Emerald North Nursing and Rehabilitation Center

Emerald North Nursing and Rehabilitation 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: Ruby Care 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: 30%

Occupancy Rate: 16%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain3.296712/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.140012/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine80.232612/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine53.488412/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication3.000012/1/2017
471Percentage of short-stay residents who made improvements in function69.265412/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased24.669612/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.323012/1/2017
403Percentage of high risk long-stay residents with pressure ulcers9.803912/1/2017
404Percentage of long-stay residents who lose too much weight10.377412/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder35.353512/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder5.482612/1/2017
407Percentage of long-stay residents with a urinary tract infection0.390612/1/2017
408Percentage of long-stay residents who have depressive symptoms0.490212/1/2017
409Percentage of long-stay residents who were physically restrained0.000012/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury5.791512/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine89.102612/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine67.953712/1/2017
419Percentage of long-stay residents who received an antipsychotic medication15.816312/1/2017
451Percentage of long-stay residents whose ability to move independently worsened24.843212/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.578112/1/2017

Complaints

Number of Standard Health Deficiencies:74
Number of Live Safety Code Deficiencies:63
Number of Total Deficiencies:137
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):82
Intakes received per 100 occupied beds (last three years):103.9
Percent of total intakes received that were facility self reported incidents (last three years):51
On-site complaint investigations (last three years):20
Complaint investigations resulting in citations (last three years):8
Complaint investigations resulting in citations per 100 occupied beds (last three years):10.1
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:3
Complaint Citations in deficiency category: Resident Rights:3
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):8

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Quality of Care2/13/200810000
1/24/2017 0:00Multiple Deficiencies6/19/20176000
6/17/2013 0:00Quality of Care8/9/201710000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/24/2017Certification3
12/5/2014Complaint1
3/8/2016Certification2
4/24/2015Certification2
5/15/2015Complaint2
5/7/2014Certification3
9/10/2015Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthHOUSEKEEPING & MAINTENANCE SERVICES1112/5/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE114/24/2015
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES111/24/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/10/201510/29/2015
LSCSprinkler System - Installation211/24/20173/23/2017
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES421/24/20173/24/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY211/24/20173/24/2017
HealthLISTEN/ACT ON GROUP GRIEVANCE/RECOMMENDATION221/24/20173/24/2017
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES211/24/20173/24/2017
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE221/24/20173/24/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES121/24/20173/24/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING211/24/20173/24/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER211/24/20173/24/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE221/24/20173/24/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS211/24/20173/24/2017
HealthSUFFICIENT DIETARY SUPPORT PERSONNEL221/24/20173/24/2017
HealthASSISTIVE DEVICES - EATING EQUIPMENT/UTENSILS211/24/20173/24/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS211/24/20173/24/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM221/24/20173/24/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE211/24/20173/24/2017
HealthRETENTION OF RESIDENT CLINICAL RECORDS121/24/20173/24/2017
LSCGeneral Requirements - Other221/24/20173/24/2017
LSCMeans of Egress - General211/24/20173/24/2017
LSCDoors with Self-Closing Devices221/24/20173/24/2017
LSCVertical Openings - Enclosure211/24/20173/24/2017
LSCPortable Fire Extinguishers221/24/20173/24/2017
LSCSubdivision of Building Spaces - Smoke Barrie221/24/20173/24/2017
LSCPortable Space Heaters211/24/20173/24/2017
LSCElectrical Systems - Essential Electric Syste221/24/20173/24/2017
LSCGas Equipment - Cylinder and Container Storag221/24/20173/24/2017
LSCGas Equipment - Precautions for Handling Oxyg211/24/20173/24/2017
HealthStandards of Construction for New Existing NH221/24/20173/24/2017
HealthDepartment Criminal History Review213/8/20164/20/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS213/8/20164/20/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES223/8/20164/20/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES223/8/20164/20/2016
HealthCOMPREHENSIVE ASSESSMENT 14 DAYS AFTER ADMIT223/8/20164/20/2016
HealthCOMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE223/8/20164/20/2016
HealthCOMPREHENSIVE ASSESS AT LEAST EVERY 12 MONTHS223/8/20164/20/2016
HealthQUARTERLY ASSESSMENT AT LEAST EVERY 3 MONTHS223/8/20164/20/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS213/8/20164/20/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS213/8/20164/20/2016
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENT213/8/20164/20/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES213/8/20164/20/2016
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER223/8/20164/20/2016
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES223/8/20164/20/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES213/8/20164/20/2016
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES223/8/20164/20/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS213/8/20164/20/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE213/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD213/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD213/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD213/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20164/20/2016
HealthPhysical Environment223/8/20164/20/2016
LSCLIFE SAFETY CODE STANDARD223/8/20165/16/2016
LSCLIFE SAFETY CODE STANDARD223/8/20165/16/2016
HealthStandards of Construction for New Existing NH223/8/20165/16/2016
HealthStandards of Construction for New NH223/8/20165/16/2016
LSCLIFE SAFETY CODE STANDARD213/8/20165/6/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/24/20175/8/2017
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION221/24/20175/8/2017
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING421/24/20175/8/2017
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS421/24/20175/8/2017
LSCBuilding Construction Type and Height221/24/20175/8/2017
LSCHazardous Areas - Enclosure221/24/20175/8/2017
LSCSprinkler System - Maintenance and Testing221/24/20175/8/2017
LSCCorridor - Doors221/24/20175/8/2017
LSCHVAC221/24/20175/8/2017
LSCElectrical Systems - Other211/24/20175/8/2017
LSCElectrical Systems - Essential Electric Syste211/24/20175/8/2017
LSCElectrical Equipment - Power Cords and Extens221/24/20175/8/2017
HealthPhysical Environment221/24/20175/8/2017
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES224/24/20156/24/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES214/24/20156/24/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE214/24/20156/24/2015
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE214/24/20156/24/2015
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT214/24/20156/24/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS214/24/20156/24/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/24/20156/24/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/24/20156/24/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/24/20156/24/2015
HealthTREATMENT/DEVICES TO MAINTAIN HEARING/VISION214/24/20156/24/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/24/20156/24/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER214/24/20156/24/2015
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES214/24/20156/24/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES214/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD214/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD234/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/24/2015
HealthStandards of Construction for New Existing NH224/24/20156/24/2015
LSCLIFE SAFETY CODE STANDARD225/7/20147/24/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/15/20157/24/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES215/15/20157/24/2015
HealthCriminal History Record Check Process125/7/20147/3/2014
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES225/7/20147/3/2014
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES225/7/20147/3/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS215/7/20147/3/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/7/20147/3/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES215/7/20147/3/2014
HealthTREATMENT/CARE FOR SPECIAL NEEDS215/7/20147/3/2014
HealthPOSTED NURSE STAFFING INFORMATION125/7/20147/3/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY225/7/20147/3/2014
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES215/7/20147/3/2014
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS225/7/20147/3/2014
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS225/7/20147/3/2014
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCMISCELLANEOUS225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20147/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20148/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20148/3/2014
LSCLIFE SAFETY CODE STANDARD235/7/20148/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20148/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20148/3/2014
LSCLIFE SAFETY CODE STANDARD225/7/20148/3/2014