Buffalo Community Healthcare Center
1205 Delaware Avenue
Buffalo, NY 14209
7168853838
Services: Baseline Services
Behavioral Intervention: | |
Pediatric: | |
Pediatric Ventilator Dependent: | |
Residential Health Care: | 95 |
Transitional Care Unit: | |
Ventilator Dependent: | |
Total Number of Beds: | 95 |
Ownership: Proprietary--LLC
Operated by: EN Receiver, LLC
1205 Delaware Avenue
Buffalo, NY 14209
Permanent Facility Identifier: 633
Operating Certificate: 1401339N
Medicaid Certified
Medicare Certified
Medicare Number: 335640
Employee Flu Vaccination Rate: 38%
Occupancy Rate: 93%
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 16.5800 | 9/1/2020 | |
434 | Percentage of short-stay residents who newly received an antipsychotic medication | 6.1730 | 9/1/2020 | |
471 | Percentage of short-stay residents who made improvements in function | 60.3040 | 9/1/2020 |
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
401 | Percentage of long-stay residents whose need for help with daily activities has increased | 24.6710 | 11/1/2019 | |
404 | Percentage of long-stay residents who lose too much weight | 2.6420 | 11/1/2019 | |
405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 38.1680 | 11/1/2019 | |
406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4670 | 11/1/2019 | |
407 | Percentage of long-stay residents with a urinary tract infection | 0.9460 | 11/1/2019 | |
408 | Percentage of long-stay residents who have depressive symptoms | 30.7950 | 11/1/2019 | |
409 | Percentage of long-stay residents who were physically restrained | 0.0000 | 11/1/2019 | |
410 | Percentage of long-stay residents experiencing one or more falls with major injury | 1.2200 | 11/1/2019 | |
415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 21.0370 | 11/1/2019 | |
419 | Percentage of long-stay residents who received an antipsychotic medication | 6.3290 | 11/1/2019 | |
451 | Percentage of long-stay residents whose ability to move independently worsened | 26.1300 | 11/1/2019 | |
452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8890 | 11/1/2019 |
Number of Standard Health Deficiencies: | 58 |
Number of Live Safety Code Deficiencies: | 48 |
Number of Total Deficiencies: | 106 |
Number of Deficiencies related to Actual Harm or Immediate Jeopardy: | 3 |
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy : | 3 |
Total intakes received (last three years): | 152 |
Intakes received per 100 occupied beds (last three years): | 178.1 |
Percent of total intakes received that were facility self reported incidents (last three years): | 56 |
On-site complaint investigations (last three years): | 24 |
Complaint investigations resulting in citations (last three years): | 15 |
Complaint investigations resulting in citations per 100 occupied beds (last three years): | 17.6 |
Complaint Citations in deficiency category: Administration: | 2 |
Complaint Citations in deficiency category: Quality of Care: | 6 |
Complaint Citations in deficiency category: Resident Rights: | 4 |
Complaint Citations in deficiency category: Dietary Services: | 0 |
Complaint Citations in deficiency category: Physical Environment: | 2 |
Complaint Citations in deficiency category: Other Services: | 1 |
Complaint Citations across all deficiency categories (last three years): | 30 |
Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
---|---|---|---|
. | Quality of Care | 2/13/2008 | 10000 |
. | Multiple Deficiencies | 9/24/2018 | 2000 |
1/24/2017 | Multiple Deficiencies | 6/19/2017 | 6000 |
6/17/2013 | Quality of Care | 8/9/2017 | 10000 |
Initial Survey Date | Survey Type | Total Visits Required |
---|---|---|
1/15/2019 | COMPLAINT | 2 |
1/18/2018 | COMPLAINT | 2 |
1/24/2017 | CERTIFICATION/COMPLAINT | 3 |
10/4/2018 | COMPLAINT | 2 |
2/21/2020 | COMPLAINT | 2 |
3/18/2020 | COMPLAINT | 2 |
4/25/2018 | CERTIFICATION/COMPLAINT | 2 |
5/29/2020 | COMPLAINT | 1 |
