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: 40%

Occupancy Rate: 92%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain4.963212/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened2.015612/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine83.519612/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine93.650812/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication3.913012/1/2017
471Percentage of short-stay residents who made improvements in function69.058212/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased14.644412/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain3.038512/1/2017
403Percentage of high risk long-stay residents with pressure ulcers4.741412/1/2017
404Percentage of long-stay residents who lose too much weight4.585212/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder53.086412/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.313412/1/2017
407Percentage of long-stay residents with a urinary tract infection0.912412/1/2017
408Percentage of long-stay residents who have depressive symptoms1.462512/1/2017
409Percentage of long-stay residents who were physically restrained3.052112/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.872512/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine91.346212/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.461412/1/2017
419Percentage of long-stay residents who received an antipsychotic medication10.603312/1/2017
451Percentage of long-stay residents whose ability to move independently worsened14.022012/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication7.915112/1/2017

Complaints

Number of Standard Health Deficiencies:26
Number of Live Safety Code Deficiencies:28
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):99
Intakes received per 100 occupied beds (last three years):57.7
Percent of total intakes received that were facility self reported incidents (last three years):62
On-site complaint investigations (last three years):36
Complaint investigations resulting in citations (last three years):5
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.9
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:2
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):5

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
1/29/2001 0:00Quality of Care8/7/20022000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/29/2016Certification2
1/8/2015Certification2
11/7/2017Certification1
12/13/2013Certification2
12/7/2016Certification2
6/6/2014Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthCriminal History Record Check Process2311/7/2017
HealthRequirements Before Submitting a Request for1311/7/2017
HealthCriminal History Record Check Process2311/7/2017
HealthResponsibilities of Providers; Required Notif111/8/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/7/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2211/7/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/7/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2211/7/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2111/7/2017
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2111/7/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM2211/7/2017
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING2111/7/2017
LSCStairways and Smokeproof Enclosures2111/7/2017
LSCCooking Facilities2111/7/2017
LSCFire Alarm System - Installation2211/7/2017
LSCSubdivision of Building Spaces - Smoke Barrie2211/7/2017
LSCElectrical Equipment - Power Cords and Extens2211/7/2017
LSCLIFE SAFETY CODE STANDARD2212/13/20131/15/2014
LSCLIFE SAFETY CODE STANDARD2212/13/20131/15/2014
LSCLIFE SAFETY CODE STANDARD2212/13/20131/15/2014
LSCLIFE SAFETY CODE STANDARD2212/13/20131/15/2014
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2212/13/20131/17/2014
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP2112/13/20131/18/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2112/13/20131/18/2014
LSCLIFE SAFETY CODE STANDARD2212/13/20131/22/2014
LSCMISCELLANEOUS2212/13/201312/27/2013
LSCLIFE SAFETY CODE STANDARD2212/13/20132/1/2014
LSCLIFE SAFETY CODE STANDARD2212/13/20132/1/2014
HealthMAINTENANCE OF COMFORTABLE SOUND LEVELS2212/13/20132/11/2014
LSCLIFE SAFETY CODE STANDARD2212/13/20132/12/2014
LSCGas Equipment - Cylinder and Container Storag2212/7/20162/24/2017
LSCGas Equipment - Precautions for Handling Oxyg2212/7/20162/24/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES1212/7/20162/24/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/7/20162/24/2017
LSCGas Equipment - Liguid Oxygen Equipment2212/7/20162/24/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2212/7/20162/24/2017
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2212/7/20162/24/2017
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS1212/7/20162/24/2017
LSCGeneral Requirements - Other2112/7/20162/24/2017
LSCDoors with Self-Closing Devices2112/7/20162/24/2017
LSCStairways and Smokeproof Enclosures2212/7/20162/24/2017
LSCHazardous Areas - Enclosure2212/7/20162/24/2017
LSCSprinkler System - Installation2112/7/20162/24/2017
LSCPortable Fire Extinguishers2212/7/20162/24/2017
LSCCorridor - Doors2212/7/20162/24/2017
LSCElectrical Equipment - Power Cords and Extens2212/7/20162/24/2017
LSCLIFE SAFETY CODE STANDARD221/8/20152/27/2015
LSCLIFE SAFETY CODE STANDARD221/8/20152/27/2015
LSCLIFE SAFETY CODE STANDARD221/8/20152/27/2015
HealthRIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES2112/7/20162/3/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/7/20162/3/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2112/7/20162/3/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2112/13/20132/7/2014
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES121/8/20153/2/2015
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES211/8/20153/2/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES211/8/20153/2/2015
HealthPASRR REQUIREMENTS FOR MI & MR211/8/20153/2/2015
HealthFREQUENCY OF MEALS/SNACKS AT BEDTIME121/8/20153/2/2015
HealthResponsibilities of Providers; Required Notif121/29/20163/24/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING211/29/20163/24/2016
HealthPOSTED NURSE STAFFING INFORMATION121/29/20163/24/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/29/20163/24/2016
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
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/6/20146/27/2014