Safire Rehabilitation of Southtowns, LLC

Safire Rehabilitation of Southtowns, LLC

300 Dorrance Avenue

Buffalo, NY 14220

7165665252

https://www.nyshfa-nyscal.org/find-care-new-york/safire-rehabilitation-of-southtowns/

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: 59%

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 pain4.23005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.12005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication3.29005/1/2019
471Percentage of short-stay residents who made improvements in function67.49005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased20.99005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain1.05005/1/2019
404Percentage of long-stay residents who lose too much weight3.99005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder34.78005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.31005/1/2019
407Percentage of long-stay residents with a urinary tract infection1.72005/1/2019
408Percentage of long-stay residents who have depressive symptoms0.00005/1/2019
409Percentage of long-stay residents who were physically restrained0.00005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.85005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine50.71005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication6.99005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened18.69005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.25005/1/2019

Complaints

Number of Standard Health Deficiencies:94
Number of Live Safety Code Deficiencies:34
Number of Total Deficiencies:128
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:3
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):153
Intakes received per 100 occupied beds (last three years):150.0
Percent of total intakes received that were facility self reported incidents (last three years):54
On-site complaint investigations (last three years):32
Complaint investigations resulting in citations (last three years):22
Complaint investigations resulting in citations per 100 occupied beds (last three years):21.6
Complaint Citations in deficiency category: Administration:5
Complaint Citations in deficiency category: Quality of Care:6
Complaint Citations in deficiency category: Resident Rights:7
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:3
Complaint Citations across all deficiency categories (last three years):22

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
19-May-16Multiple Deficiencies3-Jan-176000
20-Feb-02Quality of Care10-Dec-022000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/25/2017COMPLAINT2
11/9/2015COMPLAINT2
12/21/2016COMPLAINT2
12/28/2017COMPLAINT2
3/29/2017CERTIFICATION/COMPLAINT2
4/24/2018COMPLAINT2
5/14/2015CERTIFICATION/COMPLAINT2
5/19/2016CERTIFICATION/COMPLAINT4
7/26/2018CERTIFICATION/COMPLAINT3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE117/26/2018
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/19/201610/21/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES225/19/201610/21/2016
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION227/26/201810/22/2018
LSCINTERIOR WALL AND CEILING FINISH217/26/201810/22/2018
HealthDISCHARGE SUMMARY217/26/201811/30/2018
HealthPHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS227/26/201811/30/2018
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2111/9/201512/18/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/9/201512/18/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/21/20162/17/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2112/21/20162/17/2017
HealthFACILITY ASSESSMENT2112/28/20172/23/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.)2212/28/20172/23/2018
HealthQUALITY OF CARE2212/28/20172/23/2018
HealthRESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS2212/28/20172/23/2018
HealthSUFFICIENT NURSING STAFF2212/28/20172/23/2018
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON211/25/20173/5/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS221/25/20173/5/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS223/29/20175/26/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW223/29/20175/26/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES213/29/20175/26/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS213/29/20175/26/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE213/29/20175/26/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING213/29/20175/26/2017
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF123/29/20175/26/2017
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF123/29/20175/26/2017
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE123/29/20175/26/2017
HealthSTANDARDS OF CONSTRUCTION FOR NEW NH223/29/20175/26/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES213/29/20175/26/2017
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC223/29/20175/26/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE213/29/20175/26/2017
HealthADMINISTRATION214/24/20186/18/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.)214/24/20186/18/2018
HealthQUALITY OF CARE214/24/20186/18/2018
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION214/24/20186/18/2018
HealthSUFFICIENT NURSING STAFF214/24/20186/18/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/14/20156/30/2015
HealthCOMPREHENSIVE ASSESSMENTS215/14/20156/30/2015
HealthCRIMINAL HISTORY RECORD CHECK PROCESS215/14/20156/30/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY225/14/20156/30/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS215/14/20156/30/2015
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION215/14/20156/30/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY215/14/20156/30/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/14/20156/30/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES215/14/20156/30/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/14/20156/30/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS215/14/20156/30/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/14/20156/30/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE215/14/20156/30/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/14/20156/30/2015
HealthPOSTED NURSE STAFFING INFORMATION125/14/20156/30/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/14/20156/30/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE225/14/20156/30/2015
HealthRESIDENT CALL SYSTEM - ROOMS/TOILET/BATH215/14/20156/30/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE215/14/20156/30/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/14/20156/30/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN215/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES215/19/20167/8/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/19/20167/8/2016
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING425/19/20167/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES225/19/20167/8/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE215/19/20167/8/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES225/19/20167/8/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/19/20167/8/2016
HealthLAB SVCS - FAC PROVIDED, REFERRED, AGREEMENT225/19/20167/8/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE215/19/20167/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/19/20167/8/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING225/19/20167/8/2016
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS425/19/20167/8/2016
HealthQUALITY ASSURANCE AND ASSESSMENT225/19/20167/8/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES215/19/20167/8/2016
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS215/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS225/19/20168/23/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS425/19/20168/23/2016
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE215/19/20168/23/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP225/19/20168/23/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY225/19/20168/26/2016
HealthPROHIBIT MISTREATMENT/NEGLECT/MISAPPROPRIATN215/19/20168/26/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/19/20168/26/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/19/20168/29/2016
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE215/19/20168/29/2016
HealthAPPLICABILITY227/26/20189/24/2018
HealthCOORDINATION/CERTIFICATION OF ASSESSMENT127/26/20189/24/2018
HealthCRIMINAL HISTORY RECORD CHECK PROCESS217/26/20189/24/2018
HealthDENTAL SERVICES217/26/20189/24/2018
HealthDEPARTMENT CRIMINAL HISTORY REVIEW217/26/20189/24/2018
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN227/26/20189/24/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/26/20189/24/2018
HealthINFECTION CONTROL227/26/20189/24/2018
HealthINFECTION PREVENTION & CONTROL227/26/20189/24/2018
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS217/26/20189/24/2018
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION217/26/20189/24/2018
HealthPHYSICIAN VISITS-FREQUENCY/TIMELINESS/ALT NPP227/26/20189/24/2018
HealthQAA COMMITTEE227/26/20189/24/2018
HealthRESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS227/26/20189/24/2018
HealthSUFFICIENT NURSING STAFF217/26/20189/24/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER217/26/20189/24/2018
LSCBUILDING REHABILITATION217/26/20189/24/2018
LSCCOOKING FACILITIES217/26/20189/24/2018
LSCCORRIDOR - DOORS227/26/20189/24/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS227/26/20189/24/2018
LSCELECTRICAL SYSTEMS - OTHER227/26/20189/24/2018
LSCESTABLISHMENT OF THE EMERGENCY PROGRAM (EP)137/26/20189/24/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE217/26/20189/24/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG227/26/20189/24/2018
LSCHAZARDOUS AREAS - ENCLOSURE227/26/20189/24/2018
LSCHVAC227/26/20189/24/2018
LSCSPRINKLER SYSTEM - INSTALLATION217/26/20189/24/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING227/26/20189/24/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE217/26/20189/24/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE227/26/20189/24/2018