Safire Rehabilitation of Northtowns, LLC

Safire Rehabilitation of Northtowns, LLC

2799 Sheridan Drive

Tonawanda, NY 14150

7168374466

www2.erie.gov/saferseniorhomes/index.php?q=safire-rehabilitation-northtowns-llc

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:100
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:100

Administrative

Ownership: Proprietary--LLC

Operated by: Safire Rehabilitation of Northtowns, LLC
2799 Sheridan Drive
Tonawanda, NY 14150

Permanent Facility Identifier: 266

Operating Certificate: 1403304N

Medicaid Certified

Medicare Certified

Medicare Number: 335180

Statistics

Employee Flu Vaccination Rate: 83%

Occupancy Rate: 85%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain0.00005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine78.70005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.39005/1/2019
471Percentage of short-stay residents who made improvements in function82.28005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased19.47005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain0.00005/1/2019
404Percentage of long-stay residents who lose too much weight8.63005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder45.71005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.38005/1/2019
407Percentage of long-stay residents with a urinary tract infection4.20005/1/2019
408Percentage of long-stay residents who have depressive symptoms3.80005/1/2019
409Percentage of long-stay residents who were physically restrained0.00005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.44005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine93.13005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication4.67005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened22.03005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication14.49005/1/2019

Complaints

Number of Standard Health Deficiencies:60
Number of Live Safety Code Deficiencies:24
Number of Total Deficiencies:84
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):152
Intakes received per 100 occupied beds (last three years):178.8
Percent of total intakes received that were facility self reported incidents (last three years):42
On-site complaint investigations (last three years):43
Complaint investigations resulting in citations (last three years):12
Complaint investigations resulting in citations per 100 occupied beds (last three years):14.1
Complaint Citations in deficiency category: Administration:3
Complaint Citations in deficiency category: Quality of Care:7
Complaint Citations in deficiency category: Resident Rights:1
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:1
Complaint Citations across all deficiency categories (last three years):12

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Quality of Care24-Feb-056000
14-May-03Quality of Care1-Mar-054000
15-Sep-16Quality of Care19-Dec-1612000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/2/2015CERTIFICATION/COMPLAINT2
12/14/2016CERTIFICATION/COMPLAINT2
2/27/2019COMPLAINT2
3/16/2018CERTIFICATION/COMPLAINT2
5/19/2016COMPLAINT2
7/6/2017COMPLAINT2
9/15/2016COMPLAINT2
9/26/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthBEDROOMS ASSURE FULL VISUAL PRIVACY1110/2/2015
HealthCARE PLAN TIMING AND REVISION113/16/2018
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE219/26/201711/3/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON219/15/201611/9/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING319/15/201611/9/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS319/15/201611/9/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE2110/2/201512/1/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/2/201512/1/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/2/201512/1/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2110/2/201512/1/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2110/2/201512/1/2015
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN2110/2/201512/1/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES2210/2/201512/1/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION2110/2/201512/1/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2110/2/201512/1/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/2/201512/1/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2110/2/201512/1/2015
HealthPASRR REQUIREMENTS FOR MI & MR2110/2/201512/1/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/2/201512/1/2015
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS2210/2/201512/1/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/2/201512/1/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2210/2/201512/1/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES2110/2/201512/1/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2110/2/201512/1/2015
HealthSUFFICIENT 24-HR NURSING STAFF PER CARE PLANS2210/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2310/2/201512/1/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/14/20162/12/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS2212/14/20162/12/2017
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES2112/14/20162/12/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS2112/14/20162/12/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE2112/14/20162/12/2017
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED2212/14/20162/12/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2212/14/20162/12/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2112/14/20162/12/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2112/14/20162/12/2017
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE1212/14/20162/12/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS2112/14/20162/12/2017
HealthTREATMENT/DEVICES TO MAINTAIN HEARING/VISION2112/14/20162/12/2017
HealthFACILITY MANAGEMENT OF PERSONAL FUNDS1212/14/20162/12/2017
LSCCORRIDOR - DOORS2212/14/20162/12/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2212/14/20162/12/2017
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC2212/14/20162/12/2017
LSCELEVATORS2212/14/20162/12/2017
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE2212/14/20162/12/2017
LSCFIRE DRILLS2212/14/20162/12/2017
LSCVERTICAL OPENINGS - ENCLOSURE2212/14/20162/12/2017
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT2212/14/20162/17/2017
HealthQUALITY OF CARE212/27/20194/22/2019
HealthPHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS223/16/20185/14/2018
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDER213/16/20185/14/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS213/16/20185/14/2018
HealthADMINISTRATION223/16/20185/14/2018
HealthBASELINE CARE PLAN213/16/20185/14/2018
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN223/16/20185/14/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE213/16/20185/14/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES223/16/20185/14/2018
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION223/16/20185/14/2018
HealthLABEL/STORE DRUGS AND BIOLOGICALS213/16/20185/14/2018
HealthREPORTING OF ALLEGED VIOLATIONS223/16/20185/14/2018
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION213/16/20185/14/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER213/16/20185/14/2018
HealthCRIMINAL HISTORY RECORD CHECK PROCESS223/16/20185/7/2018
HealthDEPARTMENT CRIMINAL HISTORY REVIEW223/16/20185/7/2018
HealthINFECTION CONTROL223/16/20185/7/2018
HealthINFECTION PREVENTION & CONTROL223/16/20185/7/2018
HealthNOT EMPLOY/ENGAGE STAFF W/ ADVERSE ACTIONS223/16/20185/7/2018
HealthRESIDENT RIGHTS/EXERCISE OF RIGHTS123/16/20185/7/2018
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS133/16/20185/7/2018
LSCCOOKING FACILITIES213/16/20185/7/2018
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC223/16/20185/7/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE223/16/20185/7/2018
LSCFIRE DRILLS223/16/20185/7/2018
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES223/16/20185/7/2018
LSCLTC AND ICF/IID SHARING PLAN WITH PATIENTS133/16/20185/7/2018
LSCPRIMARY/ALTERNATE MEANS FOR COMMUNICATION133/16/20185/7/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY133/16/20185/7/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING223/16/20185/7/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT223/16/20186/11/2018
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/19/20166/2/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES217/6/20178/10/2017