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: 75%

Occupancy Rate: 0%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain18.97009/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened4.79009/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine79.78009/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine74.59009/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication3.09009/1/2018
471Percentage of short-stay residents who made improvements in function82.31009/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased28.00009/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain8.44009/1/2018
403Percentage of high risk long-stay residents with pressure ulcers13.58009/1/2018
404Percentage of long-stay residents who lose too much weight4.67009/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder41.79009/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.42009/1/2018
407Percentage of long-stay residents with a urinary tract infection11.21009/1/2018
408Percentage of long-stay residents who have depressive symptoms13.99009/1/2018
409Percentage of long-stay residents who were physically restrained0.00009/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury7.01009/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.42009/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.53009/1/2018
419Percentage of long-stay residents who received an antipsychotic medication20.09009/1/2018
451Percentage of long-stay residents whose ability to move independently worsened35.36009/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.28009/1/2018

Complaints

Number of Standard Health Deficiencies:32
Number of Live Safety Code Deficiencies:18
Number of Total Deficiencies:50
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):80
Intakes received per 100 occupied beds (last three years):114.8
Percent of total intakes received that were facility self reported incidents (last three years):91
On-site complaint investigations (last three years):14
Complaint investigations resulting in citations (last three years):6
Complaint investigations resulting in citations per 100 occupied beds (last three years):8.6
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
11/23/2001Multiple Deficiencies9/27/20024000
4/15/2016Quality of Care8/18/20162000

Surveys

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

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCLIFE SAFETY CODE STANDARD224/3/20154/13/2015
LSCLIFE SAFETY CODE STANDARD224/3/20154/20/2015
LSCLIFE SAFETY CODE STANDARD224/3/20154/7/2015
LSCLIFE SAFETY CODE STANDARD224/3/20154/7/2015
HealthPhysical Environment224/21/20175/10/2017
LSCLIFE SAFETY CODE STANDARD224/3/20155/15/2015
LSCLIFE SAFETY CODE STANDARD224/3/20155/15/2015
LSCLIFE SAFETY CODE STANDARD224/3/20155/15/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS214/3/20155/3/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/3/20155/3/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE214/3/20155/3/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/3/20155/3/2015
HealthNG TREATMENT/SERVICES - RESTORE EATING SKILLS214/3/20155/3/2015
LSCGeneral Requirements - Other214/21/20175/30/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/15/20165/31/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES224/15/20165/31/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/15/20165/31/2016
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS124/15/20165/31/2016
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
LSCLIFE SAFETY CODE STANDARD224/15/20165/31/2016
LSCLIFE SAFETY CODE STANDARD214/15/20165/31/2016
HealthCOMFORTABLE & SAFE TEMPERATURE LEVELS214/15/20165/31/2016
HealthRIGHT TO TELEPHONE ACCESS WITH PRIVACY214/15/20165/31/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES214/15/20165/31/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES214/15/20165/31/2016
HealthDISPOSE GARBAGE & REFUSE PROPERLY124/15/20165/31/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS214/15/20165/31/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/15/20165/31/2016
LSCElectrical Equipment - Power Cords and Extens224/21/20175/31/2017
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/3/20155/8/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY214/3/20155/8/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES124/15/20166/15/2016
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE224/21/20176/5/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/21/20176/5/2017
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS214/21/20176/5/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER214/21/20176/5/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS224/21/20176/5/2017
HealthCriminal History Record Check Process214/21/20176/5/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON224/21/20176/5/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/21/20176/5/2017
LSCGas Equipment - Precautions for Handling Oxyg224/21/20176/5/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS214/21/20176/5/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)314/15/20167/25/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING314/15/20167/25/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/15/20167/25/2016