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
424Percentage of short-stay residents who self-report moderate to severe pain16.12005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine79.22005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.96005/1/2019
471Percentage of short-stay residents who made improvements in function81.63005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased26.42005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain6.90005/1/2019
404Percentage of long-stay residents who lose too much weight4.14005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder46.67005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.49005/1/2019
407Percentage of long-stay residents with a urinary tract infection6.67005/1/2019
408Percentage of long-stay residents who have depressive symptoms15.93005/1/2019
409Percentage of long-stay residents who were physically restrained0.00005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury5.64005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.90005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication20.62005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened29.00005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication23.67005/1/2019

Complaints

Number of Standard Health Deficiencies:28
Number of Live Safety Code Deficiencies:17
Number of Total Deficiencies:45
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :4
Total intakes received (last three years):68
Intakes received per 100 occupied beds (last three years):98.6
Percent of total intakes received that were facility self reported incidents (last three years):91
On-site complaint investigations (last three years):12
Complaint investigations resulting in citations (last three years):6
Complaint investigations resulting in citations per 100 occupied beds (last three years):8.7
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:2
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):6

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
15-Apr-16Quality of Care18-Aug-162000
23-Nov-01Multiple Deficiencies27-Sep-024000

Surveys

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

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE118/28/2018
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS138/28/201810/27/2018
LSCEP PROGRAM PATIENT POPULATION138/28/201810/27/2018
HealthPHYSICAL ENVIRONMENT228/28/201810/27/2018
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES228/28/201810/27/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG228/28/201810/27/2018
LSCPORTABLE SPACE HEATERS228/28/201810/27/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY138/28/201810/27/2018
HealthPHYSICAL ENVIRONMENT224/21/20175/10/2017
LSCGENERAL REQUIREMENTS - OTHER214/21/20175/30/2017
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
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES214/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD214/15/20165/31/2016
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
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/15/20165/31/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
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
HealthDISPOSE GARBAGE & REFUSE PROPERLY124/15/20165/31/2016
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS224/21/20175/31/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES124/15/20166/15/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/21/20176/5/2017
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE224/21/20176/5/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS214/21/20176/5/2017
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS214/21/20176/5/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS214/21/20176/5/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS224/21/20176/5/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON224/21/20176/5/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/21/20176/5/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER214/21/20176/5/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG224/21/20176/5/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)314/15/20167/25/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/15/20167/25/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING314/15/20167/25/2016
HealthFREE OF MEDICATION ERROR RTS 5 PRCNT OR MORE218/28/20189/28/2018