Safire Rehabilitation of Southtowns, LLC
300 Dorrance Avenue
Buffalo, NY 14220
(716) 566-5252
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: 30%
Occupancy Rate: 92%
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 424 | Percentage of short-stay residents who self-report moderate to severe pain | 8.17307 | 4/1/2017 | |
| 425 | Percentage of short-stay residents with pressure ulcers that are new or worsened | 1.30833 | 4/1/2017 | |
| 426 | Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.92236 | 4/1/2017 | |
| 430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 53.05343 | 4/1/2017 | |
| 434 | Percentage of short-stay residents who newly received an antipsychotic medication | 2.44648 | 4/1/2017 | |
| 471 | Percentage of short-stay residents who made improvements in function | 92.79381 | 4/1/2017 |
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 401 | Percentage of long-stay residents whose need for help with daily activities has increased | 12.96829700 | 4/1/2017 | |
| 402 | Percentage of long-stay residents who self-report moderate to severe pain | 14.69124000 | 4/1/2017 | |
| 403 | Percentage of high risk long-stay residents with pressure ulcers | 8.04597800 | 4/1/2017 | |
| 404 | Percentage of long-stay residents who lose too much weight | 6.17977400 | 4/1/2017 | |
| 405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 49.66442600 | 4/1/2017 | |
| 406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.79461400 | 4/1/2017 | |
| 407 | Percentage of long-stay residents with a urinary tract infection | 1.31578900 | 4/1/2017 | |
| 408 | Percentage of long-stay residents who have depressive symptoms | 5.41310400 | 4/1/2017 | |
| 409 | Percentage of long-stay residents who were physically restrained | 0.52219400 | 4/1/2017 | |
| 410 | Percentage of long-stay residents experiencing one or more falls with major injury | 1.04438800 | 4/1/2017 | |
| 411 | Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.84009600 | 4/1/2017 | |
| 415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.60052100 | 4/1/2017 | |
| 419 | Percentage of long-stay residents who received an antipsychotic medication | 24.44444400 | 4/1/2017 | |
| 451 | Percentage of long-stay residents whose ability to move independently worsened | 11.24822500 | 4/1/2017 | |
| 452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.57340800 | 4/1/2017 |
| 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 |
| Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
|---|---|---|---|
| 2/20/2002 0:00:00 | Quality of Care | 12/10/2002 | 2000 |
| 5/19/2016 0:00:00 | Multiple Deficiencies | 1/3/2017 | 6000 |
| Initial Survey Date | Survey Type | Total Visits Required |
|---|---|---|
| 1/25/2017 | Complaint | 1 |
| 10/7/2013 | Certification | 2 |
| 11/9/2015 | Complaint | 2 |
| 12/21/2016 | Complaint | 1 |
| 4/1/2013 | Complaint | 2 |
| 5/14/2015 | Certification | 2 |
| 5/19/2016 | Certification | 5 |
| 6/11/2014 | Complaint | 2 |
| 8/29/2014 | Certification | 2 |
| Inspection Type | Deficiency | Severity | Residents Affected | Date citation corrected |
|---|---|---|---|---|
| Health | PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | 2 | 1 | |
| Health | RESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS | 2 | 2 | |
| Health | RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST | 2 | 1 | |
| Health | INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. | 2 | 1 | |
| Health | INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. | 2 | 1 | 10/21/2014 |
| Health | RIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES | 2 | 2 | 10/21/2014 |
| Health | SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | 2 | 1 | 10/21/2014 |
