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

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: 95%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain22.411012/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.413212/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine77.621312/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine58.256612/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.701112/1/2017
471Percentage of short-stay residents who made improvements in function77.419612/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased11.169312/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain2.060812/1/2017
403Percentage of high risk long-stay residents with pressure ulcers8.099412/1/2017
404Percentage of long-stay residents who lose too much weight4.159712/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder44.743312/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.087012/1/2017
407Percentage of long-stay residents with a urinary tract infection3.096712/1/2017
408Percentage of long-stay residents who have depressive symptoms0.992812/1/2017
409Percentage of long-stay residents who were physically restrained0.000012/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.925712/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine96.643412/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.048812/1/2017
419Percentage of long-stay residents who received an antipsychotic medication18.085112/1/2017
451Percentage of long-stay residents whose ability to move independently worsened11.014812/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication18.802112/1/2017

Complaints

Number of Standard Health Deficiencies:42
Number of Live Safety Code Deficiencies:24
Number of Total Deficiencies:66
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):172
Intakes received per 100 occupied beds (last three years):45.3
Percent of total intakes received that were facility self reported incidents (last three years):60
On-site complaint investigations (last three years):45
Complaint investigations resulting in citations (last three years):17
Complaint investigations resulting in citations per 100 occupied beds (last three years):4.5
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:9
Complaint Citations in deficiency category: Resident Rights:6
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):17

Enforcements

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

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/6/2014Complaint2
10/28/2016Complaint2
4/24/2015Certification2
4/5/2016Certification2
5/1/2017Complaint2
5/19/2014Certification2
6/30/2017Certification2
7/23/2014Complaint2
8/27/2015Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthRIGHT TO ACCESS/PURCHASE COPIES OF RECORDS116/30/2017
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
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS211/6/20143/6/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING211/6/20143/6/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/5/20165/27/2016
HealthRIGHT TO PRIVACY - SEND/RECEIVE UNOPENED MAIL224/5/20165/27/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES214/5/20165/27/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/5/20165/27/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/5/20165/27/2016
HealthStandards of Construction for New Existing NH224/5/20165/27/2016
LSCLIFE SAFETY CODE STANDARD224/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD214/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD214/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/19/2015
HealthPOSTED NURSE STAFFING INFORMATION124/24/20156/19/2015
HealthDepartment Criminal History Review214/24/20156/19/2015
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES214/24/20156/19/2015
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES214/24/20156/19/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS214/24/20156/19/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/24/20156/19/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/24/20156/19/2015
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION214/24/20156/19/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS214/24/20156/19/2015
HealthFREQUENCY OF MEALS/SNACKS AT BEDTIME124/24/20156/19/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS214/24/20156/19/2015
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON214/24/20156/19/2015
LSCLIFE SAFETY CODE STANDARD224/24/20156/19/2015
HealthANTICIPATE DISCHARGE: POST-DISCHARGE PLAN215/1/20176/19/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/1/20176/19/2017
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/19/20147/16/2014
HealthCriminal History Record Check Process125/19/20147/16/2014
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES125/19/20147/16/2014
HealthRIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES215/19/20147/16/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY225/19/20147/16/2014
HealthACTIVITIES MEET INTERESTS/NEEDS OF EACH RES225/19/20147/16/2014
HealthMAINTAIN 15 MONTHS OF RESIDENT ASSESSMENTS215/19/20147/16/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES215/19/20147/16/2014
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER215/19/20147/16/2014
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS215/19/20147/16/2014
HealthPOSTED NURSE STAFFING INFORMATION125/19/20147/16/2014
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD235/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
LSCLIFE SAFETY CODE STANDARD225/19/20147/16/2014
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
LSCGeneral Requirements - Other216/30/20178/29/2017
LSCCooking Facilities226/30/20178/29/2017
LSCSprinkler System - Maintenance and Testing226/30/20178/29/2017
LSCElectrical Systems - Other226/30/20178/29/2017
LSCElectrical Equipment - Power Cords and Extens226/30/20178/29/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS217/23/20149/19/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/23/20149/19/2014