6/12/2019 | CERTIFICATION/COMPLAINT | 2 |
Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
---|---|---|---|---|---|
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 10/4/2018 | . |
Health | NOTICE OF RIGHTS, RULES, SERVICES, CHARGES | 1 | 1 | 10/4/2018 | . |
Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 1 | 10/4/2018 | 11/30/2018 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 10/4/2018 | 2/28/2018 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.) | 2 | 1 | 10/4/2018 | 3/11/2019 |
Health | RESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS | 2 | 1 | 10/4/2018 | 3/11/2019 |
LSC | SPRINKLER SYSTEM - INSTALLATION | 2 | 1 | 10/4/2018 | 3/23/2017 |
Health | ASSISTIVE DEVICES - EATING EQUIPMENT/UTENSILS | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | HOUSEKEEPING & MAINTENANCE SERVICES | 1 | 2 | 10/4/2018 | 3/24/2017 |
Health | LISTEN/ACT ON GROUP GRIEVANCE/RECOMMENDATION | 2 | 2 | 10/4/2018 | 3/24/2017 |
Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 2 | 2 | 10/4/2018 | 3/24/2017 |
Health | MAINTAINS EFFECTIVE PEST CONTROL PROGRAM | 2 | 2 | 10/4/2018 | 3/24/2017 |
Health | NO CATHETER, PREVENT UTI, RESTORE BLADDER | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | PROVISION OF MEDICALLY RELATED SOCIAL SERVICE | 2 | 2 | 10/4/2018 | 3/24/2017 |
Health | REASONABLE ACCOMMODATION OF NEEDS/PREFERENCES | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | RETENTION OF RESIDENT CLINICAL RECORDS | 1 | 2 | 10/4/2018 | 3/24/2017 |
Health | RIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES | 4 | 2 | 10/4/2018 | 3/24/2017 |
Health | STANDARDS OF CONSTRUCTION FOR NEW EXISTING NH | 2 | 2 | 10/4/2018 | 3/24/2017 |
Health | SUFFICIENT DIETARY SUPPORT PERSONNEL | 2 | 2 | 10/4/2018 | 3/24/2017 |
LSC | DOORS WITH SELF-CLOSING DEVICES | 2 | 2 | 10/4/2018 | 3/24/2017 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 10/4/2018 | 3/24/2017 |
LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 10/4/2018 | 3/24/2017 |
LSC | GAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG | 2 | 1 | 10/4/2018 | 3/24/2017 |
LSC | GENERAL REQUIREMENTS - OTHER | 2 | 2 | 10/4/2018 | 3/24/2017 |
LSC | MEANS OF EGRESS - GENERAL | 2 | 1 | 10/4/2018 | 3/24/2017 |
LSC | PORTABLE FIRE EXTINGUISHERS | 2 | 2 | 10/4/2018 | 3/24/2017 |
LSC | PORTABLE SPACE HEATERS | 2 | 1 | 10/4/2018 | 3/24/2017 |
LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 10/4/2018 | 3/24/2017 |
LSC | VERTICAL OPENINGS - ENCLOSURE | 2 | 1 | 10/4/2018 | 3/24/2017 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.) | 2 | 1 | 10/4/2018 | 4/10/2020 |
Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 2 | 10/4/2018 | 5/6/2020 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 10/4/2018 | 5/6/2020 |
Health | PREPARATION FOR SAFE/ORDERLY TRANSFER/DSCHRG | 2 | 1 | 10/4/2018 | 5/6/2020 |
Health | EFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING | 4 | 2 | 10/4/2018 | 5/8/2017 |
Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 2 | 10/4/2018 | 5/8/2017 |
Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 2 | 10/4/2018 | 5/8/2017 |
Health | PHYSICAL ENVIRONMENT | 2 | 2 | 10/4/2018 | 5/8/2017 |
Health | QAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS | 4 | 2 | 10/4/2018 | 5/8/2017 |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 10/4/2018 | 5/8/2017 |
LSC | CORRIDOR - DOORS | 2 | 2 | 10/4/2018 | 5/8/2017 |
LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 10/4/2018 | 5/8/2017 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 1 | 10/4/2018 | 5/8/2017 |
LSC | ELECTRICAL SYSTEMS - OTHER | 2 | 1 | 10/4/2018 | 5/8/2017 |
LSC | HAZARDOUS AREAS - ENCLOSURE | 2 | 2 | 10/4/2018 | 5/8/2017 |
LSC | HVAC | 2 | 2 | 10/4/2018 | 5/8/2017 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 10/4/2018 | 5/8/2017 |
