Rosa Coplon Jewish Home and Infirmary

Rosa Coplon Jewish Home and Infirmary

2700 North Forest Road

Getzville, NY 14068

(716) 639-3330

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: 88%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain11.872146/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.914776/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine75.44916/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine92.6046/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication3.652976/1/2017
471Percentage of short-stay residents who made improvements in function56.221546/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased12.500001006/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain7.781853006/1/2017
403Percentage of high risk long-stay residents with pressure ulcers3.974895006/1/2017
404Percentage of long-stay residents who lose too much weight4.918033006/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder54.545456006/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.903831006/1/2017
407Percentage of long-stay residents with a urinary tract infection3.333332006/1/2017
408Percentage of long-stay residents who have depressive symptoms1.060070006/1/2017
409Percentage of long-stay residents who were physically restrained2.595155006/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury3.114187006/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine94.193549006/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.961940006/1/2017
419Percentage of long-stay residents who received an antipsychotic medication8.406306006/1/2017
451Percentage of long-stay residents whose ability to move independently worsened13.252419006/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.740741006/1/2017

Complaints

Number of Standard Health Deficiencies:28
Number of Live Safety Code Deficiencies:28
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):102
Intakes received per 100 occupied beds (last three years):58.9
Percent of total intakes received that were facility self reported incidents (last three years):61
On-site complaint investigations (last three years):36
Complaint investigations resulting in citations (last three years):7
Complaint investigations resulting in citations per 100 occupied beds (last three years):4.0
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:2
Complaint Citations in deficiency category: Resident Rights:2
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):7

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
12/13/2013Certification2
12/7/2016Certification2
6/6/2014Complaint2
7/19/2013Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthCRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION TO DOH PER CESSATION OF EMPLOYMENT11
LSCSMOKE PARTITION CONSTRUCTION221/15/2014
LSCCORRIDOR DOORS221/15/2014
LSCEMERGENCY LIGHTING221/15/2014
LSCCOOKING EQUIPMENT221/15/2014
HealthESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION221/17/2014
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS211/18/2014
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.211/18/2014
LSCMEDICAL GAS SYSTEM221/22/2014
LSCOTHER2212/27/2013
LSCEXIT PARTITIONS222/1/2014
LSCPORTABLE FIRE EXTINGUISHERS222/1/2014
HealthCOMFORTABLE SOUND LEVELS222/11/2014
LSCEMERGENCY PLAN222/12/2014
HealthHOUSEKEEPING AND MAINTENANCE SERVICES122/24/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS212/24/2017
HealthESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION222/24/2017
LSC212/24/2017
LSC212/24/2017
LSC222/24/2017
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS222/24/2017
LSC222/24/2017
LSC222/24/2017
LSC222/24/2017
LSC212/24/2017
LSC222/24/2017
LSC222/24/2017
LSC222/24/2017
LSC222/24/2017
HealthFACILITY SAFEGUARDS CLINICAL RECORDS122/24/2017
LSCEXIT ACCESS222/27/2015
LSCMEDICAL GAS SYSTEM222/27/2015
LSCHAZARDOUS AREAS - SEPARATION222/27/2015
HealthFACILITY RESOLVES RESIDENT GRIEVANCES212/3/2017
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS212/3/2017
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES212/3/2017
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE212/7/2014
HealthFREQUENCY OF MEALS/INTERVALS BETWEEN MEALS123/2/2015
HealthPASARR REQUIREMENTS FOR MI AND MR213/2/2015
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES213/2/2015
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT213/2/2015
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.123/2/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING213/24/2016
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS223/24/2016
HealthCRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION TO DOH PER CESSATION OF EMPLOYMENT123/24/2016
HealthNURSE STAFFING123/24/2016
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS223/24/2016
LSCMEDICAL GAS SYSTEM223/24/2016
LSCSMOKE PARTITION CONSTRUCTION223/24/2016
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS223/6/2015
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM213/6/2015
LSCSMOKE PARTITION CONSTRUCTION223/6/2015
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM223/6/2015
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS223/6/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS216/27/2014
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE219/11/2013