| Health | DEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED | 2 | 2 | 10/21/2014 |
| Health | CRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED | 2 | 2 | 10/21/2014 |
| Health | NOT EMPLOY PERSONS GUILTY OF ABUSE | 2 | 1 | 10/21/2014 |
| Health | MEDICALLY RELATED SOCIAL SERVICES | 2 | 1 | 10/21/2014 |
| Health | HOUSEKEEPING AND MAINTENANCE SERVICES | 2 | 2 | 10/21/2014 |
| Health | DEVELOP COMPREHENSIVE CARE PLANS | 2 | 1 | 10/21/2014 |
| Health | DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | 2 | 1 | 10/21/2014 |
| Health | FACILITY IS FREE OF ACCIDENT HAZARDS | 2 | 2 | 10/21/2014 |
| Health | RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST | 2 | 2 | 10/21/2014 |
| Health | CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | 2 | 2 | 10/21/2014 |
| LSC | DOORS IN FIRE AND SMOKE PARTITIONS | 2 | 2 | 10/21/2014 |
| Health | RESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS | 2 | 2 | 10/21/2014 |
| LSC | MEDICAL GAS SYSTEM | 2 | 2 | 10/21/2014 |
| LSC | COOKING EQUIPMENT | 2 | 2 | 10/21/2014 |
| LSC | SMOKING REGULATIONS | 2 | 2 | 10/21/2014 |
| LSC | TESTING OF FIRE ALARM | 2 | 2 | 10/21/2014 |
| LSC | DOORS IN SMOKE PARTITIONS | 2 | 2 | 10/21/2014 |
| Health | PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | 2 | 2 | 10/21/2014 |
| Health | CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | 2 | 1 | 10/21/2016 |
| Health | PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | 2 | 2 | 10/21/2016 |
| Health | INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. | 2 | 1 | 12/18/2015 |
| Health | NOT EMPLOY PERSONS GUILTY OF ABUSE | 2 | 1 | 12/18/2015 |
| Health | CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | 2 | 1 | 12/3/2013 |
| Health | HOUSEKEEPING AND MAINTENANCE SERVICES | 1 | 3 | 12/3/2013 |
| Health | DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | 2 | 1 | 12/3/2013 |
| Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 12/3/2013 |
| Health | RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | 2 | 1 | 12/3/2013 |
| Health | DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | 2 | 1 | 12/3/2013 |
| Health | STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | 2 | 2 | 12/3/2013 |
| Health | DISPOSE GARBAGE AND REFUSE PROPERLY | 2 | 2 | 12/3/2013 |
| LSC | CORRIDOR DOORS | 2 | 2 | 12/3/2013 |
| LSC | DOORS IN FIRE AND SMOKE PARTITIONS | 2 | 2 | 12/3/2013 |
| LSC | HAZARDOUS AREAS - SEPARATION | 2 | 2 | 12/3/2013 |
| LSC | EXIT PARTITIONS | 2 | 2 | 12/3/2013 |
| LSC | EMERGENCY PLAN | 2 | 2 | 12/3/2013 |
| LSC | GENERATORS INSPECTED/TESTED | 2 | 2 | 12/3/2013 |
| LSC | MEDICAL GAS SYSTEM | 2 | 2 | 12/3/2013 |
| LSC | WASTEBASKETS | 2 | 2 | 12/3/2013 |
| LSC | SPRINKLER SYSTEM MAINTENANCE | 2 | 2 | 12/3/2013 |
| LSC | CORRIDOR WIDTH | 2 | 2 | 12/3/2013 |
| LSC | STAIRS AND SMOKE PROOF TOWERS | 2 | 2 | 12/3/2013 |
| Health | DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | 2 | 1 | 5/20/2013 |
| LSC | DOORS IN SMOKE PARTITIONS | 2 | 2 | 6/30/2015 |
| Health | CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | 2 | 2 | 6/30/2015 |
| Health | RESIDENT CALL SYSTEM | 2 | 1 | 6/30/2015 |
| Health | ESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION | 2 | 1 | 6/30/2015 |
| Health | FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | 2 | 1 | 6/30/2015 |
| LSC | HAZARDOUS AREAS - SEPARATION | 2 | 2 | 6/30/2015 |
| LSC | EXIT PARTITIONS | 2 | 2 | 6/30/2015 |
| LSC | EVACUATION PLAN | 2 | 2 | 6/30/2015 |
| LSC | PORTABLE FIRE EXTINGUISHERS | 2 | 2 | 6/30/2015 |
| LSC | SMOKING REGULATIONS | 2 | 2 | 6/30/2015 |
| LSC | COOKING EQUIPMENT | 2 | 2 | 6/30/2015 |
| LSC | MEDICAL GAS SYSTEM | 2 | 2 | 6/30/2015 |
