Humboldt House Rehabilitation and Nursing Center
64 Hager Street
Buffalo, NY 14208
7168864377
http:humboldthouse.org/Services: Baseline Services
Behavioral Intervention: | |
Pediatric: | |
Pediatric Ventilator Dependent: | |
Residential Health Care: | 173 |
Transitional Care Unit: | |
Ventilator Dependent: | |
Total Number of Beds: | 173 |
Ownership: Proprietary--LLC
Operated by: NHRC Acquisition, LLC
68 Hager Street
Buffalo, NY 14208
Permanent Facility Identifier: 244
Operating Certificate: 1401340N
Medicaid Certified
Medicare Certified
Medicare Number: 335164
Employee Flu Vaccination Rate: 63%
Occupancy Rate: 81%
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5070 | 9/1/2020 | |
434 | Percentage of short-stay residents who newly received an antipsychotic medication | 0.0000 | 9/1/2020 | |
471 | Percentage of short-stay residents who made improvements in function | 58.5930 | 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 | 18.0610 | 11/1/2019 | |
404 | Percentage of long-stay residents who lose too much weight | 7.5680 | 11/1/2019 | |
405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 12.6760 | 11/1/2019 | |
406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3660 | 11/1/2019 | |
407 | Percentage of long-stay residents with a urinary tract infection | 0.3560 | 11/1/2019 | |
408 | Percentage of long-stay residents who have depressive symptoms | 12.5710 | 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 | 0.5300 | 11/1/2019 | |
415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0000 | 11/1/2019 | |
419 | Percentage of long-stay residents who received an antipsychotic medication | 7.5070 | 11/1/2019 | |
451 | Percentage of long-stay residents whose ability to move independently worsened | 17.2390 | 11/1/2019 | |
452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1650 | 11/1/2019 |
Number of Standard Health Deficiencies: | 49 |
Number of Live Safety Code Deficiencies: | 12 |
Number of Total Deficiencies: | 61 |
Number of Deficiencies related to Actual Harm or Immediate Jeopardy: | 3 |
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy : | 5 |
Total intakes received (last three years): | 331 |
Intakes received per 100 occupied beds (last three years): | 207.5 |
Percent of total intakes received that were facility self reported incidents (last three years): | 61 |
On-site complaint investigations (last three years): | 47 |
Complaint investigations resulting in citations (last three years): | 21 |
Complaint investigations resulting in citations per 100 occupied beds (last three years): | 13.2 |
Complaint Citations in deficiency category: Administration: | 1 |
Complaint Citations in deficiency category: Quality of Care: | 10 |
Complaint Citations in deficiency category: Resident Rights: | 6 |
Complaint Citations in deficiency category: Dietary Services: | 0 |
Complaint Citations in deficiency category: Physical Environment: | 1 |
Complaint Citations in deficiency category: Other Services: | 4 |
Complaint Citations across all deficiency categories (last three years): | 44 |
Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
---|---|---|---|
1/27/2017 | Quality of Care | 5/15/2017 | 2000 |
10/29/2018 | Multiple Deficiencies | 9/16/2019 | 10000 |
Initial Survey Date | Survey Type | Total Visits Required |
---|---|---|
1/27/2017 | COMPLAINT | 1 |
10/29/2018 | CERTIFICATION/COMPLAINT | 2 |
10/4/2019 | COMPLAINT | 2 |
2/2/2017 | COMPLAINT | 2 |
4/20/2017 | COMPLAINT | 2 |
4/26/2020 | COMPLAINT | 3 |
6/21/2017 | CERTIFICATION/COMPLAINT | 2 |
6/30/2020 | COMPLAINT | 1 |
6/4/2019 | COMPLAINT | 2 |
8/20/2018 | COMPLAINT | 2 |
9/26/2019 | CERTIFICATION/COMPLAINT | 2 |
9/7/2017 | COMPLAINT | 2 |
Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
---|---|---|---|---|---|
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 1 | 9/7/2017 | . |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 3 | 9/7/2017 | . |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 9/7/2017 | . |
Health | RESIDENTS FREE OF SIGNIFICANT MED ERRORS | 3 | 1 | 9/7/2017 | 1/2/2017 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 9/7/2017 | 10/16/2017 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 9/7/2017 | 10/16/2017 |
Health | RESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING | 2 | 1 | 9/7/2017 | 10/3/2018 |
LSC | GAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG | 2 | 1 | 9/7/2017 | 11/15/2019 |
