Autumn View Health Care Facility, LLC

Autumn View Health Care Facility, LLC

S 4650 Southwestern Blvd

Hamburg, NY 14075

7166482450

www.mcguiregroup.com/autumn%20view%20page.html

Services: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy, Respite Care (Short Term)

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:230
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:230

Administrative

Ownership: Proprietary--LLC

Operated by: Autumn View Health Care Facility, LLC
560 Delaware Avenue, Suite 400
Buffalo, NY 14202

Permanent Facility Identifier: 2956

Operating Certificate: 1430301N

Medicaid Certified

Medicare Certified

Medicare Number: 335662

Statistics

Employee Flu Vaccination Rate: 93%

Occupancy Rate: 94%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain0.10002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.00002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine97.71002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.55002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.39002/1/2019
471Percentage of short-stay residents who made improvements in function92.94002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased6.41002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain0.00002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers3.70002/1/2019
404Percentage of long-stay residents who lose too much weight2.55002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder6.58002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.15002/1/2019
407Percentage of long-stay residents with a urinary tract infection1.27002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.16002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.37002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.28002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.84002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication9.95002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened4.50002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication19.33002/1/2019

Complaints

Number of Standard Health Deficiencies:9
Number of Live Safety Code Deficiencies:12
Number of Total Deficiencies:21
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:0
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :0
Total intakes received (last three years):56
Intakes received per 100 occupied beds (last three years):25.8
Percent of total intakes received that were facility self reported incidents (last three years):52
On-site complaint investigations (last three years):18
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):0.5
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
Complaint Citations in deficiency category: Resident Rights:1
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):1

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
11/23/2015CERTIFICATION/COMPLAINT2
12/22/2016CERTIFICATION/COMPLAINT2
4/16/2018CERTIFICATION/COMPLAINT2
5/17/2018COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthBASELINE CARE PLAN114/16/2018
HealthPOSTED NURSE STAFFING INFORMATION114/16/2018
LSCLIFE SAFETY CODE STANDARD2111/23/201512/4/2015
LSCLIFE SAFETY CODE STANDARD2211/23/201512/4/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2112/22/20162/18/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2212/22/20162/18/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE1212/22/20162/18/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2212/22/20162/18/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG2212/22/20162/18/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING2112/22/20162/18/2017
HealthACTIVITIES MEET INTEREST/NEEDS EACH RESIDENT214/16/20185/14/2018
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN214/16/20185/14/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE224/16/20185/14/2018
LSCEGRESS DOORS224/16/20185/14/2018
LSCELECTRICAL SYSTEMS - OTHER224/16/20185/14/2018
LSCGAS EQUIPMENT - OTHER224/16/20185/14/2018
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG214/16/20185/14/2018
LSCSMOKING REGULATIONS214/16/20185/14/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING224/16/20185/14/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE224/16/20185/14/2018
HealthFREE FROM ABUSE AND NEGLECT215/17/20186/18/2018