Mcauley Residence

Mcauley Residence

1503 Military Road

Kenmore, NY 14217

(716) 447-6600

www.chsbuffalo.org/Facilities/NursingHomes/McAuley

Services: Clinical Laboratory Service, Baseline Services, 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: 50%

Occupancy Rate: 83%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain8.898473/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.948273/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine94.316493/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine95.642783/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.978473/1/2017
471Percentage of short-stay residents who made improvements in function51.335523/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased6.089744003/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.000000003/1/2017
403Percentage of high risk long-stay residents with pressure ulcers6.270627003/1/2017
404Percentage of long-stay residents who lose too much weight3.492065003/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder75.510204003/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.212812003/1/2017
407Percentage of long-stay residents with a urinary tract infection2.147239003/1/2017
408Percentage of long-stay residents who have depressive symptoms8.974359003/1/2017
409Percentage of long-stay residents who were physically restrained0.000000003/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.613498003/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.295455003/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine96.932517003/1/2017
419Percentage of long-stay residents who received an antipsychotic medication10.576925003/1/2017
451Percentage of long-stay residents whose ability to move independently worsened0.994185003/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication12.500001003/1/2017

Complaints

Number of Standard Health Deficiencies:29
Number of Live Safety Code Deficiencies:25
Number of Total Deficiencies:54
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):68
Intakes received per 100 occupied beds (last three years):47.5
Percent of total intakes received that were facility self reported incidents (last three years):57
On-site complaint investigations (last three years):22
Complaint investigations resulting in citations (last three years):8
Complaint investigations resulting in citations per 100 occupied beds (last three years):5.6
Complaint Citations in deficiency category: Administration:2
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):8

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/20/2016Certification2
11/4/2013Certification2
12/15/2015Certification2
12/9/2014Certification2
7/2/2015Complaint1
8/19/2014Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING21
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.21
HealthRESIDENT ASSESSMENT AUTOMATED DATA PROCESSING11
HealthHOUSEKEEPING AND MAINTENANCE SERVICES11
HealthCOMPREHENSIVE ASSESSMENTS11
LSCOTHER221/3/2014
LSCSPRINKLER SYSTEM MAINTENANCE221/3/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS221/3/2014
LSCEMERGENCY PLAN221/3/2014
LSCTESTING OF FIRE ALARM221/3/2014
LSCGENERATORS INSPECTED/TESTED221/3/2014
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS221/3/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS211/3/2014
HealthNURSE STAFFING121/3/2014
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE221/3/2014
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.221/3/2014
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.121/3/2014
LSCDOORS IN FIRE AND SMOKE PARTITIONS221/3/2014
LSCMEDICAL GAS SYSTEM221/31/2015
HealthCOMPREHENSIVE ASSESSMENTS211/31/2015
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES211/31/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS221/31/2015
HealthDENTAL SERVICES IN SKILLED NURSING FACILITIES211/31/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS211/31/2015
LSCHAZARDOUS AREAS - SEPARATION221/31/2015
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN211/31/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS1210/17/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2110/17/2014
LSCEMERGENCY PLAN2212/9/2016
LSCGENERATORS INSPECTED/TESTED2212/9/2016
LSCMEDICAL GAS SYSTEM2212/9/2016
LSCCOOKING EQUIPMENT2212/9/2016
LSCSPRINKLER SYSTEM MAINTENANCE2212/9/2016
LSCTESTING OF FIRE ALARM2212/9/2016
LSCSMOKE PARTITION CONSTRUCTION2212/9/2016
LSCDOORS IN SMOKE PARTITIONS2212/9/2016
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2112/9/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2112/9/2016
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES2112/9/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2112/9/2016
LSCSMOKE PARTITION CONSTRUCTION2212/9/2016
LSCCOOKING EQUIPMENT2212/9/2016
LSCMEDICAL GAS SYSTEM2212/9/2016
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NURSING HOME2112/9/2016
LSCTESTING OF FIRE ALARM212/1/2016
LSCEMERGENCY PLAN222/1/2016
LSCFURNISHING AND DECORATIONS212/1/2016
LSCHAZARDOUS AREAS - SEPARATION212/1/2016
LSCOTHER212/1/2016
LSCEMERGENCY PLAN212/1/2016
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS212/8/2016
HealthFACILITY IS FREE OF ACCIDENT HAZARDS212/8/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS212/8/2016
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN212/8/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.212/8/2016
HealthCRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION TO DOH PER CESSATION OF EMPLOYMENT122/8/2016
HealthCOMPLIANCE WITH FEDERAL/STATE/LOCAL LAWS/PROFESSIONAL STANDARDS212/8/2016