Mcauley Residence

Mcauley Residence

1503 Military Road

Kenmore, NY 14217

7164476600

www.chsbuffalo.org/Facilities/NursingHomes/McAuley

Services: Baseline Services, Clinical Laboratory Service, Radiology - Diagnostic

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:160
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:160

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Kenmore Mercy Hospital
2950 Elmwood Avenue
Kenmore, NY 14217

Permanent Facility Identifier: 268

Operating Certificate: 1404000N

Medicaid Certified

Medicare Certified

Medicare Number: 335433

Statistics

Employee Flu Vaccination Rate: 68%

Occupancy Rate: 96%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain22.00002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.56002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine88.48002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine94.46002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication2.01002/1/2019
471Percentage of short-stay residents who made improvements in function51.20002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased9.85002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain2.41002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers4.24002/1/2019
404Percentage of long-stay residents who lose too much weight5.46002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder71.11002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.00002/1/2019
407Percentage of long-stay residents with a urinary tract infection3.94002/1/2019
408Percentage of long-stay residents who have depressive symptoms1.76002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.91002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine96.99002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine97.49002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication9.14002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened18.55002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.75002/1/2019

Complaints

Number of Standard Health Deficiencies:29
Number of Live Safety Code Deficiencies:26
Number of Total Deficiencies:55
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:0
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :0
Total intakes received (last three years):57
Intakes received per 100 occupied beds (last three years):37.0
Percent of total intakes received that were facility self reported incidents (last three years):65
On-site complaint investigations (last three years):15
Complaint investigations resulting in citations (last three years):6
Complaint investigations resulting in citations per 100 occupied beds (last three years):3.9
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:2
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

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/9/2018CERTIFICATION/COMPLAINT2
10/20/2016CERTIFICATION/COMPLAINT2
12/15/2015CERTIFICATION/COMPLAINT2
12/9/2014CERTIFICATION/COMPLAINT2
7/2/2015COMPLAINT1
9/30/2015CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthCOMPREHENSIVE ASSESSMENTS1110/20/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/2/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/2/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES1112/15/2015
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENT1112/9/2014
HealthCOMPREHENSIVE ASSESSMENTS2112/9/20141/31/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2212/9/20141/31/2015
LSCLIFE SAFETY CODE STANDARD2212/9/20141/31/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2112/9/20141/31/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2112/9/20141/31/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS2112/9/20141/31/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/9/20141/31/2015
LSCLIFE SAFETY CODE STANDARD2212/9/20141/31/2015
HealthASSESSMENT ACCURACY/COORDINATION/CERTIFIED219/30/201511/15/2015
HealthPOSTED NURSE STAFFING INFORMATION129/30/201511/15/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING219/30/201511/15/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/30/201511/15/2015
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS219/30/201511/15/2015
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2110/20/201612/9/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/20/201612/9/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2110/20/201612/9/2016
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NH2110/20/201612/9/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2212/15/20152/1/2016
LSCMISCELLANEOUS2112/15/20152/1/2016
LSCLIFE SAFETY CODE STANDARD2112/15/20152/1/2016
LSCLIFE SAFETY CODE STANDARD2112/15/20152/1/2016
LSCLIFE SAFETY CODE STANDARD2112/15/20152/1/2016
LSCLIFE SAFETY CODE STANDARD2112/15/20152/1/2016
HealthBOWEL/BLADDER INCONTINENCE, CATHETER, UTI211/9/20182/19/2018
LSCAISLE, CORRIDOR, OR RAMP WIDTH221/9/20182/19/2018
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC221/9/20182/19/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE211/9/20182/19/2018
LSCFIRE DRILLS211/9/20182/19/2018
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG211/9/20182/19/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY131/9/20182/19/2018
LSCEP PROGRAM PATIENT POPULATION131/9/20182/19/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2112/15/20152/8/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2112/15/20152/8/2016
HealthCOMPLY WITH FEDERAL/STATE/LOCAL LAWS/PROF STD2112/15/20152/8/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/15/20152/8/2016
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF1212/15/20152/8/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2112/15/20152/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/15/20152/8/2016