Emerald South Nursing and Rehabilitation Center

Emerald South Nursing and Rehabilitation Center

1175 Delaware Ave

Buffalo, NY 14209

7168856733

Services: Respite Care (Short Term), Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:122
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:122

Administrative

Ownership: Proprietary--LLC

Operated by: Opal Care LLC
1175 Delaware Avenue
Buffalo, NY 14209

Permanent Facility Identifier: 251

Operating Certificate: 1401338N

Medicaid Certified

Medicare Certified

Medicare Number: 335593

Statistics

Employee Flu Vaccination Rate: 0%

Occupancy Rate: 92%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain7.6923099999999999/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened09/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine84.71769/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine85.377349999999999/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.862069/1/2017
471Percentage of short-stay residents who made improvements in function47.418469/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased15.506328009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.293289009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers3.361344009/1/2017
404Percentage of long-stay residents who lose too much weight1.519756009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder57.894736009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.010183009/1/2017
407Percentage of long-stay residents with a urinary tract infection1.807228009/1/2017
408Percentage of long-stay residents who have depressive symptoms12.500000009/1/2017
409Percentage of long-stay residents who were physically restrained0.600600009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury3.869046009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine75.537635009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine88.392856009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication32.950192009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened22.189692009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication15.290522009/1/2017

Complaints

Number of Standard Health Deficiencies:82
Number of Live Safety Code Deficiencies:58
Number of Total Deficiencies:140
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :1
Total intakes received (last three years):150
Intakes received per 100 occupied beds (last three years):177.9
Percent of total intakes received that were facility self reported incidents (last three years):53
On-site complaint investigations (last three years):33
Complaint investigations resulting in citations (last three years):21
Complaint investigations resulting in citations per 100 occupied beds (last three years):24.9
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:9
Complaint Citations in deficiency category: Resident Rights:9
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:1
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):21

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Multiple Deficiencies382057000
01/13/2016 0:00:00Physical Environment427382000
09/16/2016 0:00:00Quality of Care4272310000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/13/2016Complaint2
12/1/2016Complaint2
2/16/2017Certification2
3/10/2015Certification2
3/7/2016Certification2
5/29/2014Certification3
7/14/2016Complaint2
8/5/2014Complaint2
9/6/2016Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES211/25/2017
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES2110/13/2016
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE2110/13/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2110/13/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES3110/13/2016
HealthCOMFORTABLE & SAFE TEMPERATURE LEVELS232/16/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING222/16/2016
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION232/16/2016
HealthWRITTEN PLANS TO MEET EMERGENCIES/DISASTERS232/16/2016
HealthOrganization and Administration222/16/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/12/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY214/12/2017
HealthDEVELOP COMPREHENSIVE CARE PLANS214/12/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/12/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/12/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES224/12/2017
HealthPROVIDED DIET MEETS NEEDS OF EACH RESIDENT224/12/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY224/12/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/12/2017
HealthSAFE/FUNCTIONAL/SANITARY/COMFORTABLE ENVIRON224/12/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE214/12/2017
LSCCorridor Access214/12/2017
LSCHazardous Areas - Enclosure224/12/2017
LSCSprinkler System - Maintenance and Testing224/12/2017
LSCCorridor - Doors224/12/2017
LSCEvacuation and Relocation Plan224/12/2017
LSCElectrical Systems - Essential Electric Syste224/12/2017
LSCElectrical Systems - Essential Electric Syste224/12/2017
LSCElectrical Equipment - Power Cords and Extens224/12/2017
LSCElectrical Equipment - Testing and Maintenanc224/12/2017
LSCGas Equipment - Cylinder and Container Storag224/12/2017
HealthOrganization and Administration214/12/2017
HealthPhysical Environment224/12/2017
HealthStandards of Construction for New Existing NH224/12/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/20/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/20/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY214/20/2016
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE214/20/2016
HealthCOMPREHENSIVE ASSESSMENTS214/20/2016
HealthCOMPREHENSIVE ASSESSMENT 14 DAYS AFTER ADMIT224/20/2016
HealthCOMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE214/20/2016
HealthCOMPREHENSIVE ASSESS AT LEAST EVERY 12 MONTHS214/20/2016
HealthQUARTERLY ASSESSMENT AT LEAST EVERY 3 MONTHS224/20/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS224/20/2016
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENT224/20/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/20/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES224/20/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE214/20/2016
HealthSUFFICIENT FLUID TO MAINTAIN HYDRATION214/20/2016
HealthPOSTED NURSE STAFFING INFORMATION124/20/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/20/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/20/2016
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION224/20/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE214/20/2016
HealthWRITTEN PLANS TO MEET EMERGENCIES/DISASTERS224/20/2016
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 STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD234/20/2016
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
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCMISCELLANEOUS224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
LSCLIFE SAFETY CODE STANDARD224/20/2016
HealthStandards of Construction for New Existing NH234/20/2016
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT215/4/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES225/4/2016
HealthResponsibilities of Providers; Required Notif125/8/2015
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE125/8/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/8/2015
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES225/8/2015
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE215/8/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES225/8/2015
HealthCOMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE215/8/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS215/8/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/8/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/8/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES225/8/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS215/8/2015
HealthTHERAPEUTIC DIET PRESCRIBED BY PHYSICIAN215/8/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS215/8/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/8/2015
HealthRESIDENT CALL SYSTEM - ROOMS/TOILET/BATH225/8/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/8/2015
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCMISCELLANEOUS225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
LSCLIFE SAFETY CODE STANDARD225/8/2015
HealthOrganization and Administration215/8/2015
HealthStandards of Construction for New Existing NH225/8/2015
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
LSCLIFE SAFETY CODE STANDARD227/27/2014
HealthGeneral Requirements227/29/2014
HealthRequirements Before Submitting a Request for127/29/2014
HealthDepartment Criminal History Review227/29/2014
HealthDepartment Criminal History Review227/29/2014
HealthDepartment Criminal History Review127/29/2014
HealthResponsibilities of Providers; Required Notif127/29/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP127/29/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES217/29/2014
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION227/29/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/29/2014
HealthInfection Control227/29/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS218/29/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING218/29/2014
LSCLIFE SAFETY CODE STANDARD228/29/2014
LSCLIFE SAFETY CODE STANDARD228/29/2014
LSCLIFE SAFETY CODE STANDARD228/29/2014
HealthNG TREATMENT/SERVICES - RESTORE EATING SKILLS219/7/2016