Safire Rehabilitation of Southtowns, LLC

Safire Rehabilitation of Southtowns, LLC

300 Dorrance Avenue

Buffalo, NY 14220

(716) 566-5252

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:120
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:120

Administrative

Ownership: Proprietary--LLC

Operated by: Safire Rehabilitation of Southtowns, LLC
300 Dorrance Avenue
Buffalo, NY 14220

Permanent Facility Identifier: 3084

Operating Certificate: 1401342N

Medicaid Certified

Medicare Certified

Medicare Number: 335663

Statistics

Employee Flu Vaccination Rate: 30%

Occupancy Rate: 92%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain7.297296/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.686256/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine63.70376/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine54.906056/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.749146/1/2017
471Percentage of short-stay residents who made improvements in function94.082356/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased9.482756006/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain16.031561006/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.812502006/1/2017
404Percentage of long-stay residents who lose too much weight6.853582006/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder46.206894006/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.723465006/1/2017
407Percentage of long-stay residents with a urinary tract infection1.583114006/1/2017
408Percentage of long-stay residents who have depressive symptoms5.070421006/1/2017
409Percentage of long-stay residents who were physically restrained0.523561006/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.523561006/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine94.230769006/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine94.240837006/1/2017
419Percentage of long-stay residents who received an antipsychotic medication21.727019006/1/2017
451Percentage of long-stay residents whose ability to move independently worsened8.817073006/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.611112006/1/2017

Complaints

Number of Standard Health Deficiencies:78
Number of Live Safety Code Deficiencies:34
Number of Total Deficiencies:112
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:3
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :3
Total intakes received (last three years):160
Intakes received per 100 occupied beds (last three years):142.9
Percent of total intakes received that were facility self reported incidents (last three years):56
On-site complaint investigations (last three years):52
Complaint investigations resulting in citations (last three years):18
Complaint investigations resulting in citations per 100 occupied beds (last three years):16.1
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:7
Complaint Citations in deficiency category: Resident Rights:9
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):18

