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:20
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: 67%

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 pain16.72002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.80002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine88.98002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine90.19002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.88002/1/2019
471Percentage of short-stay residents who made improvements in function92.18002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased11.79002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain2.74002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers10.73002/1/2019
404Percentage of long-stay residents who lose too much weight2.40002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder61.59002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.36002/1/2019
407Percentage of long-stay residents with a urinary tract infection0.83002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.60002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury0.51002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine94.97002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine92.59002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication4.48002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened7.10002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication9.62002/1/2019

Complaints

Number of Standard Health Deficiencies:49
Number of Live Safety Code Deficiencies:13
Number of Total Deficiencies:62
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:4
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :6
Total intakes received (last three years):168
Intakes received per 100 occupied beds (last three years):60.9
Percent of total intakes received that were facility self reported incidents (last three years):58
On-site complaint investigations (last three years):48
Complaint investigations resulting in citations (last three years):13
Complaint investigations resulting in citations per 100 occupied beds (last three years):4.7
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:5
Complaint Citations in deficiency category: Resident Rights:4
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:1
Complaint Citations in deficiency category: Other Services:1
Complaint Citations across all deficiency categories (last three years):13

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
17-Apr-15Multiple Deficiencies13-Jan-1616000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/24/2016COMPLAINT2
12/10/2015COMPLAINT2
3/13/2015COMPLAINT2
4/17/2015COMPLAINT2
4/7/2016COMPLAINT2
6/30/2015CERTIFICATION/COMPLAINT2
7/21/2016CERTIFICATION/COMPLAINT2
7/9/2018COMPLAINT2
8/30/2017CERTIFICATION/COMPLAINT3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE118/30/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/30/201710/29/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS228/30/201710/29/2017
LSCDOORS WITH SELF-CLOSING DEVICES228/30/201710/29/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/30/201710/29/2017
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR228/30/201710/29/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG218/30/201710/29/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS218/30/201710/29/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS228/30/201710/29/2017
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING228/30/201710/29/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS228/30/201710/29/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS228/30/201710/29/2017
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
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES424/17/20155/11/2015
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN424/17/20155/11/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS424/17/20155/11/2015
HealthTREATMENT/CARE FOR SPECIAL NEEDS424/17/20155/11/2015
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION224/17/20155/11/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES214/7/20166/5/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/30/20158/28/2015
HealthASSESSMENT ACCURACY/COORDINATION/CERTIFIED216/30/20158/28/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS216/30/20158/28/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY226/30/20158/28/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS216/30/20158/28/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER216/30/20158/28/2015
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES126/30/20158/28/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE126/30/20158/28/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS226/30/20158/28/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE216/30/20158/28/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP216/30/20158/28/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES216/30/20158/28/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN216/30/20158/28/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES216/30/20158/28/2015
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
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)226/30/20158/28/2015
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
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY217/21/20169/19/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/19/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS217/21/20169/19/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY227/21/20169/19/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS217/21/20169/19/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/21/20169/19/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION217/21/20169/19/2016
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED227/21/20169/19/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/21/20169/19/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/21/20169/19/2016
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS217/21/20169/19/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/21/20169/19/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS217/21/20169/19/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP217/21/20169/19/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/19/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/9/20189/6/2018