St Catherine Laboure Health Care Center

St Catherine Laboure Health Care Center

2157 Main Street

Buffalo, NY 14214

7168621450

www.chsbuffalo.org/Facilities/SSFacilities/SCL

Services: Adult Day Health Care, Baseline Services, Clinical Laboratory Service, Radiology - Diagnostic

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:80
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:80

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Sisters of Charity Hospital
2157 Main Street
Buffalo, NY 14214

Permanent Facility Identifier: 252

Operating Certificate: 1401324N

Medicaid Certified

Medicare Certified

Medicare Number: 335419

Statistics

Employee Flu Vaccination Rate: 86%

Occupancy Rate: 93%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain6.57002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.00002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine96.03002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine95.91002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.84002/1/2019
471Percentage of short-stay residents who made improvements in function61.54002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased8.20002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain1.31002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers7.51002/1/2019
404Percentage of long-stay residents who lose too much weight9.28002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder70.37002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.70002/1/2019
407Percentage of long-stay residents with a urinary tract infection0.00002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.00002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury0.72002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.68002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.64002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication6.88002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened33.75002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication8.76002/1/2019

Complaints

Number of Standard Health Deficiencies:24
Number of Live Safety Code Deficiencies:7
Number of Total Deficiencies:31
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:0
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :0
Total intakes received (last three years):55
Intakes received per 100 occupied beds (last three years):74.3
Percent of total intakes received that were facility self reported incidents (last three years):58
On-site complaint investigations (last three years):14
Complaint investigations resulting in citations (last three years):3
Complaint investigations resulting in citations per 100 occupied beds (last three years):4.1
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
Complaint Citations in deficiency category: Resident Rights:2
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):3

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
16-May-02Multiple Deficiencies25-Nov-024000
17-Apr-09Multiple Deficiencies16-Jun-104000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/10/2018CERTIFICATION/COMPLAINT2
10/26/2015CERTIFICATION/COMPLAINT2
10/28/2016CERTIFICATION/COMPLAINT2
3/18/2015COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES1110/26/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/26/201512/21/2015
HealthCRIMINAL HISTORY RECORD CHECK PROCESS2110/26/201512/21/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2210/26/201512/21/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/26/201512/21/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2110/26/201512/21/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2110/26/201512/21/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/26/201512/21/2015
LSCLIFE SAFETY CODE STANDARD2210/26/201512/21/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES1210/28/201612/21/2016
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES1210/28/201612/21/2016
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING231/10/20183/10/2018
HealthACTIVITIES MEET INTEREST/NEEDS EACH RESIDENT221/10/20183/7/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS211/10/20183/7/2018
HealthCRIMINAL HISTORY RECORD CHECK PROCESS211/10/20183/7/2018
HealthDEPARTMENT CRIMINAL HISTORY REVIEW001/10/20183/7/2018
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS221/10/20183/7/2018
HealthINCREASE/PREVENT DECREASE IN ROM/MOBILITY211/10/20183/7/2018
HealthINFECTION PREVENTION & CONTROL221/10/20183/7/2018
HealthREQUIRED NOTICES AND CONTACT INFORMATION121/10/20183/7/2018
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION211/10/20183/7/2018
HealthRESIDENT RIGHTS/EXERCISE OF RIGHTS211/10/20183/7/2018
HealthSELF-DETERMINATION211/10/20183/7/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER211/10/20183/7/2018
LSCDOORS WITH SELF-CLOSING DEVICES211/10/20183/7/2018
LSCEGRESS DOORS221/10/20183/7/2018
LSCELECTRICAL SYSTEMS - OTHER221/10/20183/7/2018
LSCGAS AND VACUUM PIPED SYSTEMS - OTHER221/10/20183/7/2018
LSCSPRINKLER SYSTEM - INSTALLATION221/10/20183/7/2018
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP213/18/20155/12/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES213/18/20155/12/2015