Jennie B Richmond Chaffee Nursing Home Company Inc

Jennie B Richmond Chaffee Nursing Home Company Inc

222 East Main Street

Springville, NY 14141

(716) 592-2871

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: 75%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain21.070233/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened3.244693/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine85.301833/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine82.288823/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.185773/1/2017
471Percentage of short-stay residents who made improvements in function80.708893/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased34.302327003/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain5.798902003/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.500001003/1/2017
404Percentage of long-stay residents who lose too much weight3.864734003/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder44.444443003/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.791636003/1/2017
407Percentage of long-stay residents with a urinary tract infection7.246376003/1/2017
408Percentage of long-stay residents who have depressive symptoms13.197969003/1/2017
409Percentage of long-stay residents who were physically restrained0.000000003/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury8.133972003/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.828126003/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.043063003/1/2017
419Percentage of long-stay residents who received an antipsychotic medication15.789474003/1/2017
451Percentage of long-stay residents whose ability to move independently worsened35.008225003/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.300493003/1/2017

Complaints

Number of Standard Health Deficiencies:30
Number of Live Safety Code Deficiencies:29
Number of Total Deficiencies:59
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):83
Intakes received per 100 occupied beds (last three years):115.0
Percent of total intakes received that were facility self reported incidents (last three years):93
On-site complaint investigations (last three years):13
Complaint investigations resulting in citations (last three years):5
Complaint investigations resulting in citations per 100 occupied beds (last three years):6.9
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:3
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):5

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
11/23/2001 0:00:00Multiple Deficiencies9/27/20024000
4/15/2016 0:00:00Quality of Care8/18/20162000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/28/2014Certification2
3/15/2013Certification2
4/15/2016Certification3
4/3/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
LSCAUTOMATIC SPRINKLER SYSTEM223/3/2014
LSCEMERGENCY PLAN223/4/2014
LSCCOOKING EQUIPMENT223/4/2014
LSCSPRINKLER SYSTEM MAINTENANCE223/4/2014
LSCHAZARDOUS AREAS - SEPARATION224/1/2014
LSCEXIT SIGNS224/1/2014
LSCEMERGENCY LIGHTING224/13/2015
LSCCORRIDOR DOORS224/14/2014
LSCCOMMON WALL224/14/2014
LSCEXIT ACCESS224/20/2015
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.124/4/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS214/4/2014
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST214/4/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS214/4/2014
LSCFIRE DRILLS224/7/2015
LSCCOOKING EQUIPMENT224/7/2015
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS215/14/2013
HealthPROPER NOTICE BEFORE TRANSFER/DISCHARGE OF RESIDENT215/14/2013
HealthDIGNITY215/14/2013
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE215/14/2013
LSCNO SMOKING SIGNS WHERE OXYGEN USED225/14/2013
LSCMEDICAL GAS SYSTEM225/14/2013
LSCFURNISHING AND DECORATIONS225/14/2013
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS225/14/2013
LSCCORRIDOR DOORS225/14/2013
LSCCOMMON WALL225/14/2013
LSCTESTING OF FIRE ALARM225/15/2015
LSCHAZARDOUS AREAS - SEPARATION225/15/2015
LSCCOMMON WALL225/15/2015
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM215/3/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS215/3/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/3/2015
HealthPROPER CARE & SERVICES FOR RESIDENT W/ NASO-GASTRIC TUBE215/3/2015
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE215/3/2015
HealthDISPOSE GARBAGE AND REFUSE PROPERLY125/31/2016
HealthFACILITY IS FREE OF ACCIDENT HAZARDS225/31/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/31/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/31/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/31/2016
HealthCOMFORTABLE AND SAFE TEMPERATURE LEVELS215/31/2016
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES215/31/2016
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT215/31/2016
HealthACCESS TO TELEPHONE WITH AUDITORY PRIVACY215/31/2016
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS215/31/2016
HealthFACILITY SAFEGUARDS CLINICAL RECORDS125/31/2016
LSCCORRIDOR DOORS225/31/2016
LSCEMERGENCY PLAN225/31/2016
LSCGENERATORS INSPECTED/TESTED225/31/2016
LSCSPRINKLER SYSTEM MAINTENANCE225/31/2016
LSCTESTING OF FIRE ALARM215/31/2016
LSCFIRE DRILLS225/31/2016
LSCEMERGENCY LIGHTING225/31/2016
LSCHAZARDOUS AREAS - SEPARATION225/31/2016
HealthDIGNITY215/8/2015
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/8/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES126/15/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING317/25/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE217/25/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.317/25/2016