Rosa Coplon Jewish Home and Infirmary

Rosa Coplon Jewish Home and Infirmary

2700 North Forest Road

Getzville, NY 14068

7166393330

www.weinbergcampus.org/WhatWeDo/Programs/RosaCoplonLivingCenter/tabid/108/Default.aspx

Services: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy, Outpatient/Speech Language Pathology Therapy

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:180
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:180

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Rosa Coplon Jewish Home and Infirmary Inc
2700 North Forest Road
Getzville, NY 14068

Permanent Facility Identifier: 4772

Operating Certificate: 1451304N

Medicaid Certified

Medicare Certified

Medicare Number: 335176

Statistics

Employee Flu Vaccination Rate: 46%

Occupancy Rate: 94%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain7.01002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.83002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine87.21002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine87.68002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.35002/1/2019
471Percentage of short-stay residents who made improvements in function66.31002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased12.66002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain2.55002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers4.16002/1/2019
404Percentage of long-stay residents who lose too much weight7.71002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder83.17002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.22002/1/2019
407Percentage of long-stay residents with a urinary tract infection2.12002/1/2019
408Percentage of long-stay residents who have depressive symptoms2.15002/1/2019
409Percentage of long-stay residents who were physically restrained0.35002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury4.20002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.22002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine87.22002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication11.35002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened16.56002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.07002/1/2019

Complaints

Number of Standard Health Deficiencies:32
Number of Live Safety Code Deficiencies:24
Number of Total Deficiencies:56
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):100
Intakes received per 100 occupied beds (last three years):59.2
Percent of total intakes received that were facility self reported incidents (last three years):56
On-site complaint investigations (last three years):30
Complaint investigations resulting in citations (last three years):4
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.4
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:1
Complaint Citations in deficiency category: Resident Rights:1
Complaint Citations in deficiency category: Dietary Services:1
Complaint Citations in deficiency category: Physical Environment:1
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):4

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Multiple Deficiencies20-Aug-182000
29-Jan-01Quality of Care7-Aug-022000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/29/2016CERTIFICATION/COMPLAINT2
1/8/2015CERTIFICATION/COMPLAINT2
11/7/2017CERTIFICATION/COMPLAINT2
12/7/2016CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthDEPARTMENT CRIMINAL HISTORY REVIEW2211/30/2018
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES2111/30/2018
HealthDIALYSIS2111/30/2018
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2211/30/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE2211/30/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/30/2018
LSCELEVATORS2211/30/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2111/30/2018
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF111/8/2015
HealthCRIMINAL HISTORY RECORD CHECK PROCESS2311/7/20171/5/2018
HealthCRIMINAL HISTORY RECORD CHECK PROCESS2311/7/20171/5/2018
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2111/7/20171/5/2018
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING2111/7/20171/5/2018
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2111/7/20171/5/2018
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2211/7/20171/5/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/7/20171/5/2018
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2211/7/20171/5/2018
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM2211/7/20171/5/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/7/20171/5/2018
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR1311/7/20171/5/2018
LSCCOOKING FACILITIES2111/7/20171/5/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2211/7/20171/5/2018
LSCFIRE ALARM SYSTEM - INSTALLATION2211/7/20171/5/2018
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES2111/7/20171/5/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE2211/7/20171/5/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/7/20162/24/2017
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2212/7/20162/24/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2212/7/20162/24/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES1212/7/20162/24/2017
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS1212/7/20162/24/2017
LSCSPRINKLER SYSTEM - INSTALLATION2112/7/20162/24/2017
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES2212/7/20162/24/2017
LSCCORRIDOR - DOORS2212/7/20162/24/2017
LSCDOORS WITH SELF-CLOSING DEVICES2112/7/20162/24/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2212/7/20162/24/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2212/7/20162/24/2017
LSCGAS EQUIPMENT - LIGUID OXYGEN EQUIPMENT2212/7/20162/24/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG2212/7/20162/24/2017
LSCGENERAL REQUIREMENTS - OTHER2112/7/20162/24/2017
LSCHAZARDOUS AREAS - ENCLOSURE2212/7/20162/24/2017
LSCPORTABLE FIRE EXTINGUISHERS2212/7/20162/24/2017
LSCLIFE SAFETY CODE STANDARD221/8/20152/27/2015
LSCLIFE SAFETY CODE STANDARD221/8/20152/27/2015
LSCLIFE SAFETY CODE STANDARD221/8/20152/27/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2112/7/20162/3/2017
HealthRIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES2112/7/20162/3/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/7/20162/3/2017
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES211/8/20153/2/2015
HealthFREQUENCY OF MEALS/SNACKS AT BEDTIME121/8/20153/2/2015
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES121/8/20153/2/2015
HealthPASRR REQUIREMENTS FOR MI & MR211/8/20153/2/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES211/8/20153/2/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/29/20163/24/2016
HealthPOSTED NURSE STAFFING INFORMATION121/29/20163/24/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING211/29/20163/24/2016
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF121/29/20163/24/2016
LSCLIFE SAFETY CODE STANDARD221/29/20163/24/2016
LSCLIFE SAFETY CODE STANDARD221/29/20163/24/2016
LSCLIFE SAFETY CODE STANDARD221/29/20163/24/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/8/20153/6/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS221/8/20153/6/2015
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM211/8/20153/6/2015
LSCLIFE SAFETY CODE STANDARD221/8/20153/6/2015
LSCLIFE SAFETY CODE STANDARD221/8/20153/6/2015