Safire Rehabilitation of Northtowns, LLC

Safire Rehabilitation of Northtowns, LLC

2799 Sheridan Drive

Tonawanda, NY 14150

7168374466

http:www2.erie.gov/saferseniorhomes/index.php?q=safire-rehabilitation-northtowns-llc

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:100
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:100

Administrative

Ownership: Proprietary--LLC

Operated by: Safire Rehabilitation of Northtowns, LLC
2799 Sheridan Drive
Tonawanda, NY 14150

Permanent Facility Identifier: 266

Operating Certificate: 1403304N

Medicaid Certified

Medicare Certified

Medicare Number: 335180

Statistics

Employee Flu Vaccination Rate: 59%

Occupancy Rate: 59%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine93.04109/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication1.79409/1/2020
471Percentage of short-stay residents who made improvements in function72.72609/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased20.000011/1/2019
404Percentage of long-stay residents who lose too much weight3.915011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder50.000011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.987011/1/2019
407Percentage of long-stay residents with a urinary tract infection3.114011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.743011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.740011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.288011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication1.220011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened20.489011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.211011/1/2019

Complaints

Number of Standard Health Deficiencies:60
Number of Live Safety Code Deficiencies:29
Number of Total Deficiencies:89
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):154
Intakes received per 100 occupied beds (last three years):165.3
Percent of total intakes received that were facility self reported incidents (last three years):42
On-site complaint investigations (last three years):43
Complaint investigations resulting in citations (last three years):13
Complaint investigations resulting in citations per 100 occupied beds (last three years):14.0
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:6
Complaint Citations in deficiency category: Resident Rights:4
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:2
Complaint Citations across all deficiency categories (last three years):26

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
.Quality of Care2/24/20056000
5/14/2003Quality of Care3/1/20054000
9/15/2016Quality of Care12/19/201612000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
12/14/2016CERTIFICATION/COMPLAINT2
2/18/2020CERTIFICATION/COMPLAINT2
2/27/2019COMPLAINT2
3/16/2018CERTIFICATION/COMPLAINT2
6/11/2019CERTIFICATION/COMPLAINT2
6/18/2020COMPLAINT2
7/28/2020COMPLAINT1
7/6/2017COMPLAINT2
9/15/2016COMPLAINT2
9/26/2017COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthINFECTION PREVENTION & CONTROL227/6/2017.
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT227/6/2017.
HealthCARE PLAN TIMING AND REVISION117/6/2017.
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/6/201711/3/2017
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON217/6/201711/9/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING317/6/201711/9/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS317/6/201711/9/2016
HealthFACILITY MANAGEMENT OF PERSONAL FUNDS127/6/20172/12/2017
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS217/6/20172/12/2017
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE217/6/20172/12/2017
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED227/6/20172/12/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)227/6/20172/12/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/6/20172/12/2017
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS217/6/20172/12/2017
LSCFIRE DRILLS227/6/20172/12/2017
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE127/6/20172/12/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS217/6/20172/12/2017
HealthTREATMENT/DEVICES TO