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: 86%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain5.84005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine90.21005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.00005/1/2019
471Percentage of short-stay residents who made improvements in function59.23005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased8.75005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain1.69005/1/2019
404Percentage of long-stay residents who lose too much weight9.01005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder72.73005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.62005/1/2019
407Percentage of long-stay residents with a urinary tract infection0.00005/1/2019
408Percentage of long-stay residents who have depressive symptoms0.00005/1/2019
409Percentage of long-stay residents who were physically restrained0.00005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury1.84005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.26005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication6.58005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened31.28005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication8.52005/1/2019

Complaints

Number of Standard Health Deficiencies:22
Number of Live Safety Code Deficiencies:7
Number of Total Deficiencies:29
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):54
Intakes received per 100 occupied beds (last three years):78.3
Percent of total intakes received that were facility self reported incidents (last three years):57
On-site complaint investigations (last three years):12
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):1.4
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
Complaint Citations in deficiency category: Resident Rights:0
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):1

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

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 REVIEW211/10/20183/7/2018
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