Safire Rehabilitation of Southtowns, LLC
300 Dorrance Avenue
Buffalo , NY 14220
7165665252
Services: Baseline Services
Behavioral Intervention: | |
Pediatric: | |
Pediatric Ventilator Dependent: | |
Residential Health Care: | 120 |
Transitional Care Unit: | |
Ventilator Dependent: | |
Total Number of Beds: | 120 |
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
Employee Flu Vaccination Rate: 37%
Occupancy Rate: 92.5%
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
424 | Percentage of short-stay residents who self-report moderate to severe pain | 2.9300 | 9/1/2018 | |
425 | Percentage of short-stay residents with pressure ulcers that are new or worsened | 0.2100 | 9/1/2018 | |
426 | Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.6700 | 9/1/2018 | |
430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.9100 | 9/1/2018 | |
434 | Percentage of short-stay residents who newly received an antipsychotic medication | 2.9200 | 9/1/2018 | |
471 | Percentage of short-stay residents who made improvements in function | 80.8600 | 9/1/2018 |
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
401 | Percentage of long-stay residents whose need for help with daily activities has increased | 18.3400 | 9/1/2018 | |
402 | Percentage of long-stay residents who self-report moderate to severe pain | 2.3100 | 9/1/2018 | |
403 | Percentage of high risk long-stay residents with pressure ulcers | 10.0900 | 9/1/2018 | |
404 | Percentage of long-stay residents who lose too much weight | 4.4700 | 9/1/2018 | |
405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 36.9200 | 9/1/2018 | |
406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.5700 | 9/1/2018 | |
407 | Percentage of long-stay residents with a urinary tract infection | 1.0900 | 9/1/2018 | |
408 | Percentage of long-stay residents who have depressive symptoms | 0.5900 | 9/1/2018 | |
409 | Percentage of long-stay residents who were physically restrained | 0.0000 | 9/1/2018 | |
410 | Percentage of long-stay residents experiencing one or more falls with major injury | 1.8900 | 9/1/2018 | |
411 | Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.6100 | 9/1/2018 | |
415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4100 | 9/1/2018 | |
419 | Percentage of long-stay residents who received an antipsychotic medication | 11.6100 | 9/1/2018 | |
451 | Percentage of long-stay residents whose ability to move independently worsened | 9.8800 | 9/1/2018 | |
452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.3800 | 9/1/2018 |
Number of Standard Health Deficiencies: | 90 |
Number of Live Safety Code Deficiencies: | 25 |
Number of Total Deficiencies: | 115 |
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): | 149 |
Intakes received per 100 occupied beds (last three years): | 136.0 |
Percent of total intakes received that were facility self reported incidents (last three years): | 52 |
On-site complaint investigations (last three years): | 40 |
Complaint investigations resulting in citations (last three years): | 17 |
Complaint investigations resulting in citations per 100 occupied beds (last three years): | 15.5 |
Complaint Citations in deficiency category: Administration: | 1 |
Complaint Citations in deficiency category: Quality of Care: | 6 |
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): | 17 |
Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
---|---|---|---|
2/20/2002 | Quality of Care | 12/10/2002 | 2000 |
5/19/2016 | Multiple Deficiencies | 1/3/2017 | 6000 |
Initial Survey Date | Survey Type | Total Visits Required |
---|---|---|
1/25/2017 | Complaint | 2 |
11/9/2015 | Complaint | 2 |
12/21/2016 | Complaint | 2 |
12/28/2017 | Complaint | 2 |
3/29/2017 | Certification | 2 |
4/24/2018 | Complaint | 1 |
5/14/2015 | Certification | 2 |
5/19/2016 | Certification | 4 |
6/11/2014 | Complaint | 2 |
8/29/2014 | Certification | 2 |
Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
---|---|---|---|---|---|
Health | Notify of Changes (Injury/Decline/Room, etc.) | 2 | 1 | 4/24/2018 | |
Health | Quality of Care | 2 | 1 | 4/24/2018 | |
Health | Sufficient Nursing Staff | 2 | 1 | 4/24/2018 | |
Health | Administration | 2 | 1 | 4/24/2018 | |
Health | Resident Records - Identifiable Information | 2 | 1 | 4/24/2018 | |
Health | Criminal History Record Check Process | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | Department Criminal History Review | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | RIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 8/29/2014 | 10/21/2014 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 8/29/2014 | 10/21/2014 |
Health | PROVISION OF MEDICALLY RELATED SOCIAL SERVICE | 2 | 1 | 8/29/2014 | 10/21/2014 |
Health | HOUSEKEEPING & MAINTENANCE SERVICES | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | DEVELOP COMPREHENSIVE CARE PLANS | 2 | 1 | 8/29/2014 | 10/21/2014 |
Health | RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP | 2 | 1 | 8/29/2014 | 10/21/2014 |
