Brian Center Health & Rehab/Spruc: Nursing Home OverviewSkip to content

Brian Center Health & Rehab/Spruc

  • Nursing Home

Updated Nov 1, 2023 by Nick Reese

Historical Rating
Grade: F
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: CJun 19: CJul 19: B-Aug 19: B-Sep 19: B-Jan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-Sep 20: B-Oct 20: B-Nov 20: B-Jan 21: B-Feb 21: B-Mar 21: BApr 21: B+May 21: B+Jun 21: BJul 21: BAug 21: BSep 21: BOct 21: B-Nov 21: B-Jan 22: B-Feb 22: B-Mar 22: B-Apr 22: BMay 22: BJun 22: BAug 22: BSep 22: BOct 22: B+Nov 22: DJan 23: FFeb 23: FMar 23: FApr 23: FJun 23: FJul 23: FAug 23: FSep 23: FOct 23: FNov 23: F
See Rating Overview

218 Laurel Creek Court,
Spruce Pine NC 28777

(828) 765-7312

71.73% estimated occupancy 1

Brian Center Health & Rehab/Spruc is a facility located in Spruce Pine, North Carolina, a city with a total of 10,638 people. We gave this facility an F, which is definitely concerning in our grading scheme. This facility did not have much going for it. We would not blame you if you are ready to stop reading and find another nursing home. However, if you want to learn more about this place's category grades, short-term care grades are discussed in the next paragraph.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation
  • Offers Hospice
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Speech Therapy
  • Stroke Recovery
  • Amputee Recovery
  • Dentistry
  • Wound Care
  • Occupational Therapy
  • Cardiac Therapy
  • Podiatry
  • Diabetes Management
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Pharmacy
  • Laboratory
  • X-Ray
  • Recreational Therapy
  • Pain Management

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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January
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February
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Short-term Care Quality

Grade: D

Neither this nursing home's overall grade nor its category scores gave us anything positive to point out. Its best category was short-term care, but even there it received a D. This is still a weak grade. Our short-term care grades are based on a facility's quantity of highly-skilled nursing services. This means a broad scope of services, ranging from registered nurses to physical and speech therapists, in addition to other types of therapy. Not surprisingly, we discovered that this facility provides substantially less physical therapist and registered nurse hours per resident than a typical facility. Lastly, we assessed the number of residents who were able to return to the community from this nursing home. This wasn't a strength for this facility. We found that just 5.1 percent of this facility's patients returned home. At most facilities, about half of their patients are able to return home so this is well below average.

Facility Inspections

Grade: F

We also wanted to draw your attention to this nursing home's inspection grades where it received an F. This generally means we found some red flags on the inspection reports. For nursing homes with bad inspection scores, you should focus on any severe deficiencies found on their inspection reports. This facility was hit with 4 deficiencies by government inspectors. The only favorable thing we can say is that none of these deficiencies were in the categories that indicate that they created a risk to patient health or safety. Finally, we would like to draw your attention to the fact that this place was assessed significant government fines totaling over $100,000. This typically indicates that a poor performance has been an issue for more than one year.

Nurse Quality

Grade: F

This facility ended up receiving rock bottom score in our nursing category. It received an F in this category. Our nursing rating assesses several datapoints, but the main one is the number of nurse hours per patient per week. This place offered just 0.3 hours of nursing care per patient per day. This is not a very impressive figure. Finally, we also looked at some nursing quality measures in calculating our nursing scores. This nursing home fared well in the area of avoiding major falls and pressure ulcers. We consider these metrics to be reliable indicators of the quality of nursing care.

Long-term Care Quality

Grade: F

The next category we graded is long-term care. We gave it an abysmal F for this category, which is a very poor grade. Facilities that do not fare well in long-term care typically are not as well-staffed and are lagging in a few of the areas of routine healthcare services we assessed. Once we assessed the quantity of nursing care, we then looked at the nursing home's vaccination statistics. Candidly, we were a bit worried that this facility vaccinated just 65.57971 percent of its patients against pneumonia. To our surprise, this facility was actually decent at keeping its patients out of the hospital. In fact, it had only 0.01 hospitalizations per one thousand long-term resident days. This is its best feature in this category.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

Brian Center Health & Rehab/Spruc Quality Metrics

Minimizes Pressure Ulcers

Grade: D

In Brian Center Health & Rehab/Spruc, 15.2% of Patients had Pressure Ulcers

This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers, also known as bed sores, are often caused by residents staying in one position for too long. Better nursing protocols can reduce the percentage of residents in a nursing home who sustain pressure ulcers.

