Buffalo Center for Rehabilitation and Nursing

Buffalo Center for Rehabilitation and Nursing

1014 Delaware Ave

Buffalo, NY 14209

7168836782

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: 75%

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 pain4.70002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.09002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine54.31002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine45.79002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.38002/1/2019
471Percentage of short-stay residents who made improvements in function81.87002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased24.39002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain2.03002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers5.47002/1/2019
404Percentage of long-stay residents who lose too much weight2.26002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder60.17002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.81002/1/2019
407Percentage of long-stay residents with a urinary tract infection0.35002/1/2019
408Percentage of long-stay residents who have depressive symptoms49.35002/1/2019
409Percentage of long-stay residents who were physically restrained0.34002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury0.85002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine87.37002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine73.85002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication11.04002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened28.71002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.28002/1/2019

Complaints

Number of Standard Health Deficiencies:81
Number of Live Safety Code Deficiencies:57
Number of Total Deficiencies:138
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):215
Intakes received per 100 occupied beds (last three years):114.4
Percent of total intakes received that were facility self reported incidents (last three years):27
On-site complaint investigations (last three years):65
Complaint investigations resulting in citations (last three years):28
Complaint investigations resulting in citations per 100 occupied beds (last three years):14.9
Complaint Citations in deficiency category: Administration:4
Complaint Citations in deficiency category: Quality of Care:12
Complaint Citations in deficiency category: Resident Rights:2
Complaint Citations in deficiency category: Dietary Services:1
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:6
Complaint Citations across all deficiency categories (last three years):28

