Buffalo Community Healthcare Center

Buffalo Community Healthcare Center

1205 Delaware Avenue

Buffalo, NY 14209

7168853838

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:95
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:95

Administrative

Ownership: Proprietary--LLC

Operated by: EN Receiver, LLC
1205 Delaware Avenue
Buffalo, NY 14209

Permanent Facility Identifier: 633

Operating Certificate: 1401339N

Medicaid Certified

Medicare Certified

Medicare Number: 335640

Statistics

Employee Flu Vaccination Rate: 64%

Occupancy Rate: 95%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.640011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication6.520011/1/2019
471Percentage of short-stay residents who made improvements in function61.370011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased28.290011/1/2019
404Percentage of long-stay residents who lose too much weight3.910011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder25.710011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.670011/1/2019
407Percentage of long-stay residents with a urinary tract infection1.080011/1/2019
408Percentage of long-stay residents who have depressive symptoms21.650011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury0.710011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine40.070011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication7.210011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened33.610011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.910011/1/2019

Complaints

Number of Standard Health Deficiencies:76
Number of Live Safety Code Deficiencies:65
Number of Total Deficiencies:141
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:3
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):133
Intakes received per 100 occupied beds (last three years):155.8
Percent of total intakes received that were facility self reported incidents (last three years):54
On-site complaint investigations (last three years):24
Complaint investigations resulting in citations (last three years):11
Complaint investigations resulting in citations per 100 occupied beds (last three years):12.9
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:5
Complaint Citations in deficiency category: Resident Rights:2
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:1
Complaint Citations in deficiency category: Other Services:1
Complaint Citations across all deficiency categories (last three years):11

