Ellicott Center for Rehabilitation and Nursing

Ellicott Center for Rehabilitation and Nursing

200 Seventh Street

Buffalo, NY 14201

7168472500

waterfrontrehab.net/about-us/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:160
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:160

Administrative

Ownership: Proprietary--LLC

Operated by: Waterfront Operations Associates, LLC
1601 Bronxdale Avenue
Bronx, NY 10462

Permanent Facility Identifier: 254

Operating Certificate: 1401337N

Medicaid Certified

Medicare Certified

Medicare Number: 335437

Statistics

Employee Flu Vaccination Rate: 71%

Occupancy Rate: 93%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain2.81002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.18002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.47002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.52002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.79002/1/2019
471Percentage of short-stay residents who made improvements in function60.39002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased23.13002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain3.10002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers6.94002/1/2019
404Percentage of long-stay residents who lose too much weight6.61002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder71.49002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.62002/1/2019
407Percentage of long-stay residents with a urinary tract infection1.60002/1/2019
408Percentage of long-stay residents who have depressive symptoms46.74002/1/2019
409Percentage of long-stay residents who were physically restrained1.18002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury1.76002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine91.42002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine72.16002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication10.70002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened33.06002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication15.97002/1/2019

Complaints

Number of Standard Health Deficiencies:72
Number of Live Safety Code Deficiencies:40
Number of Total Deficiencies:112
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:9
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :8
Total intakes received (last three years):234
Intakes received per 100 occupied beds (last three years):158.1
Percent of total intakes received that were facility self reported incidents (last three years):59
On-site complaint investigations (last three years):62
Complaint investigations resulting in citations (last three years):28
Complaint investigations resulting in citations per 100 occupied beds (last three years):18.9
Complaint Citations in deficiency category: Administration:3
Complaint Citations in deficiency category: Quality of Care:11
Complaint Citations in deficiency category: Resident Rights:2
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:9
Complaint Citations across all deficiency categories (last three years):28

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
11-May-17Quality of Care16-Aug-1710000
23-May-12Quality of Care6-Apr-162000
27-Sep-11Quality of Care24-Apr-132000
6-Nov-15Multiple Deficiencies19-Apr-1624000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/26/2015CERTIFICATION/COMPLAINT2
1/27/2016COMPLAINT2
1/30/2017COMPLAINT2
1/31/2018COMPLAINT2
10/20/2016CERTIFICATION/COMPLAINT3
11/16/2017CERTIFICATION/COMPLAINT3
11/6/2015CERTIFICATION/COMPLAINT5
4/13/2016COMPLAINT2
5/11/2017COMPLAINT2
9/20/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthCOMPREHENSIVE ASSESSMENT 14 DAYS AFTER ADMIT1111/6/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES2211/6/20151/12/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS2111/6/20151/13/2016
HealthDOCUMENTATION FOR TRANSFER/DISCHARGE OF RES2111/6/20151/13/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS4211/6/20151/13/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON4211/6/20151/13/2016
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING4311/6/20151/13/2016
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2211/6/20151/13/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE2111/6/20151/13/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS2211/6/20151/13/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS4111/6/20151/13/2016
HealthLAB REPORTS IN RECORD - LAB NAME/ADDRESS2211/6/20151/13/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2211/6/20151/13/2016
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS2111/6/20151/13/2016
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH4211/6/20151/13/2016
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDERS2111/6/20151/13/2016
HealthPOSTED NURSE STAFFING INFORMATION1211/6/20151/13/2016
HealthPROMPTLY NOTIFY PHYSICIAN OF LAB RESULTS2111/6/20151/13/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING4211/6/20151/13/2016
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS4311/6/20151/13/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2211/6/20151/13/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2111/6/20151/13/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2111/6/20151/13/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2211/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2111/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2211/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2211/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2211/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2211/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2211/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2211/6/20151/13/2016
LSCLIFE SAFETY CODE STANDARD2211/6/20151/13/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/16/20171/15/2018
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2211/16/20171/15/2018
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS2111/16/20171/15/2018
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2211/16/20171/15/2018
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2211/16/20171/15/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2111/16/20171/15/2018
LSCCORRIDOR - DOORS2211/16/20171/15/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2211/16/20171/15/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2211/16/20171/15/2018
LSCELECTRICAL SYSTEMS - OTHER2211/16/20171/15/2018
LSCFIRE DRILLS2211/16/20171/15/2018
LSCGENERAL REQUIREMENTS - OTHER2111/16/20171/15/2018
LSCHAZARDOUS AREAS - ENCLOSURE2211/16/20171/15/2018
LSCPORTABLE FIRE EXTINGUISHERS2211/16/20171/15/2018
LSCSPRINKLER SYSTEM - INSTALLATION2211/16/20171/15/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING2211/16/20171/15/2018
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES2111/16/20171/15/2018
LSCLIFE SAFETY CODE STANDARD2210/20/20161/20/2017
LSCLIFE SAFETY CODE STANDARD2210/20/20161/20/2017
LSCLIFE SAFETY CODE STANDARD2210/20/20161/20/2017
LSCLIFE SAFETY CODE STANDARD2210/20/20161/20/2017
LSCLIFE SAFETY CODE STANDARD2210/20/20161/20/2017
LSCLIFE SAFETY CODE STANDARD2210/20/20161/20/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS219/20/201711/3/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/20/201711/3/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS219/20/201711/3/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS2110/20/201612/13/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES1210/20/201612/13/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES1210/20/201612/13/2016
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES1210/20/201612/13/2016
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH2210/20/201612/13/2016
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS1210/20/201612/13/2016
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR1210/20/201612/13/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/20/201612/13/2016
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES2110/20/201612/13/2016
HealthCRIMINAL HISTORY RECORD CHECK PROCESS1210/20/201612/18/2016
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/18/2016
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT2211/16/20172/14/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE2211/16/20172/14/2018
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2211/16/20172/16/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/16/20172/16/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/16/20172/16/2018
HealthINFECTION PREVENTION & CONTROL221/31/20182/16/2018
HealthQUALITY OF CARE211/31/20182/16/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/6/20152/2/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2211/6/20152/2/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/6/20152/2/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS4211/6/20152/2/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES211/27/20162/3/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS211/26/20153/25/2015
HealthDISPOSE GARBAGE & REFUSE PROPERLY221/26/20153/25/2015
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON211/26/20153/25/2015
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION221/26/20153/25/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/26/20153/25/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES121/26/20153/25/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS221/26/20153/25/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE211/26/20153/25/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE211/26/20153/25/2015
LSCLIFE SAFETY CODE STANDARD221/26/20153/25/2015
LSCLIFE SAFETY CODE STANDARD221/26/20153/25/2015
LSCLIFE SAFETY CODE STANDARD221/26/20153/25/2015
LSCLIFE SAFETY CODE STANDARD221/26/20153/25/2015
LSCLIFE SAFETY CODE STANDARD221/26/20153/25/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS221/30/20173/5/2017
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE211/30/20173/5/2017
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES211/30/20173/9/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS221/30/20173/9/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/13/20165/27/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING315/11/20176/23/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/11/20176/9/2017
HealthPASRR REQUIREMENTS FOR MI & MR215/11/20176/9/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS215/11/20176/9/2017