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 Professional Building
Buffalo, NY 14203

Permanent Facility Identifier: 268

Operating Certificate: 1404000N

Medicaid Certified

Medicare Certified

Medicare Number: 335433

Statistics

Employee Flu Vaccination Rate: 53%

Occupancy Rate: 88.8%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain20.19004/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.56004/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine89.67004/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine95.91004/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication1.75004/1/2018
471Percentage of short-stay residents who made improvements in function44.67004/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased7.14004/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain1.35004/1/2018
403Percentage of high risk long-stay residents with pressure ulcers5.90004/1/2018
404Percentage of long-stay residents who lose too much weight3.29004/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder80.42004/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.25004/1/2018
407Percentage of long-stay residents with a urinary tract infection4.06004/1/2018
408Percentage of long-stay residents who have depressive symptoms2.97004/1/2018
409Percentage of long-stay residents who were physically restrained0.00004/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury1.44004/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.83004/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.40004/1/2018
419Percentage of long-stay residents who received an antipsychotic medication8.04004/1/2018
451Percentage of long-stay residents whose ability to move independently worsened17.97004/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.68004/1/2018

Complaints

Number of Standard Health Deficiencies:23
Number of Live Safety Code Deficiencies:26
Number of Total Deficiencies:49
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):65
Intakes received per 100 occupied beds (last three years):45.8
Percent of total intakes received that were facility self reported incidents (last three years):63
On-site complaint investigations (last three years):21
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
1/9/2018Certification2
10/20/2016Certification2
12/15/2015Certification2
12/9/2014Certification2
7/2/2015Complaint1
8/19/2014Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthCOMPREHENSIVE ASSESSMENTS1110/20/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/2/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES1112/15/2015
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENT1112/9/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/2/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/9/20141/31/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2112/9/20141/31/2015
LSCLIFE SAFETY CODE STANDARD2212/9/20141/31/2015
HealthCOMPREHENSIVE ASSESSMENTS2112/9/20141/31/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2212/9/20141/31/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS2112/9/20141/31/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2112/9/20141/31/2015
LSCLIFE SAFETY CODE STANDARD2212/9/20141/31/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS128/19/201410/17/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE218/19/201410/17/2014
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
HealthStandards of Construction for New Existing NH2110/20/201612/9/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/20/201612/9/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2110/20/201612/9/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/20/201612/9/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2110/20/201612/9/2016
LSCLIFE SAFETY CODE STANDARD2210/20/201612/9/2016
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 STANDARD2212/15/20152/1/2016
LSCLIFE SAFETY CODE STANDARD2112/15/20152/1/2016
LSCEP Program Patient Population131/9/20182/19/2018
LSCRoles Under a Waiver Declared by Secretary131/9/20182/19/2018
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
LSCElectrical Equipment - Testing and Maintenanc221/9/20182/19/2018
LSCGas Equipment - Precautions for Handling Oxyg211/9/20182/19/2018
LSCFire Drills211/9/20182/19/2018
HealthCOMPLY WITH FEDERAL/STATE/LOCAL LAWS/PROF STD2112/15/20152/8/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2112/15/20152/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2112/15/20152/8/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/15/20152/8/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2112/15/20152/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/15/20152/8/2016
HealthResponsibilities of Providers; Required Notif1212/15/20152/8/2016