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
.Quality of Care2/13/200810000
.Multiple Deficiencies9/24/20182000
1/24/2017Multiple Deficiencies6/19/20176000
6/17/2013Quality of Care8/9/201710000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/15/2019COMPLAINT2
1/18/2018COMPLAINT2
1/24/2017CERTIFICATION/COMPLAINT3
10/4/2018COMPLAINT2
3/8/2016CERTIFICATION/COMPLAINT2
4/25/2018CERTIFICATION/COMPLAINT2
6/12/2019CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES1110/4/2018.
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION2110/4/201811/30/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2110/4/20182/28/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.)2110/4/20183/11/2019
HealthRESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS2110/4/20183/11/2019
LSCSPRINKLER SYSTEM - INSTALLATION2110/4/20183/23/2017
HealthASSISTIVE DEVICES - EATING EQUIPMENT/UTENSILS2110/4/20183/24/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2110/4/20183/24/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2110/4/20183/24/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2110/4/20183/24/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES1210/4/20183/24/2017
HealthLISTEN/ACT ON GROUP GRIEVANCE/RECOMMENDATION2210/4/20183/24/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE2210/4/20183/24/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM2210/4/20183/24/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER2110/4/20183/24/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/4/20183/24/2017
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE2210/4/20183/24/2017
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES2110/4/20183/24/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/4/20183/24/2017
HealthRETENTION OF RESIDENT CLINICAL RECORDS1210/4/20183/24/2017
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES4210/4/20183/24/2017
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NH2210/4/20183/24/2017
HealthSUFFICIENT DIETARY SUPPORT PERSONNEL2210/4/20183/24/2017
LSCDOORS WITH SELF-CLOSING DEVICES2210/4/20183/24/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2210/4/20183/24/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2210/4/20183/24/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG2110/4/20183/24/2017
LSCGENERAL REQUIREMENTS - OTHER2210/4/20183/24/2017
LSCMEANS OF EGRESS - GENERAL2110/4/20183/24/2017
LSCPORTABLE FIRE EXTINGUISHERS2210/4/20183/24/2017
LSCPORTABLE SPACE HEATERS2110/4/20183/24/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE2210/4/20183/24/2017
LSCVERTICAL OPENINGS - ENCLOSURE2110/4/20183/24/2017
HealthCOMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE2210/4/20184/20/2016
HealthCOMPREHENSIVE ASSESS AT LEAST EVERY 12 MONTHS2210/4/20184/20/2016
HealthCOMPREHENSIVE ASSESSMENT 14 DAYS AFTER ADMIT2210/4/20184/20/2016
HealthDEPARTMENT CRIMINAL HISTORY REVIEW2110/4/20184/20/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/4/20184/20/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2110/4/20184/20/2016
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENT2110/4/20184/20/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2110/4/20184/20/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES2210/4/20184/20/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2110/4/20184/20/2016
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER2210/4/20184/20/2016
HealthPHYSICAL ENVIRONMENT2210/4/20184/20/2016
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES2210/4/20184/20/2016
HealthQUARTERLY ASSESSMENT AT LEAST EVERY 3 MONTHS2210/4/20184/20/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/4/20184/20/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES2210/4/20184/20/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2110/4/20184/20/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/4/20184/20/2016
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2110/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2110/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2110/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20184/20/2016
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NH2210/4/20185/16/2016
HealthSTANDARDS OF CONSTRUCTION FOR NEW NH2210/4/20185/16/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20185/16/2016
LSCLIFE SAFETY CODE STANDARD2210/4/20185/16/2016
LSCLIFE SAFETY CODE STANDARD2110/4/20185/6/2016
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING4210/4/20185/8/2017
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2210/4/20185/8/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2210/4/20185/8/2017
HealthPHYSICAL ENVIRONMENT2210/4/20185/8/2017
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS4210/4/20185/8/2017
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT2210/4/20185/8/2017
LSCCORRIDOR - DOORS2210/4/20185/8/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2210/4/20185/8/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2110/4/20185/8/2017
LSCELECTRICAL SYSTEMS - OTHER2110/4/20185/8/2017
LSCHAZARDOUS AREAS - ENCLOSURE2210/4/20185/8/2017
LSCHVAC2210/4/20185/8/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING2210/4/20185/8/2017
HealthACCOUNTING AND RECORDS OF PERSONAL FUNDS1210/4/20186/22/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/4/20186/22/2018
HealthBASELINE CARE PLAN2110/4/20186/22/2018
HealthCOMPREHENSIVE ASSESSMENTS & TIMING2110/4/20186/22/2018
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN2110/4/20186/22/2018
HealthDIALYSIS2110/4/20186/22/2018
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON2210/4/20186/22/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE2110/4/20186/22/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2210/4/20186/22/2018
HealthINFECTION CONTROL2210/4/20186/22/2018
HealthINFECTION PREVENTION & CONTROL2210/4/20186/22/2018
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS2110/4/20186/22/2018
HealthPHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS2210/4/20186/22/2018
HealthPROTECTION/MANAGEMENT OF PERSONAL FUNDS2110/4/20186/22/2018
HealthQRTLY ASSESSMENT AT LEAST EVERY 3 MONTHS2110/4/20186/22/2018
HealthQUALITY OF CARE2110/4/20186/22/2018
HealthREASONABLE ACCOMMODATIONS NEEDS/PREFERENCES2110/4/20186/22/2018
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT1210/4/20186/22/2018
HealthSTANDARDS OF CONSTRUCTION FOR NEW NH2210/4/20186/22/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT2210/4/20186/22/2018
LSCCOOKING FACILITIES2210/4/20186/22/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2210/4/20186/22/2018
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC2210/4/20186/22/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2210/4/20186/22/2018
LSCELEVATORS2210/4/20186/22/2018
LSCEP PROGRAM PATIENT POPULATION1310/4/20186/22/2018
LSCEP TRAINING PROGRAM1310/4/20186/22/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE2210/4/20186/22/2018
LSCFIRE DRILLS2210/4/20186/22/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2210/4/20186/22/2018
LSCHVAC2210/4/20186/22/2018
LSCPORTABLE FIRE EXTINGUISHERS2210/4/20186/22/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING2210/4/20186/22/2018
HealthDEPARTMENT CRIMINAL HISTORY REVIEW2210/4/20188/11/2019
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES2210/4/20188/11/2019
HealthINFECTION CONTROL2210/4/20188/11/2019
HealthLABEL/STORE DRUGS AND BIOLOGICALS2210/4/20188/11/2019
HealthLICENSE/COMPLY W/ FED/STATE/LOCL LAW/PROF STD1310/4/20188/11/2019
HealthPHYSICAL ENVIRONMENT2210/4/20188/11/2019
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR1210/4/20188/11/2019
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF1210/4/20188/11/2019
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT1210/4/20188/11/2019
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT2210/4/20188/11/2019
LSCDEVELOP EP PLAN, REVIEW AND UPDATE ANNUALLY1310/4/20188/11/2019
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2210/4/20188/11/2019
LSCELEVATORS2210/4/20188/11/2019
LSCEP PROGRAM PATIENT POPULATION1310/4/20188/11/2019
LSCEP TRAINING PROGRAM1310/4/20188/11/2019
LSCFIRE DRILLS2210/4/20188/11/2019
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG2110/4/20188/11/2019
LSCHVAC2210/4/20188/11/2019
LSCLTC AND ICF/IID SHARING PLAN WITH PATIENTS1310/4/20188/11/2019
LSCPLAN BASED ON ALL HAZARDS RISK ASSESSMENT1310/4/20188/11/2019
LSCPOLICIES/PROCEDURES FOR SHELTERING IN PLACE1310/4/20188/11/2019
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY1310/4/20188/11/2019
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING2210/4/20188/11/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE2210/4/20188/11/2019
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE2210/4/20189/21/2019