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 pain19.202896/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened4.021116/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine846/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine83.577716/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.244816/1/2017
471Percentage of short-stay residents who made improvements in function84.738446/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased32.768363006/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain8.197783006/1/2017
403Percentage of high risk long-stay residents with pressure ulcers6.329115006/1/2017
404Percentage of long-stay residents who lose too much weight3.883497006/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder39.285714006/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.448196006/1/2017
407Percentage of long-stay residents with a urinary tract infection7.766991006/1/2017
408Percentage of long-stay residents who have depressive symptoms13.265307006/1/2017
409Percentage of long-stay residents who were physically restrained0.000000006/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury6.763284006/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.360657006/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000000006/1/2017
419Percentage of long-stay residents who received an antipsychotic medication15.458937006/1/2017
451Percentage of long-stay residents whose ability to move independently worsened41.769085006/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication12.500000006/1/2017

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 0:00Multiple Deficiencies9/27/20024000
4/15/2016 0:00Quality of Care8/18/20162000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/28/2014Certification2
4/15/2016Certification3
4/21/2017Certification1
4/3/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthMEDICALLY RELATED SOCIAL SERVICES22
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING21
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS22
HealthCRIMINAL HISTORY RECORD CHECK NOT PERFORMED PROVIDER SHALL SUBMIT REQUEST FOR CHECK21
HealthDENTAL SERVICES IN SKILLED NURSING FACILITIES21
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST22
HealthRESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS21
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM21
LSC21
LSC22
LSC22
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE21
HealthPHYSICAL ENVIRONMENT22
LSCAUTOMATIC SPRINKLER SYSTEM223/3/2014
LSCEMERGENCY PLAN223/4/2014
LSCSPRINKLER SYSTEM MAINTENANCE223/4/2014
LSCCOOKING EQUIPMENT223/4/2014
LSCHAZARDOUS AREAS - SEPARATION224/1/2014
LSCEXIT SIGNS224/1/2014
LSCEMERGENCY LIGHTING224/13/2015
LSCCOMMON WALL224/14/2014
LSCCORRIDOR DOORS224/14/2014
LSCEXIT ACCESS224/20/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS214/4/2014
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.124/4/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS214/4/2014
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST214/4/2014
LSCCOOKING EQUIPMENT224/7/2015
LSCFIRE DRILLS224/7/2015
LSCCOMMON WALL225/15/2015
LSCHAZARDOUS AREAS - SEPARATION225/15/2015
LSCTESTING OF FIRE ALARM225/15/2015
HealthPROPER CARE & SERVICES FOR RESIDENT W/ NASO-GASTRIC TUBE215/3/2015
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM215/3/2015
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE215/3/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/3/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS215/3/2015
HealthFACILITY SAFEGUARDS CLINICAL RECORDS125/31/2016
LSCSPRINKLER SYSTEM MAINTENANCE225/31/2016
HealthDISPOSE GARBAGE AND REFUSE PROPERLY125/31/2016
LSCGENERATORS INSPECTED/TESTED225/31/2016
LSCTESTING OF FIRE ALARM215/31/2016
LSCFIRE DRILLS225/31/2016
LSCEMERGENCY LIGHTING225/31/2016
LSCHAZARDOUS AREAS - SEPARATION225/31/2016
LSCCORRIDOR DOORS225/31/2016
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS215/31/2016
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT215/31/2016
HealthFACILITY IS FREE OF ACCIDENT HAZARDS225/31/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/31/2016
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES215/31/2016
LSCEMERGENCY PLAN225/31/2016
HealthCOMFORTABLE AND SAFE TEMPERATURE LEVELS215/31/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/31/2016
HealthACCESS TO TELEPHONE WITH AUDITORY PRIVACY215/31/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/31/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/8/2015
HealthDIGNITY215/8/2015
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