Safire Rehabilitation of Southtowns, LLC

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

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: 59%

Occupancy Rate: 93%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.780011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication2.850011/1/2019
471Percentage of short-stay residents who made improvements in function71.320011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased20.620011/1/2019
404Percentage of long-stay residents who lose too much weight3.330011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder37.780011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.050011/1/2019
407Percentage of long-stay residents with a urinary tract infection1.990011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.000011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.280011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine74.070011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication5.020011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened29.250011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.300011/1/2019

Complaints

Number of Standard Health Deficiencies:81
Number of Live Safety Code Deficiencies:45
Number of Total Deficiencies:126
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):173
Intakes received per 100 occupied beds (last three years):156.4
Percent of total intakes received that were facility self reported incidents (last three years):52
On-site complaint investigations (last three years):30
Complaint investigations resulting in citations (last three years):24
Complaint investigations resulting in citations per 100 occupied beds (last three years):21.7
Complaint Citations in deficiency category: Administration:6
Complaint Citations in deficiency category: Quality of Care:9
Complaint Citations in deficiency category: Resident Rights:6
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:2
Complaint Citations across all deficiency categories (last three years):24

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
2/20/2002Quality of Care12/10/20022000
5/19/2016Multiple Deficiencies1/3/20176000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/25/2017COMPLAINT2
12/21/2016COMPLAINT2
12/28/2017COMPLAINT2
3/29/2017CERTIFICATION/COMPLAINT2
4/24/2018COMPLAINT2
5/19/2016CERTIFICATION/COMPLAINT4
6/5/2019COMPLAINT2
7/26/2018CERTIFICATION/COMPLAINT3
8/22/2019CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE116/5/2019.
LSCCORRIDORS - CONSTRUCTION OF WALLS226/5/201910/11/2019
LSCDOORS WITH SELF-CLOSING DEVICES226/5/201910/11/2019
LSCGENERAL REQUIREMENTS - OTHER216/5/201910/11/2019
LSCCORRIDOR - DOORS226/5/201910/18/2019
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS226/5/201910/18/2019
LSCELECTRICAL SYSTEMS - OTHER226/5/201910/18/2019
LSCEVACUATION AND RELOCATION PLAN226/5/201910/18/2019
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE226/5/201910/18/2019
LSCFIRE DRILLS226/5/201910/18/2019
LSCHVAC226/5/201910/18/2019
LSCPORTABLE FIRE EXTINGUISHERS226/5/201910/18/2019
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING226/5/201910/18/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE226/5/201910/18/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE226/5/201910/18/2019
LSCSUITE SEPARATION, HAZARDOUS CONTENT, AND SUBD226/5/201910/18/2019
LSCVERTICAL OPENINGS - ENCLOSURE226/5/201910/18/2019
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE216/5/201910/21/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES226/5/201910/21/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/5/201910/21/2019
HealthINFECTION CONTROL126/5/201910/21/2019
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION226/5/201910/21/2019
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION216/5/201910/21/2019
HealthSUFFICIENT NURSING STAFF226/5/201910/21/2019
HealthTREATMENT/DEVICES TO MAINTAIN HEARING/VISION216/5/201910/21/2019
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER216/5/201910/21/2019
HealthTUBE FEEDING MGMT/RESTORE EATING SKILLS216/5/201910/21/2019
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION226/5/201910/22/2018
LSCINTERIOR WALL AND CEILING FINISH216/5/201910/22/2018
LSCEXIT SIGNAGE216/5/201910/4/2019
HealthDISCHARGE SUMMARY216/5/201911/30/2018
HealthPHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS226/5/201911/30/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)216/5/20192/17/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING216/5/20192/17/2017
HealthFACILITY ASSESSMENT216/5/20192/23/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.)226/5/20192/23/2018
HealthQUALITY OF CARE226/5/20192/23/2018
HealthRESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS226/5/20192/23/2018
HealthSUFFICIENT NURSING STAFF226/5/20192/23/2018
