Autumn View Health Care Facility, LLC

Autumn View Health Care Facility, LLC

S 4650 Southwestern Blvd

Hamburg, NY 14075

(716) 648-2450

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

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

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: 70%

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 pain0.698644/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened04/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine89.522054/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.550964/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.285174/1/2017
471Percentage of short-stay residents who made improvements in function58.258614/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased7.389164004/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.315712004/1/2017
403Percentage of high risk long-stay residents with pressure ulcers3.614459004/1/2017
404Percentage of long-stay residents who lose too much weight3.271030004/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder29.357798004/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.523448004/1/2017
407Percentage of long-stay residents with a urinary tract infection2.024921004/1/2017
408Percentage of long-stay residents who have depressive symptoms0.161290004/1/2017
409Percentage of long-stay residents who were physically restrained0.311526004/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury1.713395004/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.285714004/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000000004/1/2017
419Percentage of long-stay residents who received an antipsychotic medication8.722741004/1/2017
451Percentage of long-stay residents whose ability to move independently worsened11.402855004/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication20.716510004/1/2017

Complaints

Number of Standard Health Deficiencies:10
Number of Live Safety Code Deficiencies:14
Number of Total Deficiencies:24
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):41
Intakes received per 100 occupied beds (last three years):18.8
Percent of total intakes received that were facility self reported incidents (last three years):39
On-site complaint investigations (last three years):14
Complaint investigations resulting in citations (last three years):0
Complaint investigations resulting in citations per 100 occupied beds (last three years):0.0
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
Complaint Citations in deficiency category: Resident Rights:0
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):0

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/8/2014Certification2
11/23/2015Certification2
12/22/2016Certification2
8/14/2013Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
LSCPORTABLE FIRE EXTINGUISHERS2210/11/2013
LSCPORTABLE FIRE EXTINGUISHERS2210/11/2013
LSCHAZARDOUS AREAS - SEPARATION2210/11/2013
LSCEXIT SIGNS2210/11/2013
LSCHAZARDOUS AREAS - SEPARATION2210/11/2013
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS2110/11/2013
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS2110/11/2013
HealthMEDICATION ERROR RATES OF 5% OR MORE2110/11/2013
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/11/2013
HealthMEDICATION ERROR RATES OF 5% OR MORE2112/1/2014
LSCCORRIDOR DOORS2212/1/2014
LSCCORRIDOR DOORS2212/1/2014
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.1212/1/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2112/1/2014
LSCEMERGENCY PLAN2212/1/2014
LSCEMERGENCY PLAN2212/1/2014
LSCDOORS IN SMOKE PARTITIONS2112/4/2015
LSCMEDICAL GAS SYSTEM2212/4/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS222/18/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS212/18/2017
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS122/18/2017
LSC212/18/2017
LSC222/18/2017
LSC222/18/2017