Humboldt House Rehabilitation and Nursing Center

Humboldt House Rehabilitation and Nursing Center

64 Hager Street

Buffalo, NY 14208

7168864377

www.niagaralutheran.org/content/pages/nl-rehabilitation-center

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:173
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:173

Administrative

Ownership: Proprietary--LLC

Operated by: NHRC Acquisition, LLC
68 Hager Street
Buffalo, NY 14208

Permanent Facility Identifier: 244

Operating Certificate: 1401340N

Medicaid Certified

Medicare Certified

Medicare Number: 335164

Statistics

Employee Flu Vaccination Rate: 50%

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 pain15.77510/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.67710/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine78.5429999999999910/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine79.5159999999999910/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.339000000000000210/1/2017
471Percentage of short-stay residents who made improvements in function41.26210/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased20.4741000010/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain3.8358000010/1/2017
403Percentage of high risk long-stay residents with pressure ulcers8.2228000010/1/2017
404Percentage of long-stay residents who lose too much weight6.9583000010/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder30.6122000010/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.3918000010/1/2017
407Percentage of long-stay residents with a urinary tract infection0.5682000010/1/2017
408Percentage of long-stay residents who have depressive symptoms36.7793000010/1/2017
409Percentage of long-stay residents who were physically restrained0.0000000010/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury3.3645000010/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine96.6555000010/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.5140000010/1/2017
419Percentage of long-stay residents who received an antipsychotic medication17.5947000010/1/2017
451Percentage of long-stay residents whose ability to move independently worsened28.5913000010/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication14.4737000010/1/2017

Complaints

Number of Standard Health Deficiencies:63
Number of Live Safety Code Deficiencies:32
Number of Total Deficiencies:95
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):157
Intakes received per 100 occupied beds (last three years):102.0
Percent of total intakes received that were facility self reported incidents (last three years):52
On-site complaint investigations (last three years):43
Complaint investigations resulting in citations (last three years):19
Complaint investigations resulting in citations per 100 occupied beds (last three years):12.3
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:10
Complaint Citations in deficiency category: Resident Rights:6
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:2
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):19

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
1/27/2017 0:00Quality of Care5/15/20172000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/27/2017Complaint1
11/10/2014Certification2
11/13/2013Certification2
2/2/2017Complaint2
4/20/2017Complaint2
5/13/2016Certification4
6/21/2017Certification1
7/2/2014Complaint2
8/29/2016Complaint2
9/15/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthDepartment Criminal History Review22
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING22
LSCSprinkler System - Maintenance and Testing22
LSCMeans of Egress - General21
LSCBuilding Construction Type and Height22
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE12
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS21
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY22
HealthTREATMENT/CARE FOR SPECIAL NEEDS21
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE21
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES21
LSCGas Equipment - Precautions for Handling Oxyg21
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS21
HealthDIGNITY AND RESPECT OF INDIVIDUALITY22
HealthRIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES21
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS31
LSCLIFE SAFETY CODE STANDARD221/6/2015
LSCLIFE SAFETY CODE STANDARD221/6/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)211/6/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY211/6/2015
HealthCOMPREHENSIVE ASSESSMENTS211/6/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP211/6/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN211/6/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING221/6/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS211/6/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES211/6/2015
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE211/6/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS211/6/2015
LSCLIFE SAFETY CODE STANDARD221/6/2015
LSCLIFE SAFETY CODE STANDARD221/6/2015
LSCLIFE SAFETY CODE STANDARD221/6/2015
LSCLIFE SAFETY CODE STANDARD221/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
HealthCriminal History Record Check Process221/7/2014
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES211/7/2014
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES221/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
HealthDental Services211/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
LSCLIFE SAFETY CODE STANDARD221/7/2014
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM2210/7/2016
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES2211/13/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE2111/13/2015
HealthACTIVITIES MEET INTERESTS/NEEDS OF EACH RES2211/13/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2111/13/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2111/13/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/13/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION2111/13/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2211/13/2015
LSCLIFE SAFETY CODE STANDARD2211/13/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2211/13/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2111/13/2015
LSCLIFE SAFETY CODE STANDARD2211/13/2015
LSCLIFE SAFETY CODE STANDARD2212/6/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS224/1/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/1/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS214/1/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/19/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/19/2017
HealthSUFFICIENT FLUID TO MAINTAIN HYDRATION317/1/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY227/1/2016
HealthDISPOSE GARBAGE & REFUSE PROPERLY227/1/2016
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES217/1/2016
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY227/1/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES217/1/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES127/1/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS217/1/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/1/2016
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER217/1/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/1/2016
LSCLIFE SAFETY CODE STANDARD227/1/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/10/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN218/10/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP218/10/2016
HealthCOMPREHENSIVE ASSESSMENTS218/10/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS218/10/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS228/10/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/10/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)218/8/2014