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 pain15.3166400000000019/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened2.237799/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine82.335339/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine79.771789/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.41286999999999989/1/2017
471Percentage of short-stay residents who made improvements in function70.875979/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased28.038508009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain5.064237009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers9.816752009/1/2017
404Percentage of long-stay residents who lose too much weight5.578091009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder47.305390009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.162082009/1/2017
407Percentage of long-stay residents with a urinary tract infection2.121214009/1/2017
408Percentage of long-stay residents who have depressive symptoms1.861994009/1/2017
409Percentage of long-stay residents who were physically restrained1.311805009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.313884009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.648148009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine89.939636009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication6.434023009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened26.334260009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.372950009/1/2017

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
04/17/2015 0:00:00Multiple Deficiencies4238216000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/24/2016Complaint2
10/7/2013Certification2
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

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthNG TREATMENT/SERVICES - RESTORE EATING SKILLS211/23/2015
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH211/27/2014
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDERS211/27/2014
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS221/27/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2112/2/2013
HealthDEVELOP COMPREHENSIVE CARE PLANS2112/2/2013
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2212/2/2013
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/2/2013
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER2112/2/2013
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION2112/2/2013
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2112/2/2013
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2112/2/2013
LSCLIFE SAFETY CODE STANDARD2212/2/2013
LSCLIFE SAFETY CODE STANDARD2212/2/2013
LSCLIFE SAFETY CODE STANDARD2212/2/2013
LSCLIFE SAFETY CODE STANDARD2212/2/2013
LSCLIFE SAFETY CODE STANDARD2212/2/2013
LSCLIFE SAFETY CODE STANDARD2212/2/2013
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2112/2/2013
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2112/23/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES212/5/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES225/10/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS215/10/2015
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION225/11/2015
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN425/11/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS425/11/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES425/11/2015
HealthTREATMENT/CARE FOR SPECIAL NEEDS425/11/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES216/5/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)218/18/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY228/18/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS228/18/2014
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES228/18/2014
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP218/18/2014
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS218/18/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES128/28/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)228/28/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES218/28/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE218/28/2015
HealthASSESSMENT ACCURACY/COORDINATION/CERTIFIED218/28/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS218/28/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP218/28/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN218/28/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/28/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER218/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
LSCLIFE SAFETY CODE STANDARD228/28/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE128/28/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS218/28/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY228/28/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS228/28/2015
LSCLIFE SAFETY CODE STANDARD229/19/2016
LSCLIFE SAFETY CODE STANDARD229/19/2016
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS219/19/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY229/19/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS219/19/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/19/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/19/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION219/19/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/19/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS219/19/2016
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED229/19/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/19/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS219/19/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE219/19/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY219/19/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES219/30/2014