Buffalo Center for Rehabilitation and Nursing

Buffalo Center for Rehabilitation and Nursing

1014 Delaware Ave

Buffalo, NY 14209

(716) 883-6782

www.delnrc.com/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:200
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:200

Administrative

Ownership: Proprietary--LLC

Operated by: Delaware Operations Associates LLC
1014 Delaware Avenue
Buffalo, NY 14209

Permanent Facility Identifier: 3012

Operating Certificate: 1401341N

Medicaid Certified

Medicare Certified

Medicare Number: 335638

Statistics

Employee Flu Vaccination Rate: 20%

Occupancy Rate: 97%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain12.797616/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.897846/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine35.609756/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.882356/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.803216/1/2017
471Percentage of short-stay residents who made improvements in function76.790476/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased19.659737006/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain2.493106006/1/2017
403Percentage of high risk long-stay residents with pressure ulcers10.344828006/1/2017
404Percentage of long-stay residents who lose too much weight4.212453006/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder69.565218006/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.093581006/1/2017
407Percentage of long-stay residents with a urinary tract infection0.182816006/1/2017
408Percentage of long-stay residents who have depressive symptoms62.381852006/1/2017
409Percentage of long-stay residents who were physically restrained0.539570006/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.719425006/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine90.361447006/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine69.064750006/1/2017
419Percentage of long-stay residents who received an antipsychotic medication9.555556006/1/2017
451Percentage of long-stay residents whose ability to move independently worsened20.517649006/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.067152006/1/2017

Complaints

Number of Standard Health Deficiencies:54
Number of Live Safety Code Deficiencies:49
Number of Total Deficiencies:103
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):152
Intakes received per 100 occupied beds (last three years):85.7
Percent of total intakes received that were facility self reported incidents (last three years):21
On-site complaint investigations (last three years):44
Complaint investigations resulting in citations (last three years):14
Complaint investigations resulting in citations per 100 occupied beds (last three years):7.9
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:6
Complaint Citations in deficiency category: Resident Rights:3
Complaint Citations in deficiency category: Dietary Services:2
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:1
Complaint Citations across all deficiency categories (last three years):14

