Safire Rehabilitation of Northtowns, LLC

Safire Rehabilitation of Northtowns, LLC

2799 Sheridan Drive

Tonawanda, NY 14150

7168374466

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: 97%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain0.276212/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened3.375812/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine69.834712/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine60.504212/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.834012/1/2017
471Percentage of short-stay residents who made improvements in function73.800512/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased23.161812/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.000012/1/2017
403Percentage of high risk long-stay residents with pressure ulcers15.111112/1/2017
404Percentage of long-stay residents who lose too much weight8.880312/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder44.915212/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.189812/1/2017
407Percentage of long-stay residents with a urinary tract infection3.678912/1/2017
408Percentage of long-stay residents who have depressive symptoms19.503612/1/2017
409Percentage of long-stay residents who were physically restrained0.000012/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.631612/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine87.349412/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine91.118412/1/2017
419Percentage of long-stay residents who received an antipsychotic medication19.636412/1/2017
451Percentage of long-stay residents whose ability to move independently worsened21.306512/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.986012/1/2017

Complaints

Number of Standard Health Deficiencies:58
Number of Live Safety Code Deficiencies:28
Number of Total Deficiencies:86
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):111
Intakes received per 100 occupied beds (last three years):118.5
Percent of total intakes received that were facility self reported incidents (last three years):53
On-site complaint investigations (last three years):39
Complaint investigations resulting in citations (last three years):13
Complaint investigations resulting in citations per 100 occupied beds (last three years):13.9
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:8
Complaint Citations in deficiency category: Resident Rights:2
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):13

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Quality of Care2/24/20056000
5/14/2003 0:00Quality of Care3/1/20054000
9/15/2016 0:00Quality of Care12/19/201612000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/2/2015Certification2
12/14/2016Certification2
12/5/2013Certification2
3/26/2015Complaint2
5/19/2016Complaint2
7/6/2017Complaint2
9/15/2016Complaint2
9/26/2017Complaint2
9/29/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthBEDROOMS ASSURE FULL VISUAL PRIVACY1110/2/2015
HealthPhysical Environment2212/5/20131/31/2014
HealthQuality Assurance and Assessment1212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
LSCMISCELLANEOUS2212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2112/5/20131/31/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES2212/5/20131/31/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS2112/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/5/20131/31/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2112/5/20131/31/2014
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH2212/5/20131/31/2014
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2212/5/20131/31/2014
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS2212/5/20131/31/2014
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2312/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
LSCLIFE SAFETY CODE STANDARD2212/5/20131/31/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/29/201411/17/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY219/29/201411/17/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES229/29/201411/17/2014
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN219/29/201411/17/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES219/29/201411/17/2014
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP129/29/201411/17/2014
LSCLIFE SAFETY CODE STANDARD239/29/201411/17/2014
LSCLIFE SAFETY CODE STANDARD229/29/201411/17/2014
LSCLIFE SAFETY CODE STANDARD229/29/201411/17/2014
LSCLIFE SAFETY CODE STANDARD229/29/201411/17/2014
HealthRIGHT TO TELEPHONE ACCESS WITH PRIVACY129/29/201411/17/2014
HealthRESIDENT SELF-ADMINISTER DRUGS IF DEEMED SAFE129/29/201411/17/2014
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
HealthPASRR REQUIREMENTS FOR MI & MR2110/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2210/2/201512/1/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2110/2/201512/1/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2110/2/201512/1/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2110/2/201512/1/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES2110/2/201512/1/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES2210/2/201512/1/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/2/201512/1/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2110/2/201512/1/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/2/201512/1/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/2/201512/1/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/2/201512/1/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION2110/2/201512/1/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE2110/2/201512/1/2015
HealthSUFFICIENT 24-HR NURSING STAFF PER CARE PLANS2210/2/201512/1/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2110/2/201512/1/2015
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN2110/2/201512/1/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2310/2/201512/1/2015
LSCLIFE SAFETY CODE STANDARD2210/2/201512/1/2015
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS2210/2/201512/1/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE2112/14/20162/12/2017
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES2112/14/20162/12/2017
LSCFire Alarm System - Testing and Maintenance2212/14/20162/12/2017
LSCCorridor - Doors2212/14/20162/12/2017
LSCElevators2212/14/20162/12/2017
LSCFire Drills2212/14/20162/12/2017
LSCElectrical Equipment - Power Cords and Extens2212/14/20162/12/2017
LSCElectrical Equipment - Testing and Maintenanc2212/14/20162/12/2017
HealthTREATMENT/DEVICES TO MAINTAIN HEARING/VISION2112/14/20162/12/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2112/14/20162/12/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2112/14/20162/12/2017
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE1212/14/20162/12/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS2112/14/20162/12/2017
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED2212/14/20162/12/2017
LSCVertical Openings - Enclosure2212/14/20162/12/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/14/20162/12/2017
HealthCriminal History Record Check Process2212/14/20162/12/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2212/14/20162/12/2017
HealthFACILITY MANAGEMENT OF PERSONAL FUNDS1212/14/20162/12/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS2112/14/20162/12/2017
LSCBuilding Construction Type and Height2212/14/20162/17/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING213/26/20155/22/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS213/26/20155/22/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/19/20166/2/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES217/6/20178/10/2017