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: 37%

Occupancy Rate: 92.5%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain2.93007/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.21007/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine50.67007/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine68.91007/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication2.92007/1/2018
471Percentage of short-stay residents who made improvements in function80.86007/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased18.34007/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain2.31007/1/2018
403Percentage of high risk long-stay residents with pressure ulcers10.09007/1/2018
404Percentage of long-stay residents who lose too much weight4.47007/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder36.92007/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.57007/1/2018
407Percentage of long-stay residents with a urinary tract infection1.09007/1/2018
408Percentage of long-stay residents who have depressive symptoms0.59007/1/2018
409Percentage of long-stay residents who were physically restrained0.00007/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury1.89007/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine78.61007/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine85.41007/1/2018
419Percentage of long-stay residents who received an antipsychotic medication11.61007/1/2018
451Percentage of long-stay residents whose ability to move independently worsened9.88007/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.38007/1/2018

Complaints

Number of Standard Health Deficiencies:90
Number of Live Safety Code Deficiencies:25
Number of Total Deficiencies:115
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):149
Intakes received per 100 occupied beds (last three years):136.0
Percent of total intakes received that were facility self reported incidents (last three years):52
On-site complaint investigations (last three years):40
Complaint investigations resulting in citations (last three years):17
Complaint investigations resulting in citations per 100 occupied beds (last three years):15.5
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
2/20/2002Quality of Care12/10/20022000
5/19/2016Multiple Deficiencies1/3/20176000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/25/2017Complaint2
11/9/2015Complaint2
12/21/2016Complaint2
12/28/2017Complaint2
3/29/2017Certification2
4/24/2018Complaint1
5/14/2015Certification2
5/19/2016Certification4
6/11/2014Complaint2
8/29/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNotify of Changes (Injury/Decline/Room, etc.)214/24/2018
HealthQuality of Care214/24/2018
HealthSufficient Nursing Staff214/24/2018
HealthAdministration214/24/2018
HealthResident Records - Identifiable Information214/24/2018
HealthCriminal History Record Check Process228/29/201410/21/2014
HealthDepartment Criminal History Review228/29/201410/21/2014
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES228/29/201410/21/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)218/29/201410/21/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS218/29/201410/21/2014
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE218/29/201410/21/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES228/29/201410/21/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS218/29/201410/21/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP218/29/201410/21/2014
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN218/29/201410/21/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING228/29/201410/21/2014
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES228/29/201410/21/2014
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS228/29/201410/21/2014
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON228/29/201410/21/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE228/29/201410/21/2014
LSCLIFE SAFETY CODE STANDARD228/29/201410/21/2014
LSCLIFE SAFETY CODE STANDARD228/29/201410/21/2014
LSCLIFE SAFETY CODE STANDARD228/29/201410/21/2014
LSCLIFE SAFETY CODE STANDARD228/29/201410/21/2014
LSCLIFE SAFETY CODE STANDARD228/29/201410/21/2014
LSCLIFE SAFETY CODE STANDARD228/29/201410/21/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES225/19/201610/21/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/19/201610/21/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/9/201512/18/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2111/9/201512/18/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/21/20162/17/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2112/21/20162/17/2017
HealthNotify of Changes (Injury/Decline/Room, etc.)2212/28/20172/23/2018
HealthQuality of Care2212/28/20172/23/2018
HealthSufficient Nursing Staff2212/28/20172/23/2018
HealthResidents are Free of Significant Med Errors2212/28/20172/23/2018
HealthFacility Assessment2112/28/20172/23/2018
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS221/25/20173/5/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON211/25/20173/5/2017
HealthCriminal History Record Check Process223/29/20175/26/2017
HealthDepartment Criminal History Review223/29/20175/26/2017
HealthResponsibilities of Providers; Required Notif123/29/20175/26/2017
HealthResponsibilities of Providers; Required Notif123/29/20175/26/2017
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE123/29/20175/26/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING213/29/20175/26/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES213/29/20175/26/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES213/29/20175/26/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE213/29/20175/26/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS213/29/20175/26/2017
LSCElectrical Systems - Essential Electric Syste213/29/20175/26/2017
LSCElectrical Equipment - Testing and Maintenanc223/29/20175/26/2017
HealthStandards of Construction for New NH223/29/20175/26/2017
HealthCriminal History Record Check Process215/14/20156/30/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/14/20156/30/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/14/20156/30/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY225/14/20156/30/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE215/14/20156/30/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES215/14/20156/30/2015
HealthCOMPREHENSIVE ASSESSMENTS215/14/20156/30/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/14/20156/30/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN215/14/20156/30/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/14/20156/30/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/14/20156/30/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/14/20156/30/2015
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE215/14/20156/30/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS215/14/20156/30/2015
HealthPOSTED NURSE STAFFING INFORMATION125/14/20156/30/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY215/14/20156/30/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS215/14/20156/30/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/14/20156/30/2015
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION215/14/20156/30/2015
HealthRESIDENT CALL SYSTEM - ROOMS/TOILET/BATH215/14/20156/30/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
LSCLIFE SAFETY CODE STANDARD225/14/20156/30/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES226/11/20147/14/2014
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES215/19/20167/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/19/20167/8/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/19/20167/8/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES215/19/20167/8/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES225/19/20167/8/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING225/19/20167/8/2016
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS215/19/20167/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES225/19/20167/8/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE215/19/20167/8/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/19/20167/8/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE215/19/20167/8/2016
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING425/19/20167/8/2016
HealthLAB SVCS - FAC PROVIDED, REFERRED, AGREEMENT225/19/20167/8/2016
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS425/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
LSCLIFE SAFETY CODE STANDARD225/19/20167/8/2016
HealthQuality Assurance and Assessment225/19/20167/8/2016
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE215/19/20168/23/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP225/19/20168/23/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS225/19/20168/23/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS425/19/20168/23/2016
HealthPROHIBIT MISTREATMENT/NEGLECT/MISAPPROPRIATN215/19/20168/26/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY225/19/20168/26/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/19/20168/26/2016
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE215/19/20168/29/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/19/20168/29/2016