Jennie B Richmond Chaffee Nursing Home Company Inc

Jennie B Richmond Chaffee Nursing Home Company Inc

222 East Main Street

Springville, NY 14141

7165922871

http:www.bertrandchaffee.com/longtermcare

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:80
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:80

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Jennie B Richmond Chaffee Nursing Home Co Inc
222 East Main Street
Springville, NY 14141

Permanent Facility Identifier: 281

Operating Certificate: 1427000N

Medicaid Certified

Medicare Certified

Medicare Number: 335435

Statistics

Employee Flu Vaccination Rate: 91%

Occupancy Rate: 69%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine93.87809/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication2.16509/1/2020
471Percentage of short-stay residents who made improvements in function70.36609/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased18.269011/1/2019
404Percentage of long-stay residents who lose too much weight5.742011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder50.407011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.808011/1/2019
407Percentage of long-stay residents with a urinary tract infection1.826011/1/2019
408Percentage of long-stay residents who have depressive symptoms9.662011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury4.505011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.946011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication17.352011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened26.017011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication15.962011/1/2019

Complaints

Number of Standard Health Deficiencies:21
Number of Live Safety Code Deficiencies:13
Number of Total Deficiencies:34
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :3
Total intakes received (last three years):50
Intakes received per 100 occupied beds (last three years):68.9
Percent of total intakes received that were facility self reported incidents (last three years):82
On-site complaint investigations (last three years):12
Complaint investigations resulting in citations (last three years):4
Complaint investigations resulting in citations per 100 occupied beds (last three years):5.5
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:3
Complaint Citations in deficiency category: Resident Rights:0
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):8

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
11/23/2001Multiple Deficiencies9/27/20024000
4/12/2019Multiple Deficiencies7/22/201910000
4/15/2016Quality of Care8/18/20162000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
4/12/2019COMPLAINT2
4/21/2017CERTIFICATION/COMPLAINT2
6/19/2020COMPLAINT1
8/28/2018CERTIFICATION/COMPLAINT2
9/13/2019CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE116/19/2020.
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION216/19/202010/10/2019
LSCCOOKING FACILITIES216/19/202010/17/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES226/19/202010/17/2019
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE216/19/202010/23/2019
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE216/19/202010/23/2019
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS136/19/202010/27/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY136/19/202010/27/2018
LSCPORTABLE SPACE HEATERS226/19/202010/27/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG226/19/202010/27/2018
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES226/19/202010/27/2018
LSCEP PROGRAM PATIENT POPULATION136/19/202010/27/2018
HealthPHYSICAL ENVIRONMENT226/19/202010/27/2018
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS216/19/202010/31/2019
HealthINFECTION CONTROL126/19/202010/31/2019
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG226/19/202010/31/2019
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/19/202010/31/2019
HealthLICENSE/COMPLY W/ FED/STATE/LOCL LAW/PROF STD226/19/202011/6/2019
HealthPHYSICAL ENVIRONMENT226/19/20205/10/2017
HealthQUALITY OF CARE416/19/20205/10/2019
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS216/19/20205/10/2019
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION216/19/20205/10/2019
LSCGENERAL REQUIREMENTS - OTHER216/19/20205/30/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS226/19/20205/31/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS226/19/20206/5/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON226/19/20206/5/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS216/19/20206/5/2017
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG226/19/20206/5/2017
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS216/19/20206/5/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS216/19/20206/5/2017
HealthPROVISION OF MEDICALLY RELATED SOCIAL SERVICE226/19/20206/5/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING216/19/20206/5/2017
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER216/19/20206/5/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS216/19/20206/5/2017
HealthFREE OF MEDICATION ERROR RTS 5 PRCNT OR MORE216/19/20209/28/2018