Health | ACCOUNTING AND RECORDS OF PERSONAL FUNDS | 1 | 2 | 10/4/2018 | 6/22/2018 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | BASELINE CARE PLAN | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | COMPREHENSIVE ASSESSMENTS & TIMING | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | DEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | DIALYSIS | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON | 2 | 2 | 10/4/2018 | 6/22/2018 |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 2 | 10/4/2018 | 6/22/2018 |
Health | INFECTION CONTROL | 2 | 2 | 10/4/2018 | 6/22/2018 |
Health | INFECTION PREVENTION & CONTROL | 2 | 2 | 10/4/2018 | 6/22/2018 |
Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | PHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS | 2 | 2 | 10/4/2018 | 6/22/2018 |
Health | PROTECTION/MANAGEMENT OF PERSONAL FUNDS | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | QRTLY ASSESSMENT AT LEAST EVERY 3 MONTHS | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | QUALITY OF CARE | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | REASONABLE ACCOMMODATIONS NEEDS/PREFERENCES | 2 | 1 | 10/4/2018 | 6/22/2018 |
Health | SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | 1 | 2 | 10/4/2018 | 6/22/2018 |
Health | STANDARDS OF CONSTRUCTION FOR NEW NH | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | COOKING FACILITIES | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | ELECTRICAL EQUIPMENT - TESTING AND MAINTENANC | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | ELEVATORS | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | EP PROGRAM PATIENT POPULATION | 1 | 3 | 10/4/2018 | 6/22/2018 |
LSC | EP TRAINING PROGRAM | 1 | 3 | 10/4/2018 | 6/22/2018 |
LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | FIRE DRILLS | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | HVAC | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | PORTABLE FIRE EXTINGUISHERS | 2 | 2 | 10/4/2018 | 6/22/2018 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 10/4/2018 | 6/22/2018 |
Health | DEPARTMENT CRIMINAL HISTORY REVIEW | 2 | 2 | 10/4/2018 | 8/11/2019 |
Health | DEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES | 2 | 2 | 10/4/2018 | 8/11/2019 |
Health | INFECTION CONTROL | 2 | 2 | 10/4/2018 | 8/11/2019 |
Health | LABEL/STORE DRUGS AND BIOLOGICALS | 2 | 2 | 10/4/2018 | 8/11/2019 |
Health | LICENSE/COMPLY W/ FED/STATE/LOCL LAW/PROF STD | 1 | 3 | 10/4/2018 | 8/11/2019 |
Health | PHYSICAL ENVIRONMENT | 2 | 2 | 10/4/2018 | 8/11/2019 |
Health | REQUIREMENTS BEFORE SUBMITTING A REQUEST FOR | 1 | 2 | 10/4/2018 | 8/11/2019 |
Health | RESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF | 1 | 2 | 10/4/2018 | 8/11/2019 |
Health | SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | 1 | 2 | 10/4/2018 | 8/11/2019 |
LSC | DEVELOP EP PLAN, REVIEW AND UPDATE ANNUALLY | 1 | 3 | 10/4/2018 | 8/11/2019 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 10/4/2018 | 8/11/2019 |
LSC | ELEVATORS | 2 | 2 | 10/4/2018 | 8/11/2019 |
LSC | EP PROGRAM PATIENT POPULATION | 1 | 3 | 10/4/2018 | 8/11/2019 |
LSC | EP TRAINING PROGRAM | 1 | 3 | 10/4/2018 | 8/11/2019 |
LSC | FIRE DRILLS | 2 | 2 | 10/4/2018 | 8/11/2019 |
LSC | GAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG | 2 | 1 | 10/4/2018 | 8/11/2019 |
LSC | HVAC | 2 | 2 | 10/4/2018 | 8/11/2019 |
LSC | LTC AND ICF/IID SHARING PLAN WITH PATIENTS | 1 | 3 | 10/4/2018 | 8/11/2019 |
LSC | PLAN BASED ON ALL HAZARDS RISK ASSESSMENT | 1 | 3 | 10/4/2018 | 8/11/2019 |
LSC | POLICIES/PROCEDURES FOR SHELTERING IN PLACE | 1 | 3 | 10/4/2018 | 8/11/2019 |
LSC | ROLES UNDER A WAIVER DECLARED BY SECRETARY | 1 | 3 | 10/4/2018 | 8/11/2019 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 10/4/2018 | 8/11/2019 |
LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 10/4/2018 | 8/11/2019 |
LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 2 | 10/4/2018 | 9/21/2019 |