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: 72%

Occupancy Rate: 96.1%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain0.19007/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.06007/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine94.22007/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.56007/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication0.25007/1/2018
471Percentage of short-stay residents who made improvements in function94.09007/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased7.65007/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain0.00007/1/2018
403Percentage of high risk long-stay residents with pressure ulcers3.78007/1/2018
404Percentage of long-stay residents who lose too much weight2.66007/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder14.75007/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.01007/1/2018
407Percentage of long-stay residents with a urinary tract infection1.71007/1/2018
408Percentage of long-stay residents who have depressive symptoms0.00007/1/2018
409Percentage of long-stay residents who were physically restrained0.00007/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury2.32007/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.03007/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.69007/1/2018
419Percentage of long-stay residents who received an antipsychotic medication10.61007/1/2018
451Percentage of long-stay residents whose ability to move independently worsened7.67007/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication19.44007/1/2018

Complaints

Number of Standard Health Deficiencies:9
Number of Live Safety Code Deficiencies:16
Number of Total Deficiencies:25
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):25.6
Percent of total intakes received that were facility self reported incidents (last three years):50
On-site complaint investigations (last three years):16
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
4/16/2018Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthBaseline Care Plan114/16/2018
HealthPosted Nurse Staffing Information114/16/2018
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES1210/8/201412/1/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/8/201412/1/2014
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE2110/8/201412/1/2014
LSCLIFE SAFETY CODE STANDARD2210/8/201412/1/2014
LSCLIFE SAFETY CODE STANDARD2210/8/201412/1/2014
LSCLIFE SAFETY CODE STANDARD2210/8/201412/1/2014
LSCLIFE SAFETY CODE STANDARD2210/8/201412/1/2014
LSCLIFE SAFETY CODE STANDARD2111/23/201512/4/2015
LSCLIFE SAFETY CODE STANDARD2211/23/201512/4/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2212/22/20162/18/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2112/22/20162/18/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE1212/22/20162/18/2017
LSCSprinkler System - Maintenance and Testing2112/22/20162/18/2017
LSCElectrical Equipment - Power Cords and Extens2212/22/20162/18/2017
LSCGas Equipment - Precautions for Handling Oxyg2212/22/20162/18/2017
HealthDevelop/Implement Comprehensive Care Plan214/16/20185/14/2018
HealthActivities Meet Interest/Needs Each Resident214/16/20185/14/2018
HealthFree from Unnec Psychotropic Meds/PRN Use224/16/20185/14/2018
LSCEgress Doors224/16/20185/14/2018
LSCSprinkler System - Maintenance and Testing224/16/20185/14/2018
LSCSubdivision of Building Spaces - Smoke Barrie224/16/20185/14/2018
LSCSmoking Regulations214/16/20185/14/2018
LSCElectrical Systems - Other224/16/20185/14/2018
LSCGas Equipment - Other224/16/20185/14/2018
LSCGas Equipment - Precautions for Handling Oxyg214/16/20185/14/2018