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 pain0.2759999999999999710/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened3.37610/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine69.8350000000000110/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine60.50400000000000510/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.83410/1/2017
471Percentage of short-stay residents who made improvements in function73.80110/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased23.1618000010/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.0000000010/1/2017
403Percentage of high risk long-stay residents with pressure ulcers15.1111000010/1/2017
404Percentage of long-stay residents who lose too much weight8.8803000010/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder44.9153000010/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.1898000010/1/2017
407Percentage of long-stay residents with a urinary tract infection3.6789000010/1/2017
408Percentage of long-stay residents who have depressive symptoms19.5035000010/1/2017
409Percentage of long-stay residents who were physically restrained0.0000000010/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.6316000010/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine87.3494000010/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine91.1184000010/1/2017
419Percentage of long-stay residents who received an antipsychotic medication19.6364000010/1/2017
451Percentage of long-stay residents whose ability to move independently worsened21.3065000010/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.9860000010/1/2017

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
9/29/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthBEDROOMS ASSURE FULL VISUAL PRIVACY11
HealthQuality Assurance and Assessment121/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
LSCMISCELLANEOUS221/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS211/31/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES221/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS211/31/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS211/31/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY211/31/2014
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH221/31/2014
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS221/31/2014
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS221/31/2014
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION221/31/2014
LSCLIFE SAFETY CODE STANDARD231/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
LSCLIFE SAFETY CODE STANDARD221/31/2014
HealthPhysical Environment221/31/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2111/17/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES2211/17/2014
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2111/17/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2111/17/2014
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP1211/17/2014
LSCLIFE SAFETY CODE STANDARD2311/17/2014
LSCLIFE SAFETY CODE STANDARD2211/17/2014
LSCLIFE SAFETY CODE STANDARD2211/17/2014
LSCLIFE SAFETY CODE STANDARD2211/17/2014
HealthRESIDENT SELF-ADMINISTER DRUGS IF DEEMED SAFE1211/17/2014
HealthRIGHT TO TELEPHONE ACCESS WITH PRIVACY1211/17/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2111/17/2014
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS3111/9/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON2111/9/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING3111/9/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2112/1/2015
LSCLIFE SAFETY CODE STANDARD2212/1/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2212/1/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/1/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2112/1/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2112/1/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES2112/1/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES2212/1/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS2112/1/2015
HealthPASRR REQUIREMENTS FOR MI & MR2112/1/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2112/1/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/1/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2112/1/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION2112/1/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE2112/1/2015
HealthSUFFICIENT 24-HR NURSING STAFF PER CARE PLANS2212/1/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2112/1/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2112/1/2015
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN2112/1/2015
LSCLIFE SAFETY CODE STANDARD2212/1/2015
LSCLIFE SAFETY CODE STANDARD2212/1/2015
LSCLIFE SAFETY CODE STANDARD2212/1/2015
LSCLIFE SAFETY CODE STANDARD2312/1/2015
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS2212/1/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS212/12/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS212/12/2017
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED222/12/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS212/12/2017
LSCVertical Openings - Enclosure222/12/2017
LSCFire Alarm System - Testing and Maintenance222/12/2017
LSCCorridor - Doors222/12/2017
LSCElevators222/12/2017
LSCFire Drills222/12/2017
LSCElectrical Equipment - Power Cords and Extens222/12/2017
LSCElectrical Equipment - Testing and Maintenanc222/12/2017
HealthFACILITY MANAGEMENT OF PERSONAL FUNDS122/12/2017
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES212/12/2017
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE122/12/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING212/12/2017
HealthTREATMENT/DEVICES TO MAINTAIN HEARING/VISION212/12/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES212/12/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE212/12/2017
HealthCriminal History Record Check Process222/12/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)222/12/2017
LSCBuilding Construction Type and Height222/17/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/22/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS215/22/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE216/2/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES218/10/2017