Terrace View Long Term Care Facility

Terrace View Long Term Care Facility

462 Grider Street

Buffalo, NY 14215

(716) 551-7100

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: 30%

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 pain27.193933/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.377493/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine83.033173/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine63.883843/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.152743/1/2017
471Percentage of short-stay residents who made improvements in function76.159233/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased12.749349003/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain3.244308003/1/2017
403Percentage of high risk long-stay residents with pressure ulcers8.829570003/1/2017
404Percentage of long-stay residents who lose too much weight5.152979003/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder47.113165003/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.150681003/1/2017
407Percentage of long-stay residents with a urinary tract infection3.979364003/1/2017
408Percentage of long-stay residents who have depressive symptoms2.491102003/1/2017
409Percentage of long-stay residents who were physically restrained0.000000003/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.641235003/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.506924003/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine96.698457003/1/2017
419Percentage of long-stay residents who received an antipsychotic medication16.623379003/1/2017
451Percentage of long-stay residents whose ability to move independently worsened11.946874003/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication18.356772003/1/2017

Complaints

Number of Standard Health Deficiencies:45
Number of Live Safety Code Deficiencies:33
Number of Total Deficiencies:78
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):182
Intakes received per 100 occupied beds (last three years):47.9
Percent of total intakes received that were facility self reported incidents (last three years):59
On-site complaint investigations (last three years):40
Complaint investigations resulting in citations (last three years):14
Complaint investigations resulting in citations per 100 occupied beds (last three years):3.7
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:8
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:0
Complaint Citations across all deficiency categories (last three years):14

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
1/12/2009 0:00:00Quality of Care10/27/201010000
10/14/2004 0:00:00Quality of Care6/27/20051000
12/20/2001 0:00:00Quality of Care11/1/20022000
12/20/2002 0:00:00Quality of Care7/16/20032000
4/4/2008 0:00:00Quality of Care10/27/20104000
5/4/2005 0:00:00Quality of Care5/1/20072000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/6/2014Complaint2
10/28/2016Complaint2
3/20/2013Certification2
4/24/2015Certification2
4/5/2016Certification2
5/19/2014Certification2
7/23/2014Complaint2
8/27/2015Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN11
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2110/23/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2112/30/2016
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS213/6/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING213/6/2014
LSCSPRINKLER SYSTEM MAINTENANCE225/19/2013
LSCCORRIDOR DOORS225/19/2013
LSCSMOKING REGULATIONS215/19/2013
LSCVENTILATING EQUIPMENT225/19/2013
LSCCOOKING EQUIPMENT215/19/2013
LSCMEDICAL GAS SYSTEM225/19/2013
LSCTESTING OF FIRE ALARM225/19/2013
LSCEXIT ACCESS225/19/2013
HealthCRIMINAL HISTORY RECORD CHECK SUBJECT'S SIGNED INFORMED CONSENT REQUIRED125/19/2013
LSCDOORS IN FIRE AND SMOKE PARTITIONS225/19/2013
LSCSMOKE PARTITION CONSTRUCTION225/19/2013
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS215/19/2013
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM215/19/2013
HealthSUFFICIENT NURSING STAFF ON A 24-HOUR BASIS225/19/2013
HealthFACILITY IS FREE OF ACCIDENT HAZARDS215/19/2013
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES225/19/2013
HealthFREQUENCY OF ASSESSMENTS - NO LATER THAN 14 DAYS125/19/2013
LSCHAZARDOUS AREAS - SEPARATION225/19/2013
LSCPIPED-IN OXYGEN SYSTEM225/19/2013
LSCEMERGENCY PLAN225/19/2013
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE215/19/2013
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT225/19/2013
LSCPORTABLE FIRE EXTINGUISHERS225/19/2013
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NURSING HOME225/27/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.215/27/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING215/27/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/27/2016
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT215/27/2016
HealthRESIDENT CAN SEND/RECEIVE UNOPENED MAIL225/27/2016
LSCPIPED-IN OXYGEN SYSTEM226/19/2015
LSCMEDICAL GAS SYSTEM216/19/2015
LSCSPRINKLER SYSTEM MAINTENANCE216/19/2015
LSCSMOKE PARTITION CONSTRUCTION226/19/2015
LSCCORRIDOR DOORS226/19/2015
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT216/19/2015
HealthACCOMMODATION OF NEEDS AND PREFERENCES216/19/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS216/19/2015
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES216/19/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING216/19/2015
HealthRANGE OF MOTION TREATMENT AND SERVICES216/19/2015
HealthNURSE STAFFING126/19/2015
HealthFREQUENCY OF MEALS/INTERVALS BETWEEN MEALS126/19/2015
HealthDENTAL SERVICES IN SKILLED NURSING FACILITIES216/19/2015
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST216/19/2015
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED216/19/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS216/19/2015
LSCWASTEBASKETS227/16/2014
LSCCORRIDOR DOORS227/16/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS217/16/2014
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.227/16/2014
HealthFACILITY RESOLVES RESIDENT GRIEVANCES217/16/2014
HealthNURSE STAFFING127/16/2014
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATION217/16/2014
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE217/16/2014
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES217/16/2014
HealthMAINTAIN ASSESSMENTS COMPLETED IN LAST 15 MONTHS217/16/2014
HealthACTIVITY PROGRAM MEETS INDIVIDUAL NEEDS227/16/2014
HealthDIGNITY227/16/2014
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.127/16/2014
LSCSMOKE PARTITION CONSTRUCTION227/16/2014
LSCHAZARDOUS AREAS - SEPARATION227/16/2014
LSCPIPED-IN OXYGEN SYSTEM227/16/2014
LSCMEDICAL GAS SYSTEM227/16/2014
LSCFURNISHING AND DECORATIONS227/16/2014
LSCCOOKING EQUIPMENT227/16/2014
LSCPORTABLE FIRE EXTINGUISHERS227/16/2014
LSCSPRINKLER SYSTEM MAINTENANCE237/16/2014
LSCAUTOMATIC SPRINKLER SYSTEM227/16/2014
LSCFIRE DRILLS227/16/2014
LSCEMERGENCY LIGHTING227/16/2014
LSCEXIT ACCESS227/16/2014
HealthCRIMINAL HISTORY RECORD CHECK PROCESS SUBMIT APPROVED FORM & FINGERPRINTS WITHIN TEN DAYS127/16/2014
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE219/19/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING219/19/2014