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: Proprietary--Business Corporation

Operated by: Catholic Health System, Inc.
144 Genesee Street Seton Prof
Buffalo, NY 14203

Permanent Facility Identifier: 268

Operating Certificate: 1404000N

Medicaid Certified

Medicare Certified

Medicare Number: 335433

Statistics

Employee Flu Vaccination Rate: 50%

Occupancy Rate: 84%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain17.85110/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened2.211000000000000310/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine92.18410/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine95.7779999999999910/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.59910/1/2017
471Percentage of short-stay residents who made improvements in function48.49800000000000510/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased6.7692000010/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.5060000010/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.8616000010/1/2017
404Percentage of long-stay residents who lose too much weight3.3133000010/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder80.0000000010/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.0505000010/1/2017
407Percentage of long-stay residents with a urinary tract infection2.3460000010/1/2017
408Percentage of long-stay residents who have depressive symptoms3.9275000010/1/2017
409Percentage of long-stay residents who were physically restrained0.0000000010/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.5814000010/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.7528000010/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine96.2209000010/1/2017
419Percentage of long-stay residents who received an antipsychotic medication7.8078000010/1/2017
451Percentage of long-stay residents whose ability to move independently worsened20.6183000010/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication15.1057000010/1/2017

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):67
Intakes received per 100 occupied beds (last three years):47.1
Percent of total intakes received that were facility self reported incidents (last three years):58
On-site complaint investigations (last three years):20
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
HealthCOMPREHENSIVE ASSESSMENTS11
HealthHOUSEKEEPING & MAINTENANCE SERVICES11
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENT11
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING21
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)21
LSCLIFE SAFETY CODE STANDARD221/3/2014
LSCLIFE SAFETY CODE STANDARD221/3/2014
LSCLIFE SAFETY CODE STANDARD221/3/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE221/3/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/3/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS211/3/2014
HealthPOSTED NURSE STAFFING INFORMATION121/3/2014
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER221/3/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)221/3/2014
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES121/3/2014
LSCLIFE SAFETY CODE STANDARD221/3/2014
LSCLIFE SAFETY CODE STANDARD221/3/2014
LSCMISCELLANEOUS221/3/2014
LSCLIFE SAFETY CODE STANDARD221/31/2015
LSCLIFE SAFETY CODE STANDARD221/31/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP211/31/2015
HealthCOMPREHENSIVE ASSESSMENTS211/31/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES211/31/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/31/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS211/31/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE211/31/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS1210/17/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/17/2014
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2112/9/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/9/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2112/9/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2112/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
HealthStandards of Construction for New Existing NH2112/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD2212/9/2016
LSCLIFE SAFETY CODE STANDARD222/1/2016
LSCLIFE SAFETY CODE STANDARD212/1/2016
LSCMISCELLANEOUS212/1/2016
LSCLIFE SAFETY CODE STANDARD212/1/2016
LSCLIFE SAFETY CODE STANDARD212/1/2016
LSCLIFE SAFETY CODE STANDARD212/1/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS212/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES212/8/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS212/8/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN212/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)212/8/2016
HealthResponsibilities of Providers; Required Notif122/8/2016
HealthCOMPLY WITH FEDERAL/STATE/LOCAL LAWS/PROF STD212/8/2016