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: 54%

Occupancy Rate: 88%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.000011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.000011/1/2019
471Percentage of short-stay residents who made improvements in function73.140011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased18.690011/1/2019
404Percentage of long-stay residents who lose too much weight11.470011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder28.010011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.190011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.180011/1/2019
408Percentage of long-stay residents who have depressive symptoms22.540011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury1.760011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication10.380011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened19.170011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.610011/1/2019

Complaints

Number of Standard Health Deficiencies:68
Number of Live Safety Code Deficiencies:30
Number of Total Deficiencies:98
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):286
Intakes received per 100 occupied beds (last three years):179.3
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):26
Complaint investigations resulting in citations per 100 occupied beds (last three years):16.3
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:13
Complaint Citations in deficiency category: Resident Rights:7
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:2
Complaint Citations in deficiency category: Other Services:3
Complaint Citations across all deficiency categories (last three years):26

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
10/3/2019COMPLAINT1
2/2/2017COMPLAINT2
4/20/2017COMPLAINT2
5/13/2016CERTIFICATION/COMPLAINT3
6/21/2017CERTIFICATION/COMPLAINT2
6/4/2019COMPLAINT2
8/20/2018COMPLAINT2
8/29/2016COMPLAINT2
9/26/2019CERTIFICATION/COMPLAINT1
9/7/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthCRIMINAL HISTORY RECORD CHECK PROCESS229/7/2017.
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING239/7/2017.
HealthPROTECTION/MANAGEMENT OF PERSONAL FUNDS219/7/2017.
HealthRIGHT TO FORMS OF COMMUNICATION W/ PRIVACY219/7/2017.
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/7/2017.
HealthCRIMINAL HISTORY RECORD CHECK PROCESS229/7/2017.
HealthSURETY BOND-SECURITY OF PERSONAL FUNDS139/7/2017.
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES229/7/2017.
HealthFOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY229/7/2017.
HealthFREE FROM ABUSE AND NEGLECT219/7/2017.
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/2017.
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION219/7/2017.
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM229/7/2017.
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP229/7/2017.
HealthPROVIDED DIET MEETS NEEDS OF EACH RESIDENT219/7/2017.
HealthREQUEST/REFUSE/DSCNTNUE TRMNT;FORMLTE ADV DIR219/7/2017.
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT229/7/2017.
HealthSUFFICIENT DIETARY SUPPORT PERSONNEL229/7/2017.
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/7/2017.
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE219/7/2017.
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG219/7/2017.
LSCMEANS OF EGRESS - GENERAL219/7/2017.
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS319/7/20171/2/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/7/201710/16/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/201710/16/2017
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING219/7/201710/3/2018
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM229/7/201710/7/2016
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/7/201712/10/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING239/7/201712/11/2018
LSCEXIT SIGNAGE229/7/201712/13/2018
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
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
HealthQUALITY OF CARE319/7/201712/13/2018
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
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS219/7/20177/1/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY229/7/20177/1/2016
HealthDISPOSE GARBAGE & REFUSE PROPERLY229/7/20177/1/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY229/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES129/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM229/7/20177/1/2016
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER219/7/20177/1/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/7/20177/1/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING219/7/20177/1/2016
HealthPROVIDE/OBTAIN SPECIALIZED REHAB SERVICES219/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES219/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
HealthSUFFICIENT FLUID TO MAINTAIN HYDRATION319/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
LSCLIFE SAFETY CODE STANDARD229/7/20177/1/2016
HealthREPORTING OF ALLEGED VIOLATIONS219/7/20177/12/2019
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/7/20178/1/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW229/7/20178/1/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE219/7/20178/1/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE129/7/20178/1/2017
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
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY229/7/20178/1/2017
HealthCOMPREHENSIVE ASSESSMENTS219/7/20178/10/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/7/20178/10/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS229/7/20178/10/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/7/20178/10/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN219/7/20178/10/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES219/7/20178/10/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/7/20178/10/2016
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