Humboldt House Rehabilitation and Nursing Center

Humboldt House Rehabilitation and Nursing Center

64 Hager Street

Buffalo, NY 14208

7168864377

http:humboldthouse.org/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:173
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:173

Administrative

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

Statistics

Employee Flu Vaccination Rate: 63%

Occupancy Rate: 81%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.50709/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication0.00009/1/2020
471Percentage of short-stay residents who made improvements in function58.59309/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased18.061011/1/2019
404Percentage of long-stay residents who lose too much weight7.568011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder12.676011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.366011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.356011/1/2019
408Percentage of long-stay residents who have depressive symptoms12.571011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury0.530011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication7.507011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened17.239011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication12.165011/1/2019

Complaints

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

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
1/27/2017Quality of Care5/15/20172000
10/29/2018Multiple Deficiencies9/16/201910000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/27/2017COMPLAINT1
10/29/2018CERTIFICATION/COMPLAINT2
10/4/2019COMPLAINT2
2/2/2017COMPLAINT2
4/20/2017COMPLAINT2
4/26/2020COMPLAINT3
6/21/2017CERTIFICATION/COMPLAINT2
6/30/2020COMPLAINT1
6/4/2019COMPLAINT2
8/20/2018COMPLAINT2
9/26/2019CERTIFICATION/COMPLAINT2
9/7/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE219/7/2017.
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING239/7/2017.
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/7/2017.
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS319/7/20171/2/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/201710/16/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/7/201710/16/2017
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING219/7/201710/3/2018
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG219/7/201711/15/2019
LSCMEANS OF EGRESS - GENERAL219/7/201711/15/2019
HealthFOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY229/7/201711/15/2019
HealthPROTECTION/MANAGEMENT OF PERSONAL FUNDS219/7/201711/15/2019
HealthRIGHT TO FORMS OF COMMUNICATION W/ PRIVACY219/7/201711/15/2019
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/7/201711/15/2019
HealthCRIMINAL HISTORY RECORD CHECK PROCESS229/7/201711/15/2019
HealthCRIMINAL HISTORY RECORD CHECK PROCESS229/7/201711/15/2019
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES229/7/201711/15/2019
HealthFREE FROM ABUSE AND NEGLECT219/7/201711/15/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/201711/15/2019
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION219/7/201711/15/2019
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM229/7/201711/15/2019
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP229/7/201711/15/2019
HealthPROVIDED DIET MEETS NEEDS OF EACH RESIDENT219/7/201711/15/2019
HealthREQUEST/REFUSE/DSCNTNUE TRMNT;FORMLTE ADV DIR219/7/201711/15/2019
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT229/7/201711/15/2019
HealthSUFFICIENT DIETARY SUPPORT PERSONNEL229/7/201711/15/2019
HealthSURETY BOND-SECURITY OF PERSONAL FUNDS139/7/201711/15/2019
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/7/201712/10/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING239/7/201712/11/2018
LSCFIRE ALARM SYSTEM - INSTALLATION219/7/201712/13/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE229/7/201712/13/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG229/7/201712/13/2018
LSCHAZARDOUS AREAS - ENCLOSURE229/7/201712/13/2018
HealthDIALYSIS219/7/201712/13/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE219/7/201712/13/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/201712/13/2018
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION219/7/201712/13/2018
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM229/7/201712/13/2018
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE129/7/201712/13/2018
HealthQUALITY OF CARE319/7/201712/13/2018
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT129/7/201712/13/2018
HealthTREATMENT/SERVICE FOR DEMENTIA219/7/201712/13/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS229/7/201712/13/2018
LSCEXIT SIGNAGE229/7/201712/13/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE219/7/201712/19/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE219/7/201712/7/2018
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS219/7/20174/1/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS229/7/20174/1/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES219/7/20174/1/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/7/20175/19/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/7/20175/19/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.)219/7/20175/31/2020
HealthINFECTION PREVENTION & CONTROL429/7/20175/31/2020
HealthREPORTING OF ALLEGED VIOLATIONS219/7/20177/12/2019
HealthDEPARTMENT CRIMINAL HISTORY REVIEW229/7/20178/1/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY229/7/20178/1/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE219/7/20178/1/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/7/20178/1/2017
HealthTREATMENT/CARE FOR SPECIAL NEEDS219/7/20178/1/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG219/7/20178/1/2017
LSCMEANS OF EGRESS - GENERAL219/7/20178/1/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING229/7/20178/1/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE129/7/20178/1/2017
HealthRIGHT TO PROMPT EFFORTS TO RESOLVE GRIEVANCES219/7/20178/16/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY229/7/20178/9/2017
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS219/7/20178/9/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/20178/9/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING229/7/20178/9/2017
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/7/20179/1/2017