St Catherine Laboure Health Care Center

St Catherine Laboure Health Care Center

2157 Main Street

Buffalo, NY 14214

(716) 862-1450

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: 30%

Occupancy Rate: 97%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain29.885054/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened3.004164/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine88.965514/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine86.923074/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.333334/1/2017
471Percentage of short-stay residents who made improvements in function79.972484/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased12.781956004/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain11.214975004/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.999998004/1/2017
404Percentage of long-stay residents who lose too much weight9.917353004/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder76.041668004/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.227886004/1/2017
407Percentage of long-stay residents with a urinary tract infection0.348432004/1/2017
408Percentage of long-stay residents who have depressive symptoms0.369004004/1/2017
409Percentage of long-stay residents who were physically restrained0.000000004/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury1.736111004/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine96.052631004/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine96.875002004/1/2017
419Percentage of long-stay residents who received an antipsychotic medication4.296874004/1/2017
451Percentage of long-stay residents whose ability to move independently worsened19.734877004/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication12.857142004/1/2017

Complaints

Number of Standard Health Deficiencies:21
Number of Live Safety Code Deficiencies:11
Number of Total Deficiencies:32
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):57
Intakes received per 100 occupied beds (last three years):74.1
Percent of total intakes received that were facility self reported incidents (last three years):58
On-site complaint investigations (last three years):16
Complaint investigations resulting in citations (last three years):3
Complaint investigations resulting in citations per 100 occupied beds (last three years):3.9
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:1
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:0
Complaint Citations across all deficiency categories (last three years):3

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
4/17/2009 0:00:00Multiple Deficiencies6/16/20104000
5/16/2002 0:00:00Multiple Deficiencies11/25/20024000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/20/2014Certification2
10/26/2015Certification2
10/28/2016Certification2
12/19/2013Certification2
3/18/2015Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.11
HealthHOUSEKEEPING AND MAINTENANCE SERVICES2112/12/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS2112/12/2014
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2112/12/2014
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2112/12/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2112/12/2014
LSCWASTEBASKETS2212/12/2014
LSCSPRINKLER SYSTEM MAINTENANCE2212/12/2014
LSCCORRIDOR DOORS2212/12/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS2112/12/2014
LSCCOMMON WALL2212/21/2015
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES2112/21/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/21/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2112/21/2015
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN2112/21/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS2212/21/2015
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES2112/21/2015
HealthCRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED2112/21/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES1212/21/2016
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.1212/21/2016
LSCSMOKE PARTITION CONSTRUCTION222/19/2014
LSCCORRIDOR DOORS222/19/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS212/19/2014
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED212/19/2014
HealthCRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED222/19/2014
LSCHAZARDOUS AREAS - SEPARATION222/19/2014
LSCEXIT ACCESS222/19/2014
LSCEVACUATION PLAN222/19/2014
LSCAUTOMATIC SPRINKLER SYSTEM222/19/2014
LSCSPRINKLER SYSTEM MAINTENANCE222/19/2014
HealthCRIMINAL HISTORY RECORD CHECK NOT PERFORMED PROVIDER SHALL SUBMIT REQUEST FOR CHECK222/19/2014
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES215/12/2015
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/12/2015