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: 86%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain21.21005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine93.92005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.87005/1/2019
471Percentage of short-stay residents who made improvements in function54.40005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased9.06005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain4.09005/1/2019
404Percentage of long-stay residents who lose too much weight3.79005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder71.22005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.28005/1/2019
407Percentage of long-stay residents with a urinary tract infection2.98005/1/2019
408Percentage of long-stay residents who have depressive symptoms1.70005/1/2019
409Percentage of long-stay residents who were physically restrained0.00005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.78005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine94.32005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication10.16005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened16.42005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.34005/1/2019

Complaints

Number of Standard Health Deficiencies:22
Number of Live Safety Code Deficiencies:24
Number of Total Deficiencies:46
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):54
Intakes received per 100 occupied beds (last three years):39.1
Percent of total intakes received that were facility self reported incidents (last three years):65
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):3.6
Complaint Citations in deficiency category: Administration:0
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):5

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
7/2/2015COMPLAINT1
9/30/2015CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthCOMPREHENSIVE ASSESSMENTS1110/20/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES1112/15/2015
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
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 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
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
LSCLIFE SAFETY CODE STANDARD2212/15/20152/1/2016
LSCMISCELLANEOUS2112/15/20152/1/2016
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC221/9/20182/19/2018
HealthBOWEL/BLADDER INCONTINENCE, CATHETER, UTI211/9/20182/19/2018
LSCAISLE, CORRIDOR, OR RAMP WIDTH221/9/20182/19/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE211/9/20182/19/2018
LSCEP PROGRAM PATIENT POPULATION131/9/20182/19/2018
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
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2112/15/20152/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2112/15/20152/8/2016
HealthCOMPLY WITH FEDERAL/STATE/LOCAL LAWS/PROF STD2112/15/20152/8/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/15/20152/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/15/20152/8/2016
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF1212/15/20152/8/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2112/15/20152/8/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/2/20156/3/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/2/20156/3/2015