Safire Rehabilitation of Southtowns, LLC

Safire Rehabilitation of Southtowns, LLC

300 Dorrance Avenue

Buffalo, NY 14220

7165665252

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: 88%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain6.9060700000000019/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.696549/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine61.869169/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine55.69629/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.81818000000000019/1/2017
471Percentage of short-stay residents who made improvements in function94.842799/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased10.919537009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain16.532055009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.171316009/1/2017
404Percentage of long-stay residents who lose too much weight6.620210009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder41.549294009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.986959009/1/2017
407Percentage of long-stay residents with a urinary tract infection1.063830009/1/2017
408Percentage of long-stay residents who have depressive symptoms3.641456009/1/2017
409Percentage of long-stay residents who were physically restrained0.265253009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.530505009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine92.961165009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.755966009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication18.028169009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened8.250447009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication13.521128009/1/2017

Complaints

Number of Standard Health Deficiencies:88
Number of Live Safety Code Deficiencies:36
Number of Total Deficiencies:124
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):151
Intakes received per 100 occupied beds (last three years):135.4
Percent of total intakes received that were facility self reported incidents (last three years):54
On-site complaint investigations (last three years):43
Complaint investigations resulting in citations (last three years):17
Complaint investigations resulting in citations per 100 occupied beds (last three years):15.2
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

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
02/20/2002 0:00:00Quality of Care376002000
05/19/2016 0:00:00Multiple Deficiencies427386000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/25/2017Complaint2
10/7/2013Certification2
11/9/2015Complaint2
12/21/2016Complaint2
3/29/2017Certification2
5/14/2015Certification2
5/19/2016Certification5
6/11/2014Complaint2
8/29/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthCriminal History Record Check Process2210/21/2014
HealthDepartment Criminal History Review2210/21/2014
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2210/21/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2110/21/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2110/21/2014
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE2110/21/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES2210/21/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/21/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2110/21/2014
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2110/21/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2210/21/2014
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2210/21/2014
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS2210/21/2014
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON2210/21/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2210/21/2014
LSCLIFE SAFETY CODE STANDARD2210/21/2014
LSCLIFE SAFETY CODE STANDARD2210/21/2014
LSCLIFE SAFETY CODE STANDARD2210/21/2014
LSCLIFE SAFETY CODE STANDARD2210/21/2014
LSCLIFE SAFETY CODE STANDARD2210/21/2014
LSCLIFE SAFETY CODE STANDARD2210/21/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2210/21/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/21/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/18/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2112/18/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES1312/3/2013
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2112/3/2013
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/3/2013
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE2112/3/2013
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2112/3/2013
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2212/3/2013
HealthDISPOSE GARBAGE & REFUSE PROPERLY2212/3/2013
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2112/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
LSCLIFE SAFETY CODE STANDARD2212/3/2013
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)212/17/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING212/17/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS223/5/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON213/5/2017
HealthCriminal History Record Check Process225/26/2017
HealthDepartment Criminal History Review225/26/2017
HealthResponsibilities of Providers; Required Notif125/26/2017
HealthResponsibilities of Providers; Required Notif125/26/2017
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE125/26/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/26/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES215/26/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/26/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE215/26/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS215/26/2017
LSCElectrical Systems - Essential Electric Syste215/26/2017
LSCElectrical Equipment - Testing and Maintenanc225/26/2017
HealthStandards of Construction for New NH225/26/2017
HealthCriminal History Record Check Process216/30/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)216/30/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS216/30/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY226/30/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE216/30/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES216/30/2015
HealthCOMPREHENSIVE ASSESSMENTS216/30/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP216/30/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN216/30/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING216/30/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/30/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/30/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE216/30/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS216/30/2015
HealthPOSTED NURSE STAFFING INFORMATION126/30/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY216/30/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS216/30/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS216/30/2015
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION216/30/2015
HealthRESIDENT CALL SYSTEM - ROOMS/TOILET/BATH216/30/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
LSCLIFE SAFETY CODE STANDARD226/30/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES227/14/2014
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES217/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/8/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS217/8/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES217/8/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES227/8/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING227/8/2016
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS217/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES227/8/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE217/8/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/8/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE217/8/2016
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING427/8/2016
HealthLAB SVCS - FAC PROVIDED, REFERRED, AGREEMENT227/8/2016
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS427/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
LSCLIFE SAFETY CODE STANDARD227/8/2016
HealthQuality Assurance and Assessment227/8/2016
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE218/23/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP228/23/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS228/23/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS428/23/2016
HealthPROHIBIT MISTREATMENT/NEGLECT/MISAPPROPRIATN218/26/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY228/26/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES218/26/2016
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE218/29/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS218/29/2016