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
| 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: 59%
Occupancy Rate: 85%
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 424 | Percentage of short-stay residents who self-report moderate to severe pain | 4.2300 | 5/1/2019 | |
| 430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 21.1200 | 5/1/2019 | |
| 434 | Percentage of short-stay residents who newly received an antipsychotic medication | 3.2900 | 5/1/2019 | |
| 471 | Percentage of short-stay residents who made improvements in function | 67.4900 | 5/1/2019 |
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 401 | Percentage of long-stay residents whose need for help with daily activities has increased | 20.9900 | 5/1/2019 | |
| 402 | Percentage of long-stay residents who self-report moderate to severe pain | 1.0500 | 5/1/2019 | |
| 404 | Percentage of long-stay residents who lose too much weight | 3.9900 | 5/1/2019 | |
| 405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 34.7800 | 5/1/2019 | |
| 406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.3100 | 5/1/2019 | |
| 407 | Percentage of long-stay residents with a urinary tract infection | 1.7200 | 5/1/2019 | |
| 408 | Percentage of long-stay residents who have depressive symptoms | 0.0000 | 5/1/2019 | |
| 409 | Percentage of long-stay residents who were physically restrained | 0.0000 | 5/1/2019 | |
| 410 | Percentage of long-stay residents experiencing one or more falls with major injury | 2.8500 | 5/1/2019 | |
| 415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 50.7100 | 5/1/2019 | |
| 419 | Percentage of long-stay residents who received an antipsychotic medication | 6.9900 | 5/1/2019 | |
| 451 | Percentage of long-stay residents whose ability to move independently worsened | 18.6900 | 5/1/2019 | |
| 452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2500 | 5/1/2019 |
| 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 |
| Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
|---|---|---|---|
| 19-May-16 | Multiple Deficiencies | 3-Jan-17 | 6000 |
| 20-Feb-02 | Quality of Care | 10-Dec-02 | 2000 |
| 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/COMPLAINT | 2 |
| 4/24/2018 | COMPLAINT | 2 |
| 5/14/2015 | CERTIFICATION/COMPLAINT | 2 |
| 5/19/2016 | CERTIFICATION/COMPLAINT | 4 |
| 7/26/2018 | CERTIFICATION/COMPLAINT | 3 |
| Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
|---|---|---|---|---|---|
| Health | NOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE | 1 | 1 | 7/26/2018 | |
| Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 1 | 5/19/2016 | 10/21/2016 |
| Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES | 2 | 2 | 5/19/2016 | 10/21/2016 |
| Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 2 | 7/26/2018 | 10/22/2018 |
| LSC | INTERIOR WALL AND CEILING FINISH | 2 | 1 | 7/26/2018 | 10/22/2018 |
| Health | DISCHARGE SUMMARY | 2 | 1 | 7/26/2018 | 11/30/2018 |
| Health | PHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS | 2 | 2 | 7/26/2018 | 11/30/2018 |
| Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 11/9/2015 | 12/18/2015 |
| Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 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 | FACILITY ASSESSMENT | 2 | 1 | 12/28/2017 | 2/23/2018 |
| 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 | RESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS | 2 | 2 | 12/28/2017 | 2/23/2018 |
| Health | SUFFICIENT NURSING STAFF | 2 | 2 | 12/28/2017 | 2/23/2018 |
| Health | DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON | 2 | 1 | 1/25/2017 | 3/5/2017 |
| Health | RESIDENTS FREE OF SIGNIFICANT MED ERRORS | 2 | 2 | 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 | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 3/29/2017 | 5/26/2017 |
| Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS | 2 | 1 | 3/29/2017 | 5/26/2017 |
| Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 2 | 1 | 3/29/2017 | 5/26/2017 |
| Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 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 | STANDARDS OF CONSTRUCTION FOR NEW NH | 2 | 2 | 3/29/2017 | 5/26/2017 |
| Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES | 2 | 1 | 3/29/2017 | 5/26/2017 |
| LSC | ELECTRICAL EQUIPMENT - TESTING AND MAINTENANC | 2 | 2 | 3/29/2017 | 5/26/2017 |
| LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 1 | 3/29/2017 | 5/26/2017 |
| Health | ADMINISTRATION | 2 | 1 | 4/24/2018 | 6/18/2018 |
| Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.) | 2 | 1 | 4/24/2018 | 6/18/2018 |
| Health | QUALITY OF CARE | 2 | 1 | 4/24/2018 | 6/18/2018 |
| Health | RESIDENT RECORDS - IDENTIFIABLE INFORMATION | 2 | 1 | 4/24/2018 | 6/18/2018 |
| Health | SUFFICIENT NURSING STAFF | 2 | 1 | 4/24/2018 | 6/18/2018 |
| Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | COMPREHENSIVE ASSESSMENTS | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | CRIMINAL HISTORY RECORD CHECK PROCESS | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 2 | 5/14/2015 | 6/30/2015 |
| Health | DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | HOUSEKEEPING & MAINTENANCE SERVICES | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | INFECTION CONTROL, PREVENT SPREAD, LINENS | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 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 | POSTED NURSE STAFFING INFORMATION | 1 | 2 | 5/14/2015 | 6/30/2015 |
| Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 2 | 5/14/2015 | 6/30/2015 |
| Health | RESIDENT CALL SYSTEM - ROOMS/TOILET/BATH | 2 | 1 | 5/14/2015 | 6/30/2015 |
| Health | RIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE | 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 |
| 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 | DEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES | 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 | EFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING | 4 | 2 | 5/19/2016 | 7/8/2016 |
| Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 2 | 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 | HOUSEKEEPING & MAINTENANCE SERVICES | 2 | 2 | 5/19/2016 | 7/8/2016 |
| Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 5/19/2016 | 7/8/2016 |
| Health | LAB SVCS - FAC PROVIDED, REFERRED, AGREEMENT | 2 | 2 | 5/19/2016 | 7/8/2016 |
| Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 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 | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 2 | 5/19/2016 | 7/8/2016 |
| Health | QAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS | 4 | 2 | 5/19/2016 | 7/8/2016 |
| Health | QUALITY ASSURANCE AND ASSESSMENT | 2 | 2 | 5/19/2016 | 7/8/2016 |
| Health | RIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES | 2 | 1 | 5/19/2016 | 7/8/2016 |
| Health | TREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS | 2 | 1 | 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 | 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 | 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 | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 2 | 5/19/2016 | 8/26/2016 |
| Health | PROHIBIT MISTREATMENT/NEGLECT/MISAPPROPRIATN | 2 | 1 | 5/19/2016 | 8/26/2016 |
| Health | SELF-DETERMINATION - RIGHT TO MAKE CHOICES | 2 | 1 | 5/19/2016 | 8/26/2016 |
| Health | DEVELOP COMPREHENSIVE CARE PLANS | 2 | 1 | 5/19/2016 | 8/29/2016 |
| Health | PROVISION OF MEDICALLY RELATED SOCIAL SERVICE | 2 | 1 | 5/19/2016 | 8/29/2016 |
| Health | APPLICABILITY | 2 | 2 | 7/26/2018 | 9/24/2018 |
| Health | COORDINATION/CERTIFICATION OF ASSESSMENT | 1 | 2 | 7/26/2018 | 9/24/2018 |
| Health | CRIMINAL HISTORY RECORD CHECK PROCESS | 2 | 1 | 7/26/2018 | 9/24/2018 |
| Health | DENTAL SERVICES | 2 | 1 | 7/26/2018 | 9/24/2018 |
| Health | DEPARTMENT CRIMINAL HISTORY REVIEW | 2 | 1 | 7/26/2018 | 9/24/2018 |
| Health | DEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN | 2 | 2 | 7/26/2018 | 9/24/2018 |
| Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 7/26/2018 | 9/24/2018 |
| Health | INFECTION CONTROL | 2 | 2 | 7/26/2018 | 9/24/2018 |
| Health | INFECTION PREVENTION & CONTROL | 2 | 2 | 7/26/2018 | 9/24/2018 |
| Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS | 2 | 1 | 7/26/2018 | 9/24/2018 |
| Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 1 | 7/26/2018 | 9/24/2018 |
| Health | PHYSICIAN VISITS-FREQUENCY/TIMELINESS/ALT NPP | 2 | 2 | 7/26/2018 | 9/24/2018 |
| Health | QAA COMMITTEE | 2 | 2 | 7/26/2018 | 9/24/2018 |
| Health | RESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS | 2 | 2 | 7/26/2018 | 9/24/2018 |
| Health | SUFFICIENT NURSING STAFF | 2 | 1 | 7/26/2018 | 9/24/2018 |
| Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER | 2 | 1 | 7/26/2018 | 9/24/2018 |
| LSC | BUILDING REHABILITATION | 2 | 1 | 7/26/2018 | 9/24/2018 |
| LSC | COOKING FACILITIES | 2 | 1 | 7/26/2018 | 9/24/2018 |
| LSC | CORRIDOR - DOORS | 2 | 2 | 7/26/2018 | 9/24/2018 |
| LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 7/26/2018 | 9/24/2018 |
| LSC | ELECTRICAL SYSTEMS - OTHER | 2 | 2 | 7/26/2018 | 9/24/2018 |
| LSC | ESTABLISHMENT OF THE EMERGENCY PROGRAM (EP) | 1 | 3 | 7/26/2018 | 9/24/2018 |
| LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 1 | 7/26/2018 | 9/24/2018 |
| LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 7/26/2018 | 9/24/2018 |
| LSC | HAZARDOUS AREAS - ENCLOSURE | 2 | 2 | 7/26/2018 | 9/24/2018 |
| LSC | HVAC | 2 | 2 | 7/26/2018 | 9/24/2018 |
| LSC | SPRINKLER SYSTEM - INSTALLATION | 2 | 1 | 7/26/2018 | 9/24/2018 |
| LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 7/26/2018 | 9/24/2018 |
| LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 1 | 7/26/2018 | 9/24/2018 |
| LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 7/26/2018 | 9/24/2018 |