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Quality of Care13-Jan-078500
Physical Environment11-Jul-174000
10-Sep-01Resident Rights8-Dec-062000
19-Apr-06Quality of Care14-Jun-073000
27-Oct-08Quality of Care1-Mar-112000
28-Feb-08Quality of Care28-Sep-082000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
11/13/2017COMPLAINT2
11/13/2017COMPLAINT2
2/22/2018COMPLAINT2
2/22/2018COMPLAINT2
3/1/2017CERTIFICATION/COMPLAINT2
3/1/2017CERTIFICATION/COMPLAINT2
3/10/2017COMPLAINT2
3/10/2017COMPLAINT2
3/25/2016CERTIFICATION/COMPLAINT2
3/25/2016CERTIFICATION/COMPLAINT2
3/26/2015CERTIFICATION/COMPLAINT2
3/26/2015CERTIFICATION/COMPLAINT2
3/6/2017COMPLAINT2
3/6/2017COMPLAINT2
4/18/2016COMPLAINT2
4/18/2016COMPLAINT2
6/27/2018CERTIFICATION/COMPLAINT2
6/27/2018CERTIFICATION/COMPLAINT2
7/19/2017COMPLAINT2
7/19/2017COMPLAINT2
8/25/2016COMPLAINT2
8/25/2016COMPLAINT2
8/31/2017COMPLAINT2
8/31/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthPROTECTION/MANAGEMENT OF PERSONAL FUNDS116/27/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/13/20171/4/2018
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2111/13/20171/4/2018
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING218/31/201710/18/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS218/25/201610/5/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS218/25/201610/5/2016
HealthLABEL/STORE DRUGS AND BIOLOGICALS212/22/20184/12/2018
HealthQUALITY OF CARE212/22/20184/12/2018
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION212/22/20184/12/2018
HealthACTIVITIES MEET INTERESTS/NEEDS OF EACH RES223/1/20174/26/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS213/1/20174/26/2017
HealthCORRIDORS HAVE FIRMLY SECURED HANDRAILS213/1/20174/26/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY213/1/20174/26/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS213/1/20174/26/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES223/1/20174/26/2017
HealthFREQUENCY OF MEALS/SNACKS AT BEDTIME223/1/20174/26/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES223/1/20174/26/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS223/1/20174/26/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE223/1/20174/26/2017
HealthNG TREATMENT/SERVICES - RESTORE EATING SKILLS213/1/20174/26/2017
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP213/1/20174/26/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING223/1/20174/26/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE223/1/20174/26/2017
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN213/1/20174/26/2017
HealthSUFFICIENT DIETARY SUPPORT PERSONNEL213/1/20174/26/2017
LSCALCOHOL BASED HAND RUB DISPENSER (ABHR)223/1/20174/26/2017
LSCDOORS WITH SELF-CLOSING DEVICES223/1/20174/26/2017
LSCEGRESS DOORS213/1/20174/26/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS223/1/20174/26/2017
LSCHAZARDOUS AREAS - ENCLOSURE223/1/20174/26/2017
LSCMEANS OF EGRESS - GENERAL223/1/20174/26/2017
LSCPORTABLE FIRE EXTINGUISHERS223/1/20174/26/2017
LSCSOILED LINEN AND TRASH CONTAINERS223/1/20174/26/2017
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES223/1/20174/26/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE223/1/20174/26/2017
LSCVERTICAL OPENINGS - ENCLOSURE223/1/20174/26/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES213/10/20174/28/2017
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NH223/6/20175/1/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY223/1/20175/12/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM223/1/20175/12/2017
HealthSAFE/FUNCTIONAL/SANITARY/COMFORTABLE ENVIRON223/1/20175/12/2017
HealthASSISTIVE DEVICES - EATING EQUIPMENT/UTENSILS213/25/20165/16/2016
HealthCOMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE123/25/20165/16/2016
HealthCOMPREHENSIVE ASSESSMENTS123/25/20165/16/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY213/25/20165/16/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS223/25/20165/16/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES213/25/20165/16/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION213/25/20165/16/2016
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN223/25/20165/16/2016
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES213/25/20165/16/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING213/25/20165/16/2016
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES213/25/20165/16/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE213/25/20165/16/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS213/25/20165/16/2016
HealthRIGHT TO BE FREE FROM PHYSICAL RESTRAINTS213/25/20165/16/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP213/25/20165/16/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES213/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD213/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD213/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/25/20165/16/2016
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH214/18/20165/16/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS224/18/20165/16/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS214/18/20165/16/2016
LSCLIFE SAFETY CODE STANDARD213/26/20155/22/2015
LSCLIFE SAFETY CODE STANDARD213/26/20155/22/2015
LSCLIFE SAFETY CODE STANDARD223/26/20155/22/2015
LSCLIFE SAFETY CODE STANDARD223/26/20155/22/2015
LSCLIFE SAFETY CODE STANDARD223/26/20155/22/2015
LSCLIFE SAFETY CODE STANDARD223/26/20155/22/2015
LSCLIFE SAFETY CODE STANDARD223/26/20155/22/2015
HealthDENTAL SERVICES213/26/20155/25/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS223/26/20155/25/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS213/26/20155/25/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY223/26/20155/25/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES223/26/20155/25/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION213/26/20155/25/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE213/26/20155/25/2015
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM213/26/20155/25/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER213/26/20155/25/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)213/26/20155/25/2015
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP213/26/20155/25/2015
HealthPOSTED NURSE STAFFING INFORMATION123/26/20155/25/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING213/26/20155/25/2015
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS213/26/20155/25/2015
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS213/26/20155/25/2015
HealthSUFFICIENT FLUID TO MAINTAIN HYDRATION213/26/20155/25/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES213/26/20155/25/2015
LSCLIFE SAFETY CODE STANDARD223/26/20155/26/2015
HealthBEDRAILS216/27/20188/22/2018
HealthDENTAL SERVICES126/27/20188/22/2018
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES226/27/20188/22/2018
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN216/27/20188/22/2018
HealthDIALYSIS216/27/20188/22/2018
HealthDISPOSE GARBAGE AND REFUSE PROPERLY226/27/20188/22/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE216/27/20188/22/2018
HealthHEALTH PROVIDER NETWORK ACCESS AND REPORTING136/27/20188/22/2018
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION216/27/20188/22/2018
HealthLAB SRVCS PHYSICIAN ORDER/NOTIFY OF RESULTS226/27/20188/22/2018
HealthLABEL/STORE DRUGS AND BIOLOGICALS216/27/20188/22/2018
HealthPHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS216/27/20188/22/2018
HealthQUALITY OF CARE216/27/20188/22/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER216/27/20188/22/2018
LSCBUILDING REHABILITATION226/27/20188/22/2018
LSCCOOKING FACILITIES216/27/20188/22/2018
LSCCORRIDOR - DOORS226/27/20188/22/2018
LSCDOORS WITH SELF-CLOSING DEVICES226/27/20188/22/2018
LSCEGRESS DOORS226/27/20188/22/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS226/27/20188/22/2018
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC226/27/20188/22/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE226/27/20188/22/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE226/27/20188/22/2018
LSCELECTRICAL SYSTEMS - OTHER226/27/20188/22/2018
LSCEP TRAINING PROGRAM136/27/20188/22/2018
LSCEVACUATION AND RELOCATION PLAN226/27/20188/22/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE226/27/20188/22/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG226/27/20188/22/2018
LSCGENERAL REQUIREMENTS - OTHER226/27/20188/22/2018
LSCHAZARDOUS AREAS - ENCLOSURE226/27/20188/22/2018
LSCMEANS OF EGRESS - GENERAL226/27/20188/22/2018
LSCPOLICIES/PROCEDURES-VOLUNTEERS AND STAFFING136/27/20188/22/2018
LSCPORTABLE FIRE EXTINGUISHERS226/27/20188/22/2018
LSCPORTABLE SPACE HEATERS216/27/20188/22/2018
LSCSMOKING REGULATIONS226/27/20188/22/2018
LSCSOILED LINEN AND TRASH CONTAINERS226/27/20188/22/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING226/27/20188/22/2018
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES226/27/20188/22/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE216/27/20188/22/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE226/27/20188/22/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES217/19/20178/31/2017