Minimizes Serious Falls

Grade: A

In Brian Center Health & Rehab/Spruc, 1.45% of Patients had Serious Falls

This indicates the percentage of residents that sustained a major fall. Falls resulting in serious injury are often caused by lower quality nursing care. Closer supervision can limit the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: B-plus

In Brian Center Health & Rehab/Spruc, 1.09% of Patients had UTIs

This tells you the percentage of residents that sustained a urinary tract infection. Urinary tract infections are often associated with worse hygiene protocols. Better hygiene protocols can reduce the number likelihood of residents sustaining infections. We want to point out that this metric is sometimes skewed by the fact that nursing homes have incongruent reporting standards for these infections.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Brian Center Health & Rehab/Spruc, 11.61% of Patients use Anti-Psychotic Medication

This is the percent of patients who were prescribed antipsychotic drugs. While antipsychotic drugs may be vital to many residents, it is important to make sure these medications are being used only where medically required. In some situations, high levels of antipsychotic drug use may suggest that a nursing home is using these drugs to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: C

In Brian Center Health & Rehab/Spruc, 23.64% of Patients use Anti-Anxiety Medication

This indicates the percent of residents who were prescribed antianxiety drugs. These drugs are generally given to patients experiencing anxiety and depression.

Managing Depression Among Residents

Grade: B-plus

In Brian Center Health & Rehab/Spruc, 1.63% of Patients

This indicates the percent of patients showing symptoms of depression. Increased levels of depression may be a sign worse patient care.

Appropriate Vaccine Usage

Grade: F

In Brian Center Health & Rehab/Spruc, 71.87% of Patients

This is a measure of the percent of long-term residents that were administered the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for nursing home residents, making these vaccines vital to patient safety.

Residents Maintain Autonomy

Grade: B-plus

In Brian Center Health & Rehab/Spruc, 12.39% of Patients

This datapoint measures the percentage of long-term stay residents who required additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and taking a bath. Some believe this is a measure of a resident's well-being.

Ability to Keep Residents Mobile

Grade: B-minus

In Brian Center Health & Rehab/Spruc, 14.29% of Residents

This is the percent of patients who remained mobile levels over time. Optimizing mobility can be a great sign for residents' health.

Hospitalizations

Grade: B-plus

In Brian Center Health & Rehab/Spruc, 0.01 Hospitalizations per 1,000 resident days

This is a measure of the number of times residents are hospitalized per 1,000 days of patient care.

Short-term Care: Rehospitalizations

Grade: B-plus

In Brian Center Health & Rehab/Spruc, 14.29% of Residents Rehospitalized

This is the number of rehospitalizations per thousand days of short-term care. There is usually a correlation between having fewer hospitalizations and the quality of rehabilitation services.

Short-term Care: ER Visits

Grade: D

In Brian Center Health & Rehab/Spruc, 17.57% of Patients

This is the number of emergency room visits per thousand days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: B

In Brian Center Health & Rehab/Spruc, 79.81% of Resident

Measures the percentage of short-term stay residents that saw functional improvements.

Nearby Hospitals

  • Blue Ridge Regional HospitalCritical Access Hospitals 1.33 miles away125 Hospital Dr Spruce Pine North Carolina 28777Voluntary non-profit - Private(828) 765-4201
  • Charles a Cannon Jr Memorial HospitalCritical Access Hospitals 16.02 miles away434 Hospital Drive Linville North Carolina 28646Voluntary non-profit - Private(828) 737-7000
  • Mission Hospital McdowellAcute Care Hospitals 17.02 miles away430 Rankin Drive P O Box 730 Marion North Carolina 28752Voluntary non-profit - Private(828) 659-5000

Nearby Dialysis

  • Mayland Dialysis Center1.36 miles away575 Altapass Hwy Spruce Pine North Carolina 28777Dialysis Stations: 9 (828) 766-8122
  • Mcdowell County Dialysis16.93 miles away100 Spaulding Road # 2 Marion North Carolina 28752Dialysis Stations: 13 (828) 659-9790

Helpful Articles

Footnotes:

  1. https://www.medicare.gov/nursinghomecompare/profile.html#ID=345270