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 pain8.173073/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.308333/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine61.922363/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine53.053433/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.446483/1/2017
471Percentage of short-stay residents who made improvements in function92.793813/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased12.968297003/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain14.691240003/1/2017
403Percentage of high risk long-stay residents with pressure ulcers8.045978003/1/2017
404Percentage of long-stay residents who lose too much weight6.179774003/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder49.664426003/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.794614003/1/2017
407Percentage of long-stay residents with a urinary tract infection1.315789003/1/2017
408Percentage of long-stay residents who have depressive symptoms5.413104003/1/2017
409Percentage of long-stay residents who were physically restrained0.522194003/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury1.044388003/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine92.840096003/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine90.600521003/1/2017
419Percentage of long-stay residents who received an antipsychotic medication24.444444003/1/2017
451Percentage of long-stay residents whose ability to move independently worsened11.248225003/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.573408003/1/2017

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 0:00:00Quality of Care12/10/20022000
5/19/2016 0:00:00Multiple Deficiencies1/3/20176000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/25/2017Complaint1
10/7/2013Certification2
11/9/2015Complaint2
12/21/2016Complaint1
4/1/2013Complaint2
5/14/2015Certification2
5/19/2016Certification5
6/11/2014Complaint2
8/29/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING21
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS22
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST21
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.21
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2110/21/2014
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES2210/21/2014
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2110/21/2014
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED2210/21/2014
HealthCRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED2210/21/2014
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2110/21/2014
HealthMEDICALLY RELATED SOCIAL SERVICES2110/21/2014
HealthHOUSEKEEPING AND MAINTENANCE SERVICES2210/21/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/21/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN2110/21/2014
HealthFACILITY IS FREE OF ACCIDENT HAZARDS2210/21/2014
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST2210/21/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2210/21/2014
LSCDOORS IN FIRE AND SMOKE PARTITIONS2210/21/2014
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS2210/21/2014
LSCMEDICAL GAS SYSTEM2210/21/2014
LSCCOOKING EQUIPMENT2210/21/2014
LSCSMOKING REGULATIONS2210/21/2014
LSCTESTING OF FIRE ALARM2210/21/2014
LSCDOORS IN SMOKE PARTITIONS2210/21/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2210/21/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2110/21/2016
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES2210/21/2016
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
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
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2112/3/2013
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS2212/3/2013
HealthDISPOSE GARBAGE AND REFUSE PROPERLY2212/3/2013
LSCCORRIDOR DOORS2212/3/2013
LSCDOORS IN FIRE AND SMOKE PARTITIONS2212/3/2013
LSCHAZARDOUS AREAS - SEPARATION2212/3/2013
LSCEXIT PARTITIONS2212/3/2013
LSCEMERGENCY PLAN2212/3/2013
LSCGENERATORS INSPECTED/TESTED2212/3/2013
LSCMEDICAL GAS SYSTEM2212/3/2013
LSCWASTEBASKETS2212/3/2013
LSCSPRINKLER SYSTEM MAINTENANCE2212/3/2013
LSCCORRIDOR WIDTH2212/3/2013
LSCSTAIRS AND SMOKE PROOF TOWERS2212/3/2013
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/20/2013
LSCDOORS IN SMOKE PARTITIONS226/30/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS226/30/2015
HealthRESIDENT CALL SYSTEM216/30/2015
HealthESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION216/30/2015
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM216/30/2015
LSCHAZARDOUS AREAS - SEPARATION226/30/2015
LSCEXIT PARTITIONS226/30/2015
LSCEVACUATION PLAN226/30/2015
LSCPORTABLE FIRE EXTINGUISHERS226/30/2015
LSCSMOKING REGULATIONS226/30/2015
LSCCOOKING EQUIPMENT226/30/2015
LSCMEDICAL GAS SYSTEM226/30/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS216/30/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS216/30/2015
HealthCRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED216/30/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.216/30/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE216/30/2015
HealthDIGNITY226/30/2015
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE216/30/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES216/30/2015
HealthCOMPREHENSIVE ASSESSMENTS216/30/2015
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN216/30/2015
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN216/30/2015
HealthNURSE STAFFING126/30/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATION216/30/2015
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE216/30/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS216/30/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/30/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING216/30/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS227/14/2014
HealthFACILITY IS FREE OF ACCIDENT HAZARDS227/7/2016
HealthFACILITY MAINTAINS QA COMMITTEE427/8/2016
HealthLAB SERVICES PROVIDED BY FACILITY/REFERRING SPECIMENS227/8/2016
HealthFACILITY ADMINISTERED EFFECTIVELY TO OBTAIN HIGHEST PRACTICABLE WELL BEING427/8/2016
HealthMEDICATION ERROR RATES OF 5% OR MORE217/8/2016
LSCCORRIDOR DOORS227/8/2016
LSCSMOKE PARTITION CONSTRUCTION227/8/2016
LSCHAZARDOUS AREAS - SEPARATION227/8/2016
LSCEXIT PARTITIONS227/8/2016
LSCEVACUATION PLAN227/8/2016
LSCTESTING OF FIRE ALARM227/8/2016
LSCAUTOMATIC SPRINKLER SYSTEM227/8/2016
LSCMEDICAL GAS SYSTEM227/8/2016
LSCEMERGENCY PLAN227/8/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/8/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE217/8/2016
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT217/8/2016
HealthQUALITY ASSURANCE AND ASSESSMENT227/8/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.217/8/2016
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES217/8/2016
HealthHOUSEKEEPING AND MAINTENANCE SERVICES227/8/2016
HealthRESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE217/8/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING227/8/2016
HealthRESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS217/8/2016
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
HealthDIGNITY228/26/2016
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES218/26/2016
HealthMEDICALLY RELATED SOCIAL SERVICES218/29/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS218/29/2016