. Most of the residents are long-term skilled nursing and have limited abilities or interest in much. The halls are narrow with avocado carpeting that is in need of immeadiate replacement. (It is too stained to clean). People come and disappear out of tiny little offices and the nurses stations are physically, not well-designed to get around. The rooms are TINY and if you want your loved one to watch tv, they have cable, but you have to provide your own set. I suggest nothing fancy OR too large as the semi-private rooms are very small with limited closet and shelf space.There are windows in each room with views of the woods outside SO atleast residents can see the sunshine. The only other issue the home has is their telephone system. Choice is looking into replacing and improving that. It's difficult to reach some folks during regular business hours and at night, FORGET it, NOW, that I've gotten all the bad physical facility issues out of the way, the care is good. The staff has to be extrememly dedicated to do their job in such less than desirable conditions. OH, the heat and air work, and the rooms are clean (even if the aforementioned carpeting in areas isn't). The rooms use old fashioned crank hospital beds that work just fine. The staff is constantly checking on your well-being. They have alot on their plate to handle BUT do their job well! AS far as I could tell, they do not restrain NOR do they over-medicate their residents as some "fancier places" do. That means some of their dementia patients might be a bit "loud"..I make it sound worse than it is. AND as I mentioned before, they don't have bingo OR gardening classes BUT they do have wonderfully kind and loving staff to come around and individually check on each and every resident sometimes multiple times a day. Sometimes they sing to the less than responsive residents, Simple yes, BUT truly heart felt. Let me finish my evaluation with this "global" statement. South Carolina as a state is down there near the bottom when it comes to overall nursing home care. Reason being, alot of the homes pay into a very powerful state and federal lobbying group. Whenever the DSS/HHS or DHEC wants to enforce national standards, this lobby fights them tooth and nail. Many of the less wealthy OR smaller homes seem to get the most violations/cracked down upon, mostly for miniscule paper-work errirsm because they aren't the HUGE government-run homes OR part of a massive national chain. My Mom's visit to Brian Center wasn't her first trip to the Old Folks Rodeo. She came to Brian Center after enduring over 8 YEARS at a county-run home which just happens to be the LARGEST in 3 states (NC, SC, and GA). That home with over 450 residents NEVER got a writeup of any kind much less a fine. It was even shown that home also never got a "suprise inspection". Hint Hint. My mom was overmedicated, developed TWICE 4th degree bed sores, spent months in the hospital for different things let go out of hand, and IF you ever toured their SPLENDID LOOKING facility, good LUCK finding even a cna!.For the short time my Mom was there at Brian, she improved greatly!. Fancy ain't what you need. Clean and Caring is what you do need and Brian provided it. The ONLY reason I moved her is that another Medicaid Bed opened up in a nursing home 15 miles from where I live SO I can (and DO) visit her daily.SO the key to good care is frequent visitation and riding your state reps to improve via legislation and enforcement!

  • ★★★★★ 8 months ago

    The staff is friendly, the place is clean, and the care of the individual needs is great. The organization of the doctor appointments needs great improvement. Communication between schedulers at first and the nursing staff and transport seem to be a struggle for a little while. Otherwise it was a great place for mom and she loved that I can bring in her puppies to visit.

  • ★★★★★ 8 months ago

    Barely passing. I would never use them again. Only the therapists were Johnny on the spot and team players for my husband who said take me home I want to die there. And that is what we did. I only wish we could have afforded a better place.

  • ★★★★★ 10 months ago

    Not fit for your loved one to live here!!! This location is under staffed & are not equipped with the medical supplies needed for normal daily care. They also do not have enough skilled nurses or tech's to manage the residents they have. The website says they provide memory care but that is false!!! It seems as if they hire people without a certification or degree for the positions needed, that should have the proper knowledge to care for the residents. My mom was at this location for about 1 year & she was in and out of the hospital several times due to poor care from this facility. If the resident has an medical illness and needs to be set out to the hospital, the doctor that is over this facility hesitate's about sending the resident out because they will not make money for the days that bed is not filled. I feel sorry for the residents that have to stay there because they are not properly cared for. When there is a shift change the nurse's & tech are not required to give an update or report on the residents they are caring for, so no one is on the same sheet of music. The meal plan they have for the residents are not a balance diet & if you are on a soft diet the food looks and taste like slop. There is a limit amount of activities offered for the residents that are mobile, so they are left either lying in their bed or sitting in a chair in the lobby with no interaction. I will never recommend this facility to anyone.

About Brian Center Nursing Care - St Andrews

General Information

Legal Business NameBrian Center/St. Andrews, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 23, 1979 (39 years)
Capacity120
Residents90
Percent Occupied75%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Brian Center Nursing Care - St Andrews

Brian Center Nursing Care - St Andrews
was reviewed by to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of South Carolina Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 31, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

May 1, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brian Center Nursing Care - St Andrews require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 25min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
25min
55min
ReportedExpected
RN
3hr 10min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.7%
96.2%
96.2%
96.2%
94.3%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
97.4%
100.0%
100.0%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
35.5%
37.5%
48.3%
63.6%
53.9%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of low risk long-stay residents who lose control of their bowels or bladder
28.8%
25.4%
22.7%
18.3%
26.4%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents who received an antianxiety or hypnotic medication
24.4%
36.5%
37.6%
25.3%
19.5%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents whose ability to move independently worsened
25.0%
31.3%
30.0%
26.0%
14.3%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents who received an antipsychotic medication
34.5%
19.4%
27.3%
27.1%
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents whose need for help with daily activities has increased
5.2%
0.0%
3.5%
17.1%
6.5%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents who self-report moderate to severe pain
9.7%
5.6%
1.4%
2.3%
8.6%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents who lose too much weight
8.9%
11.5%
8.9%
10.1%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents who have depressive symptoms
9.1%
10.7%
7.9%
5.7%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents with a urinary tract infection
3.9%
1.3%
1.2%
1.1%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents experiencing one or more falls with major injury
0.9%
5.6%
4.3%
1.5%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

90.7%
92.7%
87.8%
81.0%
83.6%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.2%
87.5%
87.5%
87.5%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
52.2%
62.9%
65.1%
68.8%
62.8%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of short-stay residents who made improvements in function
4.3%
7.6%
6.6%
10.0%
14.5%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of short-stay residents who self-report moderate to severe pain
2.0%
3.7%
1.8%
2.7%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of short-stay residents who newly received an antipsychotic medication
1.1%
1.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016SC
Percentage of short-stay residents with pressure ulcers that are new or worsened



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