Mcauley Residence

Mcauley Residence

1503 Military Road

Kenmore, NY 14217

7164476600

http:www.chsbuffalo.org/Facilities/NursingHomes/McAuley

Services: Baseline Services, Clinical Laboratory Service, Radiology - Diagnostic

Beds

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

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Kenmore Mercy Hospital
2950 Elmwood Avenue
Kenmore, NY 14217

Permanent Facility Identifier: 268

Operating Certificate: 1404000N

Medicaid Certified

Medicare Certified

Medicare Number: 335433

Statistics

Employee Flu Vaccination Rate: 68%

Occupancy Rate: 91%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine94.630011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.320011/1/2019
471Percentage of short-stay residents who made improvements in function56.640011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased9.300011/1/2019
404Percentage of long-stay residents who lose too much weight4.580011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder72.660011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.710011/1/2019
407Percentage of long-stay residents with a urinary tract infection2.890011/1/2019
408Percentage of long-stay residents who have depressive symptoms2.140011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.080011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine82.340011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication9.920011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened13.330011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication14.850011/1/2019

Complaints

Number of Standard Health Deficiencies:19
Number of Live Safety Code Deficiencies:26
Number of Total Deficiencies:45
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:0
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :0
Total intakes received (last three years):53
Intakes received per 100 occupied beds (last three years):36.0
Percent of total intakes received that were facility self reported incidents (last three years):64
On-site complaint investigations (last three years):15
Complaint investigations resulting in citations (last three years):3
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.0
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:1
Complaint Citations in deficiency category: Resident Rights:1
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):3

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/9/2018CERTIFICATION/COMPLAINT2
10/20/2016CERTIFICATION/COMPLAINT2
12/15/2015CERTIFICATION/COMPLAINT2
5/20/2019CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthCOMPREHENSIVE ASSESSMENTS115/20/2019.
HealthHOUSEKEEPING & MAINTENANCE SERVICES115/20/2019.
HealthSTANDARDS OF CONSTRUCTION FOR NEW EXISTING NH215/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/20/201912/9/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/20/201912/9/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS215/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES215/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD225/20/201912/9/2016
LSCLIFE SAFETY CODE STANDARD215/20/20192/1/2016
LSCLIFE SAFETY CODE STANDARD215/20/20192/1/2016
LSCLIFE SAFETY CODE STANDARD215/20/20192/1/2016
LSCLIFE SAFETY CODE STANDARD215/20/20192/1/2016
LSCLIFE SAFETY CODE STANDARD225/20/20192/1/2016
LSCMISCELLANEOUS215/20/20192/1/2016
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC225/20/20192/19/2018
HealthBOWEL/BLADDER INCONTINENCE, CATHETER, UTI215/20/20192/19/2018
LSCAISLE, CORRIDOR, OR RAMP WIDTH225/20/20192/19/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE215/20/20192/19/2018
LSCEP PROGRAM PATIENT POPULATION135/20/20192/19/2018
LSCFIRE DRILLS215/20/20192/19/2018
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG215/20/20192/19/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY135/20/20192/19/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/20/20192/8/2016
HealthCOMPLY WITH FEDERAL/STATE/LOCAL LAWS/PROF STD215/20/20192/8/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS215/20/20192/8/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/20/20192/8/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/20/20192/8/2016
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF125/20/20192/8/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN215/20/20192/8/2016
LSCELEVATORS215/20/20197/15/2019
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS225/20/20197/15/2019
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING125/20/20197/8/2019
HealthPHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS215/20/20197/8/2019
HealthINFECTION PREVENTION & CONTROL215/20/20197/8/2019
HealthANTIBIOTIC STEWARDSHIP PROGRAM225/20/20197/8/2019