Highpointe on Michigan Health Care Facility

Highpointe on Michigan Health Care Facility

1031 Michigan Avenue

Buffalo, NY 14203

7167483101

www.highpointeonmichigan.org/

Services: Baseline Services, Pediatric, Ventilator Dependent

Beds

Behavioral Intervention:
Pediatric:13
Pediatric Ventilator Dependent:7
Residential Health Care:270
Transitional Care Unit:
Ventilator Dependent:10
Total Number of Beds:300

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Kaleida Health
100 High Street
Buffalo, NY 14203

Permanent Facility Identifier: 3182

Operating Certificate: 1401001N

Medicaid Certified

Medicare Certified

Medicare Number: 335834

Statistics

Employee Flu Vaccination Rate: 20%

Occupancy Rate: 91%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain13.694712/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.778212/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine82.549012/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine81.425712/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.093812/1/2017
471Percentage of short-stay residents who made improvements in function76.597912/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased27.830212/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain4.357712/1/2017
403Percentage of high risk long-stay residents with pressure ulcers10.129912/1/2017
404Percentage of long-stay residents who lose too much weight5.566812/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder47.561012/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.580412/1/2017
407Percentage of long-stay residents with a urinary tract infection2.121212/1/2017
408Percentage of long-stay residents who have depressive symptoms1.914412/1/2017
409Percentage of long-stay residents who were physically restrained0.902712/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury1.701712/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine94.629612/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine89.089112/1/2017
419Percentage of long-stay residents who received an antipsychotic medication5.965312/1/2017
451Percentage of long-stay residents whose ability to move independently worsened24.170612/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.783312/1/2017

Complaints

Number of Standard Health Deficiencies:59
Number of Live Safety Code Deficiencies:19
Number of Total Deficiencies:78
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:4
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :5
Total intakes received (last three years):172
Intakes received per 100 occupied beds (last three years):59.7
Percent of total intakes received that were facility self reported incidents (last three years):53
On-site complaint investigations (last three years):59
Complaint investigations resulting in citations (last three years):20
Complaint investigations resulting in citations per 100 occupied beds (last three years):6.9
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:10
Complaint Citations in deficiency category: Resident Rights:5
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:1
Complaint Citations in deficiency category: Other Services:2
Complaint Citations across all deficiency categories (last three years):20

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
4/17/2015 0:00Multiple Deficiencies1/13/201616000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/24/2016Complaint2
11/26/2014Complaint1
12/10/2015Complaint2
12/3/2013Complaint2
3/13/2015Complaint2
4/17/2015Complaint2
4/7/2016Complaint2
6/23/2014Certification2
6/30/2015Certification2
7/21/2016Certification2
7/9/2014Complaint2
8/22/2014Complaint2
8/30/2017Certification3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE118/30/2017
HealthNG TREATMENT/SERVICES - RESTORE EATING SKILLS2111/26/20141/23/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2212/3/20131/27/2014
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDERS2112/3/20131/27/2014
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH2112/3/20131/27/2014
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS218/30/201710/29/2017
HealthRequirements Before Submitting a Request for228/30/201710/29/2017
HealthCriminal History Record Check Process228/30/201710/29/2017
HealthCriminal History Record Check Process228/30/201710/29/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS228/30/201710/29/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/30/201710/29/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/30/201710/29/2017
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING228/30/201710/29/2017
LSCDoors with Self-Closing Devices228/30/201710/29/2017
LSCElectrical Equipment - Power Cords and Extens228/30/201710/29/2017
LSCGas Equipment - Cylinder and Container Storag218/30/201710/29/2017
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP218/30/201711/24/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2110/24/201612/23/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/10/20152/5/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES223/13/20155/10/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS213/13/20155/10/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS424/17/20155/11/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES424/17/20155/11/2015
HealthTREATMENT/CARE FOR SPECIAL NEEDS424/17/20155/11/2015
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION224/17/20155/11/2015
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN424/17/20155/11/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES214/7/20166/5/2016
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP216/23/20148/18/2014
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES226/23/20148/18/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS216/23/20148/18/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE226/23/20148/18/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/9/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES216/30/20158/28/2015
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES126/30/20158/28/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)226/30/20158/28/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES216/30/20158/28/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE216/30/20158/28/2015
HealthASSESSMENT ACCURACY/COORDINATION/CERTIFIED216/30/20158/28/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS216/30/20158/28/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP216/30/20158/28/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN216/30/20158/28/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/30/20158/28/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER216/30/20158/28/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS226/30/20158/28/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY226/30/20158/28/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS216/30/20158/28/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE126/30/20158/28/2015
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
LSCLIFE SAFETY CODE STANDARD226/30/20158/28/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS217/21/20169/19/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/21/20169/19/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/19/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/19/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS217/21/20169/19/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP217/21/20169/19/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY227/21/20169/19/2016
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS217/21/20169/19/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/21/20169/19/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/21/20169/19/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION217/21/20169/19/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/21/20169/19/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS217/21/20169/19/2016
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED227/21/20169/19/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY217/21/20169/19/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES218/22/20149/30/2014