Terrace View Long Term Care Facility

Terrace View Long Term Care Facility

462 Grider Street

Buffalo, NY 14215

7165517100

www.ecmc.edu/progress/terrace/

Services: AIDS, Baseline Services, Behavioral Intervention Program, Clinical Laboratory Service, Radiology - Diagnostic, Ventilator Dependent

Beds

Behavioral Intervention:16
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:354
Transitional Care Unit:
Ventilator Dependent:20
Total Number of Beds:390

Administrative

Ownership: Proprietary--Public Benefit Corporation

Operated by: Erie County Medical Center Corporation
462 Grider Street
Buffalo, NY 14215

Permanent Facility Identifier: 1739

Operating Certificate: 1401005N

Medicaid Certified

Medicare Certified

Medicare Number: 335650

Statistics

Employee Flu Vaccination Rate: 86%

Occupancy Rate: 96%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain18.02002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.07002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine77.09002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine71.17002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.09002/1/2019
471Percentage of short-stay residents who made improvements in function79.66002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased12.57002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain2.60002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers9.93002/1/2019
404Percentage of long-stay residents who lose too much weight4.26002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder48.33002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.20002/1/2019
407Percentage of long-stay residents with a urinary tract infection2.10002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.09002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury1.49002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.18002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine90.56002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication19.09002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened5.99002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication20.73002/1/2019

Complaints

Number of Standard Health Deficiencies:32
Number of Live Safety Code Deficiencies:18
Number of Total Deficiencies:50
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):214
Intakes received per 100 occupied beds (last three years):56.9
Percent of total intakes received that were facility self reported incidents (last three years):74
On-site complaint investigations (last three years):42
Complaint investigations resulting in citations (last three years):13
Complaint investigations resulting in citations per 100 occupied beds (last three years):3.5
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:5
Complaint Citations in deficiency category: Resident Rights:4
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):12

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
12-Jan-09Quality of Care27-Oct-1010000
14-Oct-04Quality of Care27-Jun-051000
20-Dec-01Quality of Care1-Nov-022000
20-Dec-02Quality of Care16-Jul-032000
4-Apr-08Quality of Care27-Oct-104000
4-May-05Quality of Care1-May-072000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/28/2016COMPLAINT2
11/15/2018CERTIFICATION/COMPLAINT1
3/14/2018COMPLAINT2
4/24/2015CERTIFICATION/COMPLAINT2
4/5/2016CERTIFICATION/COMPLAINT2
5/1/2017COMPLAINT2
6/30/2017CERTIFICATION/COMPLAINT2
7/16/2018COMPLAINT2
8/27/2015COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCDOORS WITH SELF-CLOSING DEVICES2211/15/2018
LSCEP TRAINING PROGRAM1311/15/2018
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES2211/15/2018
LSCGAS AND VACUUM PIPED SYSTEMS - OTHER2111/15/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2211/15/2018
LSCGENERAL REQUIREMENTS - OTHER2211/15/2018
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES2111/15/2018
HealthRIGHT TO ACCESS/PURCHASE COPIES OF RECORDS116/30/2017
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION2111/15/2018
HealthTUBE FEEDING MGMT/RESTORE EATING SKILLS2111/15/2018
LSCALCOHOL BASED HAND RUB DISPENSER (ABHR)2111/15/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)216/30/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING218/27/201510/23/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2110/28/201612/30/2016
HealthPAIN MANAGEMENT213/14/20185/10/2018
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/5/20165/27/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES214/5/20165/27/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/5/20165/27/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/5/20165/27/2016
HealthRIGHT TO PRIVACY - SEND/RECEIVE UNOPENED MAIL224/5/20165/27/2016
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NH224/5/20165/27/2016
HealthFREQUENCY OF MEALS/SNACKS AT BEDTIME124/24/20156/19/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION214/24/20156/19/2015
HealthPOSTED NURSE STAFFING INFORMATION124/24/20156/19/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/24/20156/19/2015
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES214/24/20156/19/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS214/24/20156/19/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD214/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD214/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/19/2015
HealthDEPARTMENT CRIMINAL HISTORY REVIEW214/24/20156/19/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS214/24/20156/19/2015
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES214/24/20156/19/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS214/24/20156/19/2015
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON214/24/20156/19/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/1/20176/19/2017
HealthANTICIPATE DISCHARGE: POST-DISCHARGE PLAN215/1/20176/19/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW226/30/20178/29/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES226/30/20178/29/2017
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS226/30/20178/29/2017
LSCCOOKING FACILITIES226/30/20178/29/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS226/30/20178/29/2017
LSCELECTRICAL SYSTEMS - OTHER226/30/20178/29/2017
LSCGENERAL REQUIREMENTS - OTHER216/30/20178/29/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING226/30/20178/29/2017
HealthREPORTING OF ALLEGED VIOLATIONS217/16/20189/12/2018
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES217/16/20189/12/2018