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 pain3.296999999999999710/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.140000000000000110/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine80.23310/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine53.48810/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication310/1/2017
471Percentage of short-stay residents who made improvements in function69.26510/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased24.6696000010/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.3230000010/1/2017
403Percentage of high risk long-stay residents with pressure ulcers9.8039000010/1/2017
404Percentage of long-stay residents who lose too much weight10.3774000010/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder35.3535000010/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder5.4826000010/1/2017
407Percentage of long-stay residents with a urinary tract infection0.3906000010/1/2017
408Percentage of long-stay residents who have depressive symptoms0.4902000010/1/2017
409Percentage of long-stay residents who were physically restrained0.0000000010/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury5.7915000010/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine89.1026000010/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine67.9537000010/1/2017
419Percentage of long-stay residents who received an antipsychotic medication15.8163000010/1/2017
451Percentage of long-stay residents whose ability to move independently worsened24.8432000010/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.5781000010/1/2017

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 citation corrected
HealthHOUSEKEEPING & MAINTENANCE SERVICES11
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE11
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES11
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/29/2015
LSCSprinkler System - Installation213/23/2017
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES423/24/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY213/24/2017
HealthLISTEN/ACT ON GROUP GRIEVANCE/RECOMMENDATION223/24/2017
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES213/24/2017
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE223/24/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES123/24/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING213/24/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER213/24/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE223/24/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS213/24/2017
HealthSUFFICIENT DIETARY SUPPORT PERSONNEL223/24/2017
HealthASSISTIVE DEVICES - EATING EQUIPMENT/UTENSILS213/24/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS213/24/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM223/24/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE213/24/2017
HealthRETENTION OF RESIDENT CLINICAL RECORDS123/24/2017
LSCGeneral Requirements - Other223/24/2017
LSCMeans of Egress - General213/24/2017
LSCDoors with Self-Closing Devices223/24/2017
LSCVertical Openings - Enclosure213/24/2017
LSCPortable Fire Extinguishers223/24/2017
LSCSubdivision of Building Spaces - Smoke Barrie223/24/2017
LSCPortable Space Heaters213/24/2017
LSCElectrical Systems - Essential Electric Syste223/24/2017
LSCGas Equipment - Cylinder and Container Storag223/24/2017
LSCGas Equipment - Precautions for Handling Oxyg213/24/2017
HealthStandards of Construction for New Existing NH223/24/2017
HealthDepartment Criminal History Review214/20/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/20/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES224/20/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES224/20/2016
HealthCOMPREHENSIVE ASSESSMENT 14 DAYS AFTER ADMIT224/20/2016
HealthCOMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE224/20/2016
HealthCOMPREHENSIVE ASSESS AT LEAST EVERY 12 MONTHS224/20/2016
HealthQUARTERLY ASSESSMENT AT LEAST EVERY 3 MONTHS224/20/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS214/20/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS214/20/2016
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENT214/20/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/20/2016
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER224/20/2016
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES224/20/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES214/20/2016
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES224/20/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/20/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE214/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD214/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD214/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD214/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
HealthPhysical Environment224/20/2016
LSCLIFE SAFETY CODE STANDARD225/16/2016
LSCLIFE SAFETY CODE STANDARD225/16/2016
HealthStandards of Construction for New Existing NH225/16/2016
HealthStandards of Construction for New NH225/16/2016
LSCLIFE SAFETY CODE STANDARD215/6/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY225/8/2017
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION225/8/2017
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING425/8/2017
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS425/8/2017
LSCBuilding Construction Type and Height225/8/2017
LSCHazardous Areas - Enclosure225/8/2017
LSCSprinkler System - Maintenance and Testing225/8/2017
LSCCorridor - Doors225/8/2017
LSCHVAC225/8/2017
LSCElectrical Systems - Other215/8/2017
LSCElectrical Systems - Essential Electric Syste215/8/2017
LSCElectrical Equipment - Power Cords and Extens225/8/2017
HealthPhysical Environment225/8/2017
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES226/24/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES216/24/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE216/24/2015
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE216/24/2015
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT216/24/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS216/24/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP216/24/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING216/24/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/24/2015
HealthTREATMENT/DEVICES TO MAINTAIN HEARING/VISION216/24/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES216/24/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER216/24/2015
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES216/24/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/24/2015
LSCLIFE SAFETY CODE STANDARD216/24/2015
LSCLIFE SAFETY CODE STANDARD226/24/2015
LSCLIFE SAFETY CODE STANDARD226/24/2015
LSCLIFE SAFETY CODE STANDARD226/24/2015
LSCLIFE SAFETY CODE STANDARD236/24/2015
LSCLIFE SAFETY CODE STANDARD226/24/2015
LSCLIFE SAFETY CODE STANDARD226/24/2015
HealthStandards of Construction for New Existing NH226/24/2015
LSCLIFE SAFETY CODE STANDARD227/24/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/24/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES217/24/2015
HealthCriminal History Record Check Process127/3/2014
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES227/3/2014
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES227/3/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS217/3/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/3/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES217/3/2014
HealthTREATMENT/CARE FOR SPECIAL NEEDS217/3/2014
HealthPOSTED NURSE STAFFING INFORMATION127/3/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY227/3/2014
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES217/3/2014
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS227/3/2014
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS227/3/2014
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCMISCELLANEOUS227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD227/3/2014
LSCLIFE SAFETY CODE STANDARD228/3/2014
LSCLIFE SAFETY CODE STANDARD228/3/2014
LSCLIFE SAFETY CODE STANDARD238/3/2014
LSCLIFE SAFETY CODE STANDARD228/3/2014
LSCLIFE SAFETY CODE STANDARD228/3/2014
LSCLIFE SAFETY CODE STANDARD228/3/2014