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: 54%

Occupancy Rate: 96%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain17.51002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.46002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine87.61002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.71002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.00002/1/2019
471Percentage of short-stay residents who made improvements in function71.72002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased26.89002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain6.79002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers5.87002/1/2019
404Percentage of long-stay residents who lose too much weight7.71002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder61.87002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.54002/1/2019
407Percentage of long-stay residents with a urinary tract infection0.17002/1/2019
408Percentage of long-stay residents who have depressive symptoms45.06002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury1.22002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.03002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.00002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication16.43002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened30.45002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.96002/1/2019

Complaints

Number of Standard Health Deficiencies:60
Number of Live Safety Code Deficiencies:27
Number of Total Deficiencies:87
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:3
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :3
Total intakes received (last three years):185
Intakes received per 100 occupied beds (last three years):111.4
Percent of total intakes received that were facility self reported incidents (last three years):53
On-site complaint investigations (last three years):37
Complaint investigations resulting in citations (last three years):23
Complaint investigations resulting in citations per 100 occupied beds (last three years):13.9
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:13
Complaint Citations in deficiency category: Resident Rights:4
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:2
Complaint Citations in deficiency category: Other Services:3
Complaint Citations across all deficiency categories (last three years):23

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
27-Jan-17Quality of Care15-May-172000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/27/2017COMPLAINT1
10/29/2018CERTIFICATION/COMPLAINT1
2/2/2017COMPLAINT2
4/20/2017COMPLAINT2
5/13/2016CERTIFICATION/COMPLAINT3
6/21/2017CERTIFICATION/COMPLAINT2
8/20/2018COMPLAINT2
8/29/2016COMPLAINT2
9/15/2015CERTIFICATION/COMPLAINT2
9/7/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE2210/29/2018
LSCFIRE ALARM SYSTEM - INSTALLATION2110/29/2018
LSCEXIT SIGNAGE2210/29/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2110/29/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2110/29/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2210/29/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT2210/29/2018
HealthTREATMENT/SERVICE FOR DEMENTIA2110/29/2018
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT1210/29/2018
HealthQUALITY OF CARE3110/29/2018
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE1210/29/2018
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM2210/29/2018
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION2110/29/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2110/29/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE2110/29/2018
HealthDIALYSIS2110/29/2018
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS311/27/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2210/29/2018
LSCHAZARDOUS AREAS - ENCLOSURE2210/29/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING2310/29/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/201710/16/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/7/201710/16/2017
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING218/20/201810/3/2018
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM228/29/201610/7/2016
LSCLIFE SAFETY CODE STANDARD229/15/201511/13/2015
HealthACTIVITIES MEET INTERESTS/NEEDS OF EACH RES229/15/201511/13/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/15/201511/13/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE219/15/201511/13/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE229/15/201511/13/2015
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES229/15/201511/13/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING219/15/201511/13/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/15/201511/13/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION219/15/201511/13/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES229/15/201511/13/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/15/201511/13/2015
LSCLIFE SAFETY CODE STANDARD229/15/201511/13/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS222/2/20174/1/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS212/2/20174/1/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES212/2/20174/1/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/20/20175/19/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/20/20175/19/2017
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/13/20167/1/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY225/13/20167/1/2016
HealthDISPOSE GARBAGE & REFUSE PROPERLY225/13/20167/1/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY225/13/20167/1/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/13/20167/1/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES125/13/20167/1/2016
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM225/13/20167/1/2016
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER215/13/20167/1/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/13/20167/1/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/13/20167/1/2016
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES215/13/20167/1/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/13/20167/1/2016
HealthSUFFICIENT FLUID TO MAINTAIN HYDRATION315/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/21/20178/1/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW226/21/20178/1/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY226/21/20178/1/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE216/21/20178/1/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE126/21/20178/1/2017
HealthTREATMENT/CARE FOR SPECIAL NEEDS216/21/20178/1/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG216/21/20178/1/2017
LSCMEANS OF EGRESS - GENERAL216/21/20178/1/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING226/21/20178/1/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/13/20168/10/2016
HealthCOMPREHENSIVE ASSESSMENTS215/13/20168/10/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/13/20168/10/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN215/13/20168/10/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS225/13/20168/10/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES215/13/20168/10/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/13/20168/10/2016
HealthRIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES216/21/20178/16/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY226/21/20178/9/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS216/21/20178/9/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING226/21/20178/9/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/21/20178/9/2017
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT226/21/20179/1/2017