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON216/5/20193/5/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS226/5/20193/5/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS226/5/20195/26/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW226/5/20195/26/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/5/20195/26/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS216/5/20195/26/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE216/5/20195/26/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING216/5/20195/26/2017
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF126/5/20195/26/2017
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF126/5/20195/26/2017
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE126/5/20195/26/2017
HealthSTANDARDS OF CONSTRUCTION FOR NEW NH226/5/20195/26/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES216/5/20195/26/2017
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC226/5/20195/26/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE216/5/20195/26/2017
HealthADMINISTRATION216/5/20196/18/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.)216/5/20196/18/2018
HealthQUALITY OF CARE216/5/20196/18/2018
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION216/5/20196/18/2018
HealthSUFFICIENT NURSING STAFF216/5/20196/18/2018
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES216/5/20197/8/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS216/5/20197/8/2016
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING426/5/20197/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES226/5/20197/8/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE216/5/20197/8/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES226/5/20197/8/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS216/5/20197/8/2016
HealthLAB SVCS - FAC PROVIDED, REFERRED, AGREEMENT226/5/20197/8/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE216/5/20197/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)216/5/20197/8/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING226/5/20197/8/2016
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS426/5/20197/8/2016
HealthQUALITY ASSURANCE AND ASSESSMENT226/5/20197/8/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES216/5/20197/8/2016
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS216/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
LSCLIFE SAFETY CODE STANDARD226/5/20197/8/2016
HealthQUALITY OF CARE216/5/20198/2/2019
HealthSUFFICIENT NURSING STAFF226/5/20198/2/2019
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS226/5/20198/23/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS426/5/20198/23/2016
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE216/5/20198/23/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP226/5/20198/23/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY226/5/20198/26/2016
HealthPROHIBIT MISTREATMENT/NEGLECT/MISAPPROPRIATN216/5/20198/26/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES216/5/20198/26/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS216/5/20198/29/2016
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE216/5/20198/29/2016
LSCEP TESTING REQUIREMENTS136/5/20199/11/2019
HealthAPPLICABILITY226/5/20199/24/2018
HealthCOORDINATION/CERTIFICATION OF ASSESSMENT126/5/20199/24/2018
HealthCRIMINAL HISTORY RECORD CHECK PROCESS216/5/20199/24/2018
HealthDENTAL SERVICES216/5/20199/24/2018
HealthDEPARTMENT CRIMINAL HISTORY REVIEW216/5/20199/24/2018
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN226/5/20199/24/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES216/5/20199/24/2018
HealthINFECTION CONTROL226/5/20199/24/2018
HealthINFECTION PREVENTION & CONTROL226/5/20199/24/2018
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS216/5/20199/24/2018
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION216/5/20199/24/2018
HealthPHYSICIAN VISITS-FREQUENCY/TIMELINESS/ALT NPP226/5/20199/24/2018
HealthQAA COMMITTEE226/5/20199/24/2018
HealthRESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS226/5/20199/24/2018
HealthSUFFICIENT NURSING STAFF216/5/20199/24/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER216/5/20199/24/2018
LSCBUILDING REHABILITATION216/5/20199/24/2018
LSCCOOKING FACILITIES216/5/20199/24/2018
LSCCORRIDOR - DOORS226/5/20199/24/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS226/5/20199/24/2018
LSCELECTRICAL SYSTEMS - OTHER226/5/20199/24/2018
LSCESTABLISHMENT OF THE EMERGENCY PROGRAM (EP)136/5/20199/24/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE216/5/20199/24/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG226/5/20199/24/2018
LSCHAZARDOUS AREAS - ENCLOSURE226/5/20199/24/2018
LSCHVAC226/5/20199/24/2018
LSCSPRINKLER SYSTEM - INSTALLATION216/5/20199/24/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING226/5/20199/24/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE216/5/20199/24/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE226/5/20199/24/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG226/5/20199/27/2019