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: 70%

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 pain20.408169/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened4.4287100000000019/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine83.287679/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine82.352939999999999/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.272729/1/2017
471Percentage of short-stay residents who made improvements in function81.80819/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased27.428572009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain9.689951009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.142860009/1/2017
404Percentage of long-stay residents who lose too much weight4.830918009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder35.483869009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.784233009/1/2017
407Percentage of long-stay residents with a urinary tract infection7.729469009/1/2017
408Percentage of long-stay residents who have depressive symptoms14.070353009/1/2017
409Percentage of long-stay residents who were physically restrained0.000000009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury5.288460009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.933884009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.519231009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication17.788462009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened40.567107009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication12.244898009/1/2017

Complaints

Number of Standard Health Deficiencies:36
Number of Live Safety Code Deficiencies:26
Number of Total Deficiencies:62
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :3
Total intakes received (last three years):78
Intakes received per 100 occupied beds (last three years):109.9
Percent of total intakes received that were facility self reported incidents (last three years):92
On-site complaint investigations (last three years):11
Complaint investigations resulting in citations (last three years):6
Complaint investigations resulting in citations per 100 occupied beds (last three years):8.5
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:4
Complaint Citations in deficiency category: Resident Rights:2
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
04/15/2016 0:00:00Quality of Care426002000
11/23/2001 0:00:00Multiple Deficiencies375264000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/28/2014Certification2
4/15/2016Certification3
4/21/2017Certification2
4/3/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
LSCLIFE SAFETY CODE STANDARD223/3/2014
LSCLIFE SAFETY CODE STANDARD223/4/2014
LSCLIFE SAFETY CODE STANDARD223/4/2014
LSCLIFE SAFETY CODE STANDARD223/4/2014
LSCLIFE SAFETY CODE STANDARD224/1/2014
LSCLIFE SAFETY CODE STANDARD224/1/2014
LSCLIFE SAFETY CODE STANDARD224/13/2015
LSCLIFE SAFETY CODE STANDARD224/14/2014
LSCLIFE SAFETY CODE STANDARD224/14/2014
LSCLIFE SAFETY CODE STANDARD224/20/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE214/4/2014
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON214/4/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS214/4/2014
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES124/4/2014
LSCLIFE SAFETY CODE STANDARD224/7/2015
LSCLIFE SAFETY CODE STANDARD224/7/2015
HealthPhysical Environment225/10/2017
LSCLIFE SAFETY CODE STANDARD225/15/2015
LSCLIFE SAFETY CODE STANDARD225/15/2015
LSCLIFE SAFETY CODE STANDARD225/15/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/3/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE215/3/2015
HealthNG TREATMENT/SERVICES - RESTORE EATING SKILLS215/3/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/3/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS215/3/2015
LSCGeneral Requirements - Other215/30/2017
HealthDEVELOP COMPREHENSIVE CARE PLANS215/31/2016
HealthRIGHT TO TELEPHONE ACCESS WITH PRIVACY215/31/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES225/31/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES215/31/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/31/2016
HealthDISPOSE GARBAGE & REFUSE PROPERLY125/31/2016
HealthCOMFORTABLE & SAFE TEMPERATURE LEVELS215/31/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS215/31/2016
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS125/31/2016
LSCLIFE SAFETY CODE STANDARD225/31/2016
LSCLIFE SAFETY CODE STANDARD225/31/2016
LSCLIFE SAFETY CODE STANDARD225/31/2016
LSCLIFE SAFETY CODE STANDARD225/31/2016
LSCLIFE SAFETY CODE STANDARD225/31/2016
LSCLIFE SAFETY CODE STANDARD225/31/2016
LSCLIFE SAFETY CODE STANDARD225/31/2016
LSCLIFE SAFETY CODE STANDARD215/31/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/31/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/31/2016
LSCElectrical Equipment - Power Cords and Extens225/31/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY215/8/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/8/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES126/15/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS226/5/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER216/5/2017
LSCGas Equipment - Precautions for Handling Oxyg226/5/2017
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS216/5/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING216/5/2017
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE226/5/2017
HealthCriminal History Record Check Process216/5/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON226/5/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS216/5/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS216/5/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)317/25/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS217/25/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING317/25/2016