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: 59%

Occupancy Rate: 85.5%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain11.89009/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.15009/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine96.95009/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.57009/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication0.00009/1/2018
471Percentage of short-stay residents who made improvements in function51.91009/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased22.58009/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain6.38009/1/2018
403Percentage of high risk long-stay residents with pressure ulcers8.01009/1/2018
404Percentage of long-stay residents who lose too much weight5.45009/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder44.12009/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.64009/1/2018
407Percentage of long-stay residents with a urinary tract infection0.18009/1/2018
408Percentage of long-stay residents who have depressive symptoms34.81009/1/2018
409Percentage of long-stay residents who were physically restrained0.00009/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury0.35009/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.34009/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.00009/1/2018
419Percentage of long-stay residents who received an antipsychotic medication16.48009/1/2018
451Percentage of long-stay residents whose ability to move independently worsened32.86009/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication16.11009/1/2018

Complaints

Number of Standard Health Deficiencies:61
Number of Live Safety Code Deficiencies:22
Number of Total Deficiencies:83
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):175
Intakes received per 100 occupied beds (last three years):113.0
Percent of total intakes received that were facility self reported incidents (last three years):53
On-site complaint investigations (last three years):40
Complaint investigations resulting in citations (last three years):21
Complaint investigations resulting in citations per 100 occupied beds (last three years):13.6
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:11
Complaint Citations in deficiency category: Resident Rights:7
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):21

Enforcements

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

Surveys

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

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS311/27/2017
LSCLIFE SAFETY CODE STANDARD2211/10/20141/6/2015
LSCLIFE SAFETY CODE STANDARD2211/10/20141/6/2015
LSCLIFE SAFETY CODE STANDARD2211/10/20141/6/2015
LSCLIFE SAFETY CODE STANDARD2211/10/20141/6/2015
LSCLIFE SAFETY CODE STANDARD2211/10/20141/6/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2111/10/20141/6/2015
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE2111/10/20141/6/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2111/10/20141/6/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/10/20141/6/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2211/10/20141/6/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2111/10/20141/6/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2111/10/20141/6/2015
HealthCOMPREHENSIVE ASSESSMENTS2111/10/20141/6/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2111/10/20141/6/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/10/20141/6/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/7/201710/16/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/201710/16/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM228/29/201610/7/2016
LSCLIFE SAFETY CODE STANDARD229/15/201511/13/2015
LSCLIFE SAFETY CODE STANDARD229/15/201511/13/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/15/201511/13/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE229/15/201511/13/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES229/15/201511/13/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION219/15/201511/13/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/15/201511/13/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING219/15/201511/13/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/15/201511/13/2015
HealthACTIVITIES MEET INTERESTS/NEEDS OF EACH RES229/15/201511/13/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE219/15/201511/13/2015
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES229/15/201511/13/2015
LSCLIFE SAFETY CODE STANDARD2211/10/201412/6/2015
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
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/13/20167/1/2016
LSCLIFE SAFETY CODE STANDARD225/13/20167/1/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY225/13/20167/1/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/13/20167/1/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES125/13/20167/1/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/13/20167/1/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/13/20167/1/2016
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER215/13/20167/1/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/13/20167/1/2016
HealthSUFFICIENT FLUID TO MAINTAIN HYDRATION315/13/20167/1/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY225/13/20167/1/2016
HealthDISPOSE GARBAGE & REFUSE PROPERLY225/13/20167/1/2016
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES215/13/20167/1/2016
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM225/13/20167/1/2016
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
HealthDepartment Criminal History Review226/21/20178/1/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/21/20178/1/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE216/21/20178/1/2017
HealthTREATMENT/CARE FOR SPECIAL NEEDS216/21/20178/1/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY226/21/20178/1/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE126/21/20178/1/2017
LSCMeans of Egress - General216/21/20178/1/2017
LSCSprinkler System - Maintenance and Testing226/21/20178/1/2017
LSCGas Equipment - Precautions for Handling Oxyg216/21/20178/1/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/13/20168/10/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN215/13/20168/10/2016
HealthCOMPREHENSIVE ASSESSMENTS215/13/20168/10/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/13/20168/10/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES215/13/20168/10/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/13/20168/10/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS225/13/20168/10/2016
HealthRIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES216/21/20178/16/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/2/20148/8/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY226/21/20178/9/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING226/21/20178/9/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/21/20178/9/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS216/21/20178/9/2017
LSCBuilding Construction Type and Height226/21/20179/1/2017