Ellicott Center for Rehabilitation and Nursing

Ellicott Center for Rehabilitation and Nursing

200 Seventh Street

Buffalo, NY 14201

7168472500

https:centershealthcare.com/ellicott_center/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:160
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:160

Administrative

Ownership: Proprietary--LLC

Operated by: Waterfront Operations Associates, LLC
1601 Bronxdale Avenue
Bronx, NY 10462

Permanent Facility Identifier: 254

Operating Certificate: 1401337N

Medicaid Certified

Medicare Certified

Medicare Number: 335437

Statistics

Employee Flu Vaccination Rate: 67%

Occupancy Rate: 83%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine62.36809/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication1.39509/1/2020
471Percentage of short-stay residents who made improvements in function65.52309/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased21.512011/1/2019
404Percentage of long-stay residents who lose too much weight4.082011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder63.393011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.040011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.731011/1/2019
408Percentage of long-stay residents who have depressive symptoms70.923011/1/2019
409Percentage of long-stay residents who were physically restrained0.726011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.448011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine97.278011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication12.077011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened37.090011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication20.442011/1/2019

Complaints

Number of Standard Health Deficiencies:54
Number of Live Safety Code Deficiencies:47
Number of Total Deficiencies:101
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):268
Intakes received per 100 occupied beds (last three years):179.9
Percent of total intakes received that were facility self reported incidents (last three years):64
On-site complaint investigations (last three years):57
Complaint investigations resulting in citations (last three years):27
Complaint investigations resulting in citations per 100 occupied beds (last three years):18.1
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:13
Complaint Citations in deficiency category: Resident Rights:3
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:7
Complaint Citations across all deficiency categories (last three years):54

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
11/6/2015Multiple Deficiencies4/19/201624000
5/11/2017Quality of Care8/16/201710000
5/23/2012Quality of Care4/6/20162000
9/27/2011Quality of Care4/24/20132000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/30/2017COMPLAINT2
1/31/2018COMPLAINT2
10/20/2016CERTIFICATION/COMPLAINT3
11/15/2019COMPLAINT2
11/16/2017CERTIFICATION/COMPLAINT3
2/20/2020COMPLAINT2
2/21/2020COMPLAINT2
2/24/2020CERTIFICATION/COMPLAINT2
3/7/2019CERTIFICATION/COMPLAINT2
5/11/2017COMPLAINT2
5/16/2020COMPLAINT1
7/3/2020COMPLAINT1
7/30/2020COMPLAINT1
8/15/2019COMPLAINT2
8/30/2019COMPLAINT2
9/20/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT228/30/2019.
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT228/30/2019.
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/30/20191/15/2018
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS228/30/20191/15/2018
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS218/30/20191/15/2018
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE228/30/20191/15/2018
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS228/30/20191/15/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/30/20191/15/2018
LSCCORRIDOR - DOORS228/30/20191/15/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS228/30/20191/15/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE228/30/20191/15/2018
LSCELECTRICAL SYSTEMS - OTHER228/30/20191/15/2018
LSCFIRE DRILLS228/30/20191/15/2018
LSCGENERAL REQUIREMENTS - OTHER218/30/20191/15/2018
LSCHAZARDOUS AREAS - ENCLOSURE228/30/20191/15/2018
LSCPORTABLE FIRE EXTINGUISHERS228/30/20191/15/2018
LSCSPRINKLER SYSTEM - INSTALLATION228/30/20191/15/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING228/30/20191/15/2018
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES218/30/20191/15/2018
LSCLIFE SAFETY CODE STANDARD228/30/20191/20/2017
LSCLIFE SAFETY CODE STANDARD228/30/20191/20/2017
LSCLIFE SAFETY CODE STANDARD228/30/20191/20/2017
LSCLIFE SAFETY CODE STANDARD228/30/20191/20/2017
LSCLIFE SAFETY CODE STANDARD228/30/20191/20/2017
LSCLIFE SAFETY CODE STANDARD228/30/20191/20/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS218/30/201911/3/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS218/30/201911/3/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS218/30/201911/3/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS218/30/201912/13/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES128/30/201912/13/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES128/30/201912/13/2016
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES128/30/201912/13/2016
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH228/30/201912/13/2016
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS128/30/201912/13/2016
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR128/30/201912/13/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/30/201912/13/2016
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES218/30/201912/13/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER218/30/201912/16/2019
HealthCRIMINAL HISTORY RECORD CHECK PROCESS128/30/201912/18/2016
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCLIFE SAFETY CODE STANDARD228/30/201912/18/2016
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT228/30/20192/14/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE228/30/20192/14/2018
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS228/30/20192/16/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES218/30/20192/16/2018
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)218/30/20192/16/2018
HealthINFECTION PREVENTION & CONTROL228/30/20192/16/2018
HealthQUALITY OF CARE218/30/20192/16/2018
HealthRESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS228/30/20192/27/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES318/30/20193/30/2020
HealthINFECTION CONTROL128/30/20193/30/2020
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP218/30/20193/30/2020
LSCALCOHOL BASED HAND RUB DISPENSER (ABHR)218/30/20193/30/2020
LSCELECTRICAL SYSTEMS - OTHER228/30/20193/30/2020
LSCELEVATORS228/30/20193/30/2020
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING228/30/20193/30/2020
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE228/30/20193/30/2020
HealthDEVELOP COMPREHENSIVE CARE PLANS228/30/20193/5/2017
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE218/30/20193/5/2017
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES218/30/20193/9/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS228/30/20193/9/2017
HealthREPORTING OF ALLEGED VIOLATIONS228/30/20194/1/2020
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION218/30/20194/1/2020
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/30/20194/15/2019
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON228/30/20194/15/2019
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION228/30/20194/15/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES218/30/20194/15/2019
HealthINFECTION CONTROL228/30/20194/15/2019
HealthINFECTION PREVENTION & CONTROL228/30/20194/15/2019
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE128/30/20194/15/2019
HealthPAIN MANAGEMENT218/30/20194/15/2019
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDER228/30/20194/15/2019
HealthQRTLY ASSESSMENT AT LEAST EVERY 3 MONTHS128/30/20194/15/2019
HealthSELF-DETERMINATION218/30/20194/15/2019
LSCALCOHOL BASED HAND RUB DISPENSER (ABHR)218/30/20194/15/2019
LSCCOOKING FACILITIES218/30/20194/15/2019
LSCEGRESS DOORS228/30/20194/15/2019
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE218/30/20194/15/2019
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE228/30/20194/15/2019
LSCELECTRICAL SYSTEMS - OTHER228/30/20194/15/2019
LSCEXIT SIGNAGE228/30/20194/15/2019
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE228/30/20194/15/2019
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG228/30/20194/15/2019
LSCGENERAL REQUIREMENTS - OTHER218/30/20194/15/2019
LSCHAZARDOUS AREAS - ENCLOSURE228/30/20194/15/2019
LSCPORTABLE FIRE EXTINGUISHERS228/30/20194/15/2019
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING228/30/20194/15/2019
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES218/30/20194/15/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE228/30/20194/15/2019
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING318/30/20196/23/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES218/30/20196/9/2017
HealthPASRR REQUIREMENTS FOR MI & MR218/30/20196/9/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS218/30/20196/9/2017
HealthQUALITY OF CARE218/30/20199/12/2019
HealthREASONABLE ACCOMMODATIONS NEEDS/PREFERENCES218/30/20199/12/2019
HealthDIALYSIS218/30/20199/30/2019