Health | SERVICES BY QUALIFIED PERSONS/PER CARE PLAN | 2 | 1 | 8/29/2014 | 10/21/2014 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | RESIDENTS FREE OF SIGNIFICANT MED ERRORS | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 2 | 8/29/2014 | 10/21/2014 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 8/29/2014 | 10/21/2014 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 8/29/2014 | 10/21/2014 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 8/29/2014 | 10/21/2014 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 8/29/2014 | 10/21/2014 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 8/29/2014 | 10/21/2014 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 8/29/2014 | 10/21/2014 |
Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES | 2 | 2 | 5/19/2016 | 10/21/2016 |
Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 1 | 5/19/2016 | 10/21/2016 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 11/9/2015 | 12/18/2015 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 11/9/2015 | 12/18/2015 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 12/21/2016 | 2/17/2017 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 12/21/2016 | 2/17/2017 |
Health | Notify of Changes (Injury/Decline/Room, etc.) | 2 | 2 | 12/28/2017 | 2/23/2018 |
Health | Quality of Care | 2 | 2 | 12/28/2017 | 2/23/2018 |
Health | Sufficient Nursing Staff | 2 | 2 | 12/28/2017 | 2/23/2018 |
Health | Residents are Free of Significant Med Errors | 2 | 2 | 12/28/2017 | 2/23/2018 |
Health | Facility Assessment | 2 | 1 | 12/28/2017 | 2/23/2018 |
Health | RESIDENTS FREE OF SIGNIFICANT MED ERRORS | 2 | 2 | 1/25/2017 | 3/5/2017 |
Health | DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON | 2 | 1 | 1/25/2017 | 3/5/2017 |
Health | Criminal History Record Check Process | 2 | 2 | 3/29/2017 | 5/26/2017 |
Health | Department Criminal History Review | 2 | 2 | 3/29/2017 | 5/26/2017 |
Health | Responsibilities of Providers; Required Notif | 1 | 2 | 3/29/2017 | 5/26/2017 |
Health | Responsibilities of Providers; Required Notif | 1 | 2 | 3/29/2017 | 5/26/2017 |
Health | RIGHT TO SURVEY RESULTS - READILY ACCESSIBLE | 1 | 2 | 3/29/2017 | 5/26/2017 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 3/29/2017 | 5/26/2017 |
Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES | 2 | 1 | 3/29/2017 | 5/26/2017 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 3/29/2017 | 5/26/2017 |
Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 2 | 1 | 3/29/2017 | 5/26/2017 |
Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS | 2 | 1 | 3/29/2017 | 5/26/2017 |
LSC | Electrical Systems - Essential Electric Syste | 2 | 1 | 3/29/2017 | 5/26/2017 |
LSC | Electrical Equipment - Testing and Maintenanc | 2 | 2 | 3/29/2017 | 5/26/2017 |
Health | Standards of Construction for New NH | 2 | 2 | 3/29/2017 | 5/26/2017 |
Health | Criminal History Record Check Process | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 2 | 5/14/2015 | 6/30/2015 |
Health | RIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | HOUSEKEEPING & MAINTENANCE SERVICES | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | COMPREHENSIVE ASSESSMENTS | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | SERVICES BY QUALIFIED PERSONS/PER CARE PLAN | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | POSTED NURSE STAFFING INFORMATION | 1 | 2 | 5/14/2015 | 6/30/2015 |
Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | INFECTION CONTROL, PREVENT SPREAD, LINENS | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | RESIDENT CALL SYSTEM - ROOMS/TOILET/BATH | 2 | 1 | 5/14/2015 | 6/30/2015 |
Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/14/2015 | 6/30/2015 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 2 | 6/11/2014 | 7/14/2014 |
Health | RIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | DEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | HOUSEKEEPING & MAINTENANCE SERVICES | 2 | 2 | 5/19/2016 | 7/8/2016 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 2 | 5/19/2016 | 7/8/2016 |
Health | TREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 2 | 5/19/2016 | 7/8/2016 |
Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | FREE OF MEDICATION ERROR RATES OF 5% OR MORE | 2 | 1 | 5/19/2016 | 7/8/2016 |
Health | EFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING | 4 | 2 | 5/19/2016 | 7/8/2016 |
Health | LAB SVCS - FAC PROVIDED, REFERRED, AGREEMENT | 2 | 2 | 5/19/2016 | 7/8/2016 |
Health | QAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS | 4 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/19/2016 | 7/8/2016 |
Health | Quality Assurance and Assessment | 2 | 2 | 5/19/2016 | 7/8/2016 |
Health | RIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE | 2 | 1 | 5/19/2016 | 8/23/2016 |
Health | RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP | 2 | 2 | 5/19/2016 | 8/23/2016 |
Health | DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS | 2 | 2 | 5/19/2016 | 8/23/2016 |
Health | INFECTION CONTROL, PREVENT SPREAD, LINENS | 4 | 2 | 5/19/2016 | 8/23/2016 |
Health | PROHIBIT MISTREATMENT/NEGLECT/MISAPPROPRIATN | 2 | 1 | 5/19/2016 | 8/26/2016 |
Health | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 2 | 5/19/2016 | 8/26/2016 |
Health | SELF-DETERMINATION - RIGHT TO MAKE CHOICES | 2 | 1 | 5/19/2016 | 8/26/2016 |
Health | PROVISION OF MEDICALLY RELATED SOCIAL SERVICE | 2 | 1 | 5/19/2016 | 8/29/2016 |
Health | DEVELOP COMPREHENSIVE CARE PLANS | 2 | 1 | 5/19/2016 | 8/29/2016 |