Safire Rehabilitation of Northtowns, LLC

Safire Rehabilitation of Northtowns, LLC

2799 Sheridan Drive

Tonawanda, NY 14150

(716) 837-4466

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: 40%

Occupancy Rate: 91%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain0.954654/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened2.552644/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine68.263474/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine63.829784/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication4.727274/1/2017
471Percentage of short-stay residents who made improvements in function77.196234/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased19.305018004/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.000000004/1/2017
403Percentage of high risk long-stay residents with pressure ulcers10.407240004/1/2017
404Percentage of long-stay residents who lose too much weight10.266161004/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder36.904761004/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.347725004/1/2017
407Percentage of long-stay residents with a urinary tract infection2.033899004/1/2017
408Percentage of long-stay residents who have depressive symptoms19.780219004/1/2017
409Percentage of long-stay residents who were physically restrained0.000000004/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.711865004/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine84.662576004/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine92.542370004/1/2017
419Percentage of long-stay residents who received an antipsychotic medication20.938629004/1/2017
451Percentage of long-stay residents whose ability to move independently worsened22.466759004/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.081851004/1/2017

Complaints

Number of Standard Health Deficiencies:57
Number of Live Safety Code Deficiencies:28
Number of Total Deficiencies:85
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):106
Intakes received per 100 occupied beds (last three years):113.2
Percent of total intakes received that were facility self reported incidents (last three years):55
On-site complaint investigations (last three years):37
Complaint investigations resulting in citations (last three years):12
Complaint investigations resulting in citations per 100 occupied beds (last three years):12.8
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:8
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 Care2/24/20056000
5/14/2003 0:00:00Quality of Care3/1/20054000
9/15/2016 0:00:00Quality of Care12/19/201612000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/2/2015Certification2
12/14/2016Certification1
12/5/2013Certification2
3/26/2015Complaint2
5/19/2016Complaint2
9/15/2016Complaint2
9/29/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
LSC22
LSC22
HealthROOMS DESIGNED TO ASSURE FULL VISUAL PRIVACY11
LSC22
LSCESCALATOR/DUMBWAITER/MOVING WALK REQUIREMENTS22
HealthDENTAL SERVICES IN SKILLED NURSING FACILITIES21
HealthMENUS MEET NUTRITIONAL NEEDS/PREPARATION IN ADVANCE/FOLLOWED22
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATION21
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS21
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE21
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES21
HealthFACILITY MANAGEMENT OF RESIDENT FUNDS12
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING21
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE12
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.22
LSC22
LSC22
HealthRESIDENT RECEIVE TREATMENT TO MAINTAIN HEARING/VISION21
HealthCRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED22
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT21
LSC22
LSC22
HealthESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION221/31/2014
LSCHAZARDOUS AREAS - SEPARATION221/31/2014
LSCCORRIDOR DOORS221/31/2014
LSCDOORS IN FIRE AND SMOKE PARTITIONS221/31/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS211/31/2014
LSCCONSTRUCTION TYPE231/31/2014
HealthPHYSICAL ENVIRONMENT221/31/2014
HealthQUALITY ASSURANCE AND ASSESSMENT121/31/2014
LSCALCOHOL BASED HAND RUBS221/31/2014
LSCGENERATORS INSPECTED/TESTED221/31/2014
LSCOTHER221/31/2014
LSCFURNISHING AND DECORATIONS221/31/2014
LSCPORTABLE FIRE EXTINGUISHERS221/31/2014
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM221/31/2014
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS221/31/2014
HealthFACILITY PROVIDES DRUGS AND BIOLOGICALS221/31/2014
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS211/31/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS211/31/2014
HealthHOUSEKEEPING AND MAINTENANCE SERVICES221/31/2014
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE211/31/2014
LSCEMERGENCY PLAN221/31/2014
LSCCORRIDOR WIDTH221/31/2014
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES2111/17/2014
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.1211/17/2014
LSCCONSTRUCTION TYPE2311/17/2014
LSCCOOKING EQUIPMENT2211/17/2014
HealthHOUSEKEEPING AND MAINTENANCE SERVICES2211/17/2014
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2111/17/2014
HealthDIGNITY2111/17/2014
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2111/17/2014
HealthACCESS TO TELEPHONE WITH AUDITORY PRIVACY1211/17/2014
LSCEMERGENCY PLAN2211/17/2014
LSCGENERATORS INSPECTED/TESTED2211/17/2014
HealthSELF-ADMINISTRATION OF DRUGS IF DEEMED SAFE1211/17/2014
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST2111/9/2016
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS3111/9/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING3111/9/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/1/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2112/1/2015
HealthPASARR REQUIREMENTS FOR MI AND MR2112/1/2015
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2112/1/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS2112/1/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES2212/1/2015
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES2112/1/2015
HealthDIGNITY2112/1/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2112/1/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2112/1/2015
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES2212/1/2015
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES2112/1/2015
HealthRANGE OF MOTION TREATMENT AND SERVICES2112/1/2015
LSCEMERGENCY PLAN2212/1/2015
LSCGENERATORS INSPECTED/TESTED2212/1/2015
LSCTESTING OF FIRE ALARM2212/1/2015
LSCFIRE DRILLS2212/1/2015
LSCCONSTRUCTION TYPE2312/1/2015
HealthFACILITY MAINTAINS QA COMMITTEE2212/1/2015
HealthGOVERNING BODY APPOINTS ADMIN; MANAGES FACILITY2112/1/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS2112/1/2015
HealthSUFFICIENT NURSING STAFF ON A 24-HOUR BASIS2212/1/2015
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE2112/1/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2112/1/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS215/22/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING215/22/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS216/2/2016