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: Proprietary--Business Corporation

Operated by: Catholic Health System, Inc.
144 Genesee Street Seton Professional Building
Buffalo, NY 14203

Permanent Facility Identifier: 252

Operating Certificate: 1401324N

Medicaid Certified

Medicare Certified

Medicare Number: 335419

Statistics

Employee Flu Vaccination Rate: 36%

Occupancy Rate: 95%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain9.09004/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.00004/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine81.48004/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine90.60004/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication1.00004/1/2018
471Percentage of short-stay residents who made improvements in function51.13004/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased10.36004/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain1.49004/1/2018
403Percentage of high risk long-stay residents with pressure ulcers10.42004/1/2018
404Percentage of long-stay residents who lose too much weight4.80004/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder73.13004/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.88004/1/2018
407Percentage of long-stay residents with a urinary tract infection0.00004/1/2018
408Percentage of long-stay residents who have depressive symptoms0.00004/1/2018
409Percentage of long-stay residents who were physically restrained0.00004/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury1.72004/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.70004/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.66004/1/2018
419Percentage of long-stay residents who received an antipsychotic medication5.06004/1/2018
451Percentage of long-stay residents whose ability to move independently worsened31.56004/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication7.39004/1/2018

Complaints

Number of Standard Health Deficiencies:28
Number of Live Safety Code Deficiencies:10
Number of Total Deficiencies:38
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):59
Intakes received per 100 occupied beds (last three years):77.5
Percent of total intakes received that were facility self reported incidents (last three years):66
On-site complaint investigations (last three years):13
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
1/10/2018Certification2
10/20/2014Certification2
10/26/2015Certification2
10/28/2016Certification2
3/18/2015Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES1110/26/2015
LSCLIFE SAFETY CODE STANDARD2210/20/201412/12/2014
LSCLIFE SAFETY CODE STANDARD2210/20/201412/12/2014
LSCLIFE SAFETY CODE STANDARD2210/20/201412/12/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/20/201412/12/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/20/201412/12/2014
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2110/20/201412/12/2014
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2110/20/201412/12/2014
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/20/201412/12/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES2110/20/201412/12/2014
LSCLIFE SAFETY CODE STANDARD2210/26/201512/21/2015
HealthCriminal History Record Check Process2110/26/201512/21/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2110/26/201512/21/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP2110/26/201512/21/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/26/201512/21/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/26/201512/21/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2110/26/201512/21/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS2210/26/201512/21/2015
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES1210/28/201612/21/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES1210/28/201612/21/2016
LSCSprinkler System - Maintenance and Testing231/10/20183/10/2018
HealthCriminal History Record Check Process211/10/20183/7/2018
HealthResident Rights/Exercise of Rights211/10/20183/7/2018
HealthSelf-Determination211/10/20183/7/2018
HealthRequired Notices and Contact Information121/10/20183/7/2018
HealthADL Care Provided for Dependent Residents211/10/20183/7/2018
HealthActivities Meet Interest/Needs Each Resident221/10/20183/7/2018
HealthTreatment/Svcs to Prevent/Heal Pressure Ulcer211/10/20183/7/2018
HealthIncrease/Prevent Decrease in ROM/Mobility211/10/20183/7/2018
LSCElectrical Systems - Other221/10/20183/7/2018
LSCGas and Vacuum Piped Systems - Other221/10/20183/7/2018
LSCSprinkler System - Installation221/10/20183/7/2018
LSCDoors with Self-Closing Devices211/10/20183/7/2018
LSCEgress Doors221/10/20183/7/2018
HealthInfection Prevention & Control221/10/20183/7/2018
HealthResident Records - Identifiable Information211/10/20183/7/2018
HealthDrug Regimen is Free from Unnecessary Drugs221/10/20183/7/2018
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP213/18/20155/12/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES213/18/20155/12/2015