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Quality of Care1/13/20078500
10/27/2008 0:00Quality of Care3/1/20112000
2/28/2008 0:00Quality of Care9/28/20082000
4/19/2006 0:00Quality of Care6/14/20073000
9/10/2001 0:00Resident Rights12/8/20062000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
3/1/2017Certification2
3/10/2017Complaint2
3/25/2016Certification2
3/26/2015Certification2
3/6/2017Complaint2
4/18/2016Complaint2
6/13/2014Certification2
8/25/2016Complaint2
9/10/2013Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS2110/5/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2110/5/2016
LSCGENERATORS INSPECTED/TESTED2211/1/2013
HealthDENTAL SERVICES IN SKILLED NURSING FACILITIES2111/1/2013
HealthNURSE STAFFING1211/1/2013
HealthMEDICATION ERROR RATES OF 5% OR MORE2111/1/2013
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2111/1/2013
HealthDEVELOP COMPREHENSIVE CARE PLANS2111/1/2013
LSCSMOKE PARTITION CONSTRUCTION2211/1/2013
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST2111/1/2013
LSCHAZARDOUS AREAS - SEPARATION2211/1/2013
LSCPORTABLE FIRE EXTINGUISHERS2211/1/2013
LSCCORRIDOR DOORS2211/1/2013
LSCCOOKING EQUIPMENT2211/1/2013
LSCDOORS IN FIRE AND SMOKE PARTITIONS2211/1/2013
LSCSTAIRS AND SMOKE PROOF TOWERS2211/1/2013
LSCAUTOMATIC SMOKE DETECTION SYSTEM2211/1/2013
LSCEMERGENCY LIGHTING2211/1/2013
LSCSPRINKLER SYSTEM MAINTENANCE223/10/2014
LSCAUTOMATIC SPRINKLER SYSTEM233/17/2014
HealthPROPER CARE & SERVICES FOR RESIDENT W/ NASO-GASTRIC TUBE214/26/2017
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING224/26/2017
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS214/26/2017
HealthHOUSEKEEPING AND MAINTENANCE SERVICES224/26/2017
HealthACTIVITY PROGRAM MEETS INDIVIDUAL NEEDS224/26/2017
HealthFACILITY IS FREE OF ACCIDENT HAZARDS224/26/2017
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE224/26/2017
HealthSUFFICIENT SUPPORT PERSONNEL FOR DIETARY SERVICES214/26/2017
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.214/26/2017
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM224/26/2017
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN214/26/2017
HealthCORRIDORS HAVE FIRMLY SECURED HANDRAILS214/26/2017
HealthDIGNITY214/26/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/26/2017
LSC214/26/2017
LSCALCOHOL BASED HAND RUBS224/26/2017
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS224/26/2017
LSC224/26/2017
LSC224/26/2017
LSC224/26/2017
LSC224/26/2017
LSC224/26/2017
LSC224/26/2017
HealthFREQUENCY OF MEALS/INTERVALS BETWEEN MEALS224/26/2017
LSC224/26/2017
LSC224/26/2017
LSC224/26/2017
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES214/28/2017
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NURSING HOME225/1/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM225/12/2017
HealthENVIRONMENT IS SAFE/FUNCTIONAL/SANITARY/COMFORTABLE225/12/2017
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS225/12/2017
LSCPORTABLE FIRE EXTINGUISHERS215/16/2016
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS215/16/2016
LSCTESTING OF FIRE ALARM225/16/2016
LSCHAZARDOUS AREAS - SEPARATION225/16/2016
LSCSMOKE PARTITION CONSTRUCTION225/16/2016
LSCDOORS IN FIRE AND SMOKE PARTITIONS225/16/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/16/2016
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS225/16/2016
HealthFACILITY PROVIDES DRUGS AND BIOLOGICALS215/16/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS215/16/2016
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS225/16/2016
LSCCORRIDOR DOORS225/16/2016
LSCCORRIDOR WALLS225/16/2016
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS215/16/2016
LSCSPRINKLER SYSTEM MAINTENANCE225/16/2016
LSCSPACE HEATERS215/16/2016
LSCFURNISHING AND DECORATIONS225/16/2016
LSCFIRE DRILLS225/16/2016
HealthRANGE OF MOTION TREATMENT AND SERVICES215/16/2016
HealthPROVIDES SPECIAL EATING EQUIPMENT/UTENSILS215/16/2016
HealthHOUSEKEEPING AND MAINTENANCE SERVICES215/16/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING215/16/2016
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES215/16/2016
HealthLAB SERVICES ONLY WHEN ORDERED BY PHYSICIAN225/16/2016
HealthCOMPREHENSIVE ASSESSMENTS125/16/2016
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS225/16/2016
HealthASSESSMENT AFTER A SIGNIFICANT CHANGE125/16/2016
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.215/16/2016
HealthRIGHT TO BE FREE FROM PHYSICAL RESTRAINTS NOT REQUIRED FOR TREATMENT215/16/2016
HealthDIGNITY215/16/2016
HealthACCOMMODATION OF NEEDS AND PREFERENCES215/16/2016
LSCHAZARDOUS AREAS - SEPARATION225/22/2015
LSCDOORS IN SMOKE PARTITIONS215/22/2015
LSCEXIT ACCESS225/22/2015
LSCCORRIDOR DOORS225/22/2015
LSCEMERGENCY LIGHTING225/22/2015
LSCSMOKE PARTITION CONSTRUCTION225/22/2015
LSCSTAIRS AND SMOKE PROOF TOWERS215/22/2015
HealthFACILITY MAINTAINS QA COMMITTEE215/25/2015
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM215/25/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS225/25/2015
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS215/25/2015
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.215/25/2015
HealthDENTAL SERVICES215/25/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES225/25/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS225/25/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING215/25/2015
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES215/25/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.215/25/2015
HealthNURSE STAFFING125/25/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS215/25/2015
HealthFACILITY PROVIDES SUFFICIENT FLUID INTAKE215/25/2015
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE215/25/2015
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE215/25/2015
HealthRANGE OF MOTION TREATMENT AND SERVICES215/25/2015
LSCTESTING OF FIRE ALARM225/26/2015
HealthESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION228/12/2014
LSCEXIT ACCESS228/12/2014
LSCSTAIRS AND SMOKE PROOF TOWERS228/12/2014
LSCHAZARDOUS AREAS - SEPARATION228/12/2014
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS228/12/2014
LSCMEDICAL GAS SYSTEM228/12/2014
LSCEMERGENCY PLAN228/12/2014
LSCSMOKE PARTITION CONSTRUCTION228/12/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN218/12/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING218/12/2014
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.218/12/2014
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS228/12/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS218/12/2014
LSCCORRIDOR WALLS228/12/2014
LSCCORRIDOR DOORS228/12/2014
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE218/12/2014
LSCOTHER228/12/2014
HealthDIGNITY218/12/2014
LSCTESTING OF FIRE ALARM228/12/2014
LSCAUTOMATIC SPRINKLER SYSTEM228/12/2014
LSCSPRINKLER SYSTEM MAINTENANCE228/12/2014
LSCFURNISHING AND DECORATIONS228/12/2014
LSCWASTEBASKETS228/12/2014
LSCDOORS IN FIRE AND SMOKE PARTITIONS228/12/2014
LSCCOOKING EQUIPMENT228/12/2014
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN218/12/2014
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE218/12/2014