LSC | MEANS OF EGRESS - GENERAL | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | FOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | PROTECTION/MANAGEMENT OF PERSONAL FUNDS | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | RIGHT TO FORMS OF COMMUNICATION W/ PRIVACY | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | CRIMINAL HISTORY RECORD CHECK PROCESS | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | CRIMINAL HISTORY RECORD CHECK PROCESS | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | DEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | FREE FROM ABUSE AND NEGLECT | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | MAINTAINS EFFECTIVE PEST CONTROL PROGRAM | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | NUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | PROVIDED DIET MEETS NEEDS OF EACH RESIDENT | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | REQUEST/REFUSE/DSCNTNUE TRMNT;FORMLTE ADV DIR | 2 | 1 | 9/7/2017 | 11/15/2019 |
Health | SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | SUFFICIENT DIETARY SUPPORT PERSONNEL | 2 | 2 | 9/7/2017 | 11/15/2019 |
Health | SURETY BOND-SECURITY OF PERSONAL FUNDS | 1 | 3 | 9/7/2017 | 11/15/2019 |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 9/7/2017 | 12/10/2018 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 3 | 9/7/2017 | 12/11/2018 |
LSC | FIRE ALARM SYSTEM - INSTALLATION | 2 | 1 | 9/7/2017 | 12/13/2018 |
LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 2 | 9/7/2017 | 12/13/2018 |
LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 9/7/2017 | 12/13/2018 |
LSC | HAZARDOUS AREAS - ENCLOSURE | 2 | 2 | 9/7/2017 | 12/13/2018 |
Health | DIALYSIS | 2 | 1 | 9/7/2017 | 12/13/2018 |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 9/7/2017 | 12/13/2018 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 9/7/2017 | 12/13/2018 |
Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 1 | 9/7/2017 | 12/13/2018 |
Health | MAINTAINS EFFECTIVE PEST CONTROL PROGRAM | 2 | 2 | 9/7/2017 | 12/13/2018 |
Health | NOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE | 1 | 2 | 9/7/2017 | 12/13/2018 |
Health | QUALITY OF CARE | 3 | 1 | 9/7/2017 | 12/13/2018 |
Health | SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | 1 | 2 | 9/7/2017 | 12/13/2018 |
Health | TREATMENT/SERVICE FOR DEMENTIA | 2 | 1 | 9/7/2017 | 12/13/2018 |
LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 9/7/2017 | 12/13/2018 |
LSC | EXIT SIGNAGE | 2 | 2 | 9/7/2017 | 12/13/2018 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 1 | 9/7/2017 | 12/19/2018 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 1 | 9/7/2017 | 12/7/2018 |
Health | DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | 2 | 1 | 9/7/2017 | 4/1/2017 |
Health | RESIDENTS FREE OF SIGNIFICANT MED ERRORS | 2 | 2 | 9/7/2017 | 4/1/2017 |
Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES | 2 | 1 | 9/7/2017 | 4/1/2017 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 9/7/2017 | 5/19/2017 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 9/7/2017 | 5/19/2017 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.) | 2 | 1 | 9/7/2017 | 5/31/2020 |
Health | INFECTION PREVENTION & CONTROL | 4 | 2 | 9/7/2017 | 5/31/2020 |
Health | REPORTING OF ALLEGED VIOLATIONS | 2 | 1 | 9/7/2017 | 7/12/2019 |
Health | DEPARTMENT CRIMINAL HISTORY REVIEW | 2 | 2 | 9/7/2017 | 8/1/2017 |
Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 2 | 9/7/2017 | 8/1/2017 |
Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 2 | 1 | 9/7/2017 | 8/1/2017 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 9/7/2017 | 8/1/2017 |
Health | TREATMENT/CARE FOR SPECIAL NEEDS | 2 | 1 | 9/7/2017 | 8/1/2017 |
LSC | GAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG | 2 | 1 | 9/7/2017 | 8/1/2017 |
LSC | MEANS OF EGRESS - GENERAL | 2 | 1 | 9/7/2017 | 8/1/2017 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 9/7/2017 | 8/1/2017 |
Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 1 | 2 | 9/7/2017 | 8/1/2017 |
Health | RIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES | 2 | 1 | 9/7/2017 | 8/16/2017 |
Health | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 2 | 9/7/2017 | 8/9/2017 |
Health | DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS | 2 | 1 | 9/7/2017 | 8/9/2017 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 9/7/2017 | 8/9/2017 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 2 | 9/7/2017 | 8/9/2017 |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 9/7/2017 | 9/1/2017 |