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
2/20/2002 0:00Quality of Care12/10/20022000
5/19/2016 0:00Multiple Deficiencies1/3/20176000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/25/2017Complaint2
10/7/2013Certification2
11/9/2015Complaint2
12/21/2016Complaint2
3/29/2017Certification2
5/14/2015Certification2
5/19/2016Certification5
6/11/2014Complaint2
8/29/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/21/2014
HealthHOUSEKEEPING AND MAINTENANCE SERVICES2210/21/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN2110/21/2014
HealthFACILITY IS FREE OF ACCIDENT HAZARDS2210/21/2014
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS2210/21/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2210/21/2014
LSCDOORS IN FIRE AND SMOKE PARTITIONS2210/21/2014
LSCMEDICAL GAS SYSTEM2210/21/2014
LSCCOOKING EQUIPMENT2210/21/2014
LSCSMOKING REGULATIONS2210/21/2014
LSCDOORS IN SMOKE PARTITIONS2210/21/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2210/21/2014
HealthMEDICALLY RELATED SOCIAL SERVICES2110/21/2014
HealthCRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED2210/21/2014
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2110/21/2014
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED2210/21/2014
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2110/21/2014
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES2210/21/2014
LSCTESTING OF FIRE ALARM2210/21/2014
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2110/21/2014
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST2210/21/2014
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES2210/21/2016
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2110/21/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2112/18/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2112/18/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2112/3/2013
LSCGENERATORS INSPECTED/TESTED2212/3/2013
LSCEMERGENCY PLAN2212/3/2013
LSCMEDICAL GAS SYSTEM2212/3/2013
LSCWASTEBASKETS2212/3/2013
LSCSPRINKLER SYSTEM MAINTENANCE2212/3/2013
LSCCORRIDOR WIDTH2212/3/2013
LSCSTAIRS AND SMOKE PROOF TOWERS2212/3/2013
LSCEXIT PARTITIONS2212/3/2013
LSCHAZARDOUS AREAS - SEPARATION2212/3/2013
LSCDOORS IN FIRE AND SMOKE PARTITIONS2212/3/2013
HealthDISPOSE GARBAGE AND REFUSE PROPERLY2212/3/2013
LSCCORRIDOR DOORS2212/3/2013
HealthHOUSEKEEPING AND MAINTENANCE SERVICES1312/3/2013
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN2112/3/2013
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/3/2013
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE2112/3/2013
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS2212/3/2013
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2112/3/2013
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING212/17/2017
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.212/17/2017
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS223/5/2017
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST213/5/2017
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES215/26/2017
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING215/26/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED225/26/2017
HealthCRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION PROVIDER RECORD KEEPING REQUIREMENTS125/26/2017
HealthSURVEY RESULTS READILY ACCESSIBLE TO RESIDENTS125/26/2017
HealthCRIMINAL HISTORY RECORD CHECK NOT PERFORMED PROVIDER SHALL SUBMIT REQUEST FOR CHECK225/26/2017
HealthFACILITY IS FREE OF ACCIDENT HAZARDS215/26/2017
HealthCRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION TO DOH PER CESSATION OF EMPLOYMENT125/26/2017
HealthSTANDARDS OF CONSTRUCTION FOR NEW NURSING HOME225/26/2017
LSC225/26/2017
LSC215/26/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATION215/26/2017
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE215/26/2017
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.216/30/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE216/30/2015
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE216/30/2015
HealthCOMPREHENSIVE ASSESSMENTS216/30/2015
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN216/30/2015
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN216/30/2015
LSCDOORS IN SMOKE PARTITIONS226/30/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING216/30/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/30/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS216/30/2015
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE216/30/2015
HealthDIGNITY226/30/2015
HealthCRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED216/30/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATION216/30/2015
HealthRESIDENT CALL SYSTEM216/30/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS216/30/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS216/30/2015
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM216/30/2015
HealthESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION216/30/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS226/30/2015
LSCHAZARDOUS AREAS - SEPARATION226/30/2015
LSCEXIT PARTITIONS226/30/2015
LSCEVACUATION PLAN226/30/2015
LSCPORTABLE FIRE EXTINGUISHERS226/30/2015
LSCSMOKING REGULATIONS226/30/2015
LSCMEDICAL GAS SYSTEM226/30/2015
HealthNURSE STAFFING126/30/2015
LSCCOOKING EQUIPMENT226/30/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES216/30/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS227/14/2014
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/8/2016
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE217/8/2016
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT217/8/2016
LSCSMOKE PARTITION CONSTRUCTION227/8/2016
HealthFACILITY ADMINISTERED EFFECTIVELY TO OBTAIN HIGHEST PRACTICABLE WELL BEING427/8/2016
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES217/8/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.217/8/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE217/8/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING227/8/2016
HealthFACILITY IS FREE OF ACCIDENT HAZARDS227/8/2016
HealthRESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS217/8/2016
HealthHOUSEKEEPING AND MAINTENANCE SERVICES227/8/2016
HealthMEDICATION ERROR RATES OF 5% OR MORE217/8/2016
LSCEMERGENCY PLAN227/8/2016
LSCEXIT PARTITIONS227/8/2016
HealthLAB SERVICES PROVIDED BY FACILITY/REFERRING SPECIMENS227/8/2016
HealthFACILITY MAINTAINS QA COMMITTEE427/8/2016
LSCCORRIDOR DOORS227/8/2016
LSCHAZARDOUS AREAS - SEPARATION227/8/2016
LSCEVACUATION PLAN227/8/2016
LSCTESTING OF FIRE ALARM227/8/2016
LSCAUTOMATIC SPRINKLER SYSTEM227/8/2016
LSCMEDICAL GAS SYSTEM227/8/2016
HealthQUALITY ASSURANCE AND ASSESSMENT227/8/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN228/23/2016
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM428/23/2016
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS228/23/2016
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE218/23/2016
HealthFACILITY PROHIBITS ABUSE, NEGLECT218/26/2016
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES218/26/2016
HealthDIGNITY228/26/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS218/29/2016
HealthMEDICALLY RELATED SOCIAL SERVICES218/29/2016