Jennie B Richmond Chaffee Nursing Home Company Inc

Jennie B Richmond Chaffee Nursing Home Company Inc

222 East Main Street

Springville, NY 14141

7165922871

www.bertrandchaffee.com/longtermcare

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:80
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:80

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Jennie B Richmond Chaffee Nursing Home Co Inc
222 East Main Street
Springville, NY 14141

Permanent Facility Identifier: 281

Operating Certificate: 1427000N

Medicaid Certified

Medicare Certified

Medicare Number: 335435

Statistics

Employee Flu Vaccination Rate: 95%

Occupancy Rate: 86%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine86.090011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication2.750011/1/2019
471Percentage of short-stay residents who made improvements in function72.560011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased19.550011/1/2019
404Percentage of long-stay residents who lose too much weight5.460011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder46.230011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.800011/1/2019
407Percentage of long-stay residents with a urinary tract infection4.570011/1/2019
408Percentage of long-stay residents who have depressive symptoms12.170011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury4.060011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine92.890011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication20.000011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened30.230011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication20.650011/1/2019

Complaints

Number of Standard Health Deficiencies:37
Number of Live Safety Code Deficiencies:21
Number of Total Deficiencies:58
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:3
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :5
Total intakes received (last three years):57
Intakes received per 100 occupied beds (last three years):78.6
Percent of total intakes received that were facility self reported incidents (last three years):88
On-site complaint investigations (last three years):12
Complaint investigations resulting in citations (last three years):9
Complaint investigations resulting in citations per 100 occupied beds (last three years):12.4
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:4
Complaint Citations in deficiency category: Resident Rights:3
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):9

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
11/23/2001Multiple Deficiencies9/27/20024000
4/12/2019Multiple Deficiencies7/22/201910000
4/15/2016Quality of Care8/18/20162000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
4/12/2019COMPLAINT2
4/15/2016CERTIFICATION/COMPLAINT3
4/21/2017CERTIFICATION/COMPLAINT2
8/28/2018CERTIFICATION/COMPLAINT2
9/13/2019CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE114/15/2016.
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION214/15/201610/10/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES224/15/201610/17/2019
LSCCOOKING FACILITIES214/15/201610/17/2019
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE214/15/201610/23/2019
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE214/15/201610/23/2019
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS134/15/201610/27/2018
HealthPHYSICAL ENVIRONMENT224/15/201610/27/2018
LSCEP PROGRAM PATIENT POPULATION134/15/201610/27/2018
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES224/15/201610/27/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG224/15/201610/27/2018
LSCPORTABLE SPACE HEATERS224/15/201610/27/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY134/15/201610/27/2018
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS214/15/201610/31/2019
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/15/201610/31/2019
HealthINFECTION CONTROL124/15/201610/31/2019
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG224/15/201610/31/2019
HealthLICENSE/COMPLY W/ FED/STATE/LOCL LAW/PROF STD224/15/201611/6/2019
HealthPHYSICAL ENVIRONMENT224/15/20165/10/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS214/15/20165/10/2019
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION214/15/20165/10/2019
HealthQUALITY OF CARE414/15/20165/10/2019
LSCGENERAL REQUIREMENTS - OTHER214/15/20165/30/2017
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES214/15/20165/31/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/15/20165/31/2016
HealthCOMFORTABLE & SAFE TEMPERATURE LEVELS214/15/20165/31/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS214/15/20165/31/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES214/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
HealthDISPOSE GARBAGE & REFUSE PROPERLY124/15/20165/31/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/15/20165/31/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES224/15/20165/31/2016
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS124/15/20165/31/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/15/20165/31/2016
HealthRIGHT TO TELEPHONE ACCESS WITH PRIVACY214/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD214/15/20165/31/2016
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS224/15/20165/31/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES124/15/20166/15/2016
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE224/15/20166/5/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS214/15/20166/5/2017
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS214/15/20166/5/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG224/15/20166/5/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER214/15/20166/5/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/15/20166/5/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/15/20166/5/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON224/15/20166/5/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS224/15/20166/5/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS214/15/20166/5/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING314/15/20167/25/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)314/15/20167/25/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/15/20167/25/2016
HealthFREE OF MEDICATION ERROR RTS 5 PRCNT OR MORE214/15/20169/28/2018