| Health | PROPER LABELING OF DRUGS AND BIOLOGICALS | 2 | 1 | 6/30/2015 |
| Health | STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | 2 | 1 | 6/30/2015 |
| Health | CRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED | 2 | 1 | 6/30/2015 |
| Health | INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. | 2 | 1 | 6/30/2015 |
| Health | NOT EMPLOY PERSONS GUILTY OF ABUSE | 2 | 1 | 6/30/2015 |
| Health | DIGNITY | 2 | 2 | 6/30/2015 |
| Health | RESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE | 2 | 1 | 6/30/2015 |
| Health | HOUSEKEEPING AND MAINTENANCE SERVICES | 2 | 1 | 6/30/2015 |
| Health | COMPREHENSIVE ASSESSMENTS | 2 | 1 | 6/30/2015 |
| Health | DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | 2 | 1 | 6/30/2015 |
| Health | SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | 2 | 1 | 6/30/2015 |
| Health | NURSE STAFFING | 1 | 2 | 6/30/2015 |
| Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION | 2 | 1 | 6/30/2015 |
| Health | RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | 2 | 1 | 6/30/2015 |
| Health | FACILITY IS FREE OF ACCIDENT HAZARDS | 2 | 1 | 6/30/2015 |
| Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 6/30/2015 |
| Health | PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | 2 | 1 | 6/30/2015 |
| Health | FACILITY IS FREE OF ACCIDENT HAZARDS | 2 | 2 | 7/14/2014 |
| Health | FACILITY IS FREE OF ACCIDENT HAZARDS | 2 | 2 | 7/7/2016 |
| Health | FACILITY MAINTAINS QA COMMITTEE | 4 | 2 | 7/8/2016 |
| Health | LAB SERVICES PROVIDED BY FACILITY/REFERRING SPECIMENS | 2 | 2 | 7/8/2016 |
| Health | FACILITY ADMINISTERED EFFECTIVELY TO OBTAIN HIGHEST PRACTICABLE WELL BEING | 4 | 2 | 7/8/2016 |
| Health | MEDICATION ERROR RATES OF 5% OR MORE | 2 | 1 | 7/8/2016 |
| LSC | CORRIDOR DOORS | 2 | 2 | 7/8/2016 |
| LSC | SMOKE PARTITION CONSTRUCTION | 2 | 2 | 7/8/2016 |
| LSC | HAZARDOUS AREAS - SEPARATION | 2 | 2 | 7/8/2016 |
| LSC | EXIT PARTITIONS | 2 | 2 | 7/8/2016 |
| LSC | EVACUATION PLAN | 2 | 2 | 7/8/2016 |
| LSC | TESTING OF FIRE ALARM | 2 | 2 | 7/8/2016 |
| LSC | AUTOMATIC SPRINKLER SYSTEM | 2 | 2 | 7/8/2016 |
| LSC | MEDICAL GAS SYSTEM | 2 | 2 | 7/8/2016 |
| LSC | EMERGENCY PLAN | 2 | 2 | 7/8/2016 |
| Health | DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | 2 | 1 | 7/8/2016 |
| Health | NOT EMPLOY PERSONS GUILTY OF ABUSE | 2 | 1 | 7/8/2016 |
| Health | POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | 2 | 1 | 7/8/2016 |
| Health | QUALITY ASSURANCE AND ASSESSMENT | 2 | 2 | 7/8/2016 |
| Health | INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. | 2 | 1 | 7/8/2016 |
| Health | RIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES | 2 | 1 | 7/8/2016 |
| Health | HOUSEKEEPING AND MAINTENANCE SERVICES | 2 | 2 | 7/8/2016 |
| Health | RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | 2 | 1 | 7/8/2016 |
| Health | PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | 2 | 2 | 7/8/2016 |
| Health | RESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS | 2 | 1 | 7/8/2016 |
| Health | DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | 2 | 2 | 8/23/2016 |
| Health | FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | 4 | 2 | 8/23/2016 |
| Health | PROPER LABELING OF DRUGS AND BIOLOGICALS | 2 | 2 | 8/23/2016 |
| Health | RESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE | 2 | 1 | 8/23/2016 |
| Health | FACILITY PROHIBITS ABUSE, NEGLECT | 2 | 1 | 8/26/2016 |
| Health | DIGNITY | 2 | 2 | 8/26/2016 |
| Health | SELF-DETERMINATION - RESIDENT MAKES CHOICES | 2 | 1 | 8/26/2016 |
| Health | MEDICALLY RELATED SOCIAL SERVICES | 2 | 1 | 8/29/2016 |
| Health | DEVELOP COMPREHENSIVE CARE PLANS | 2 | 1 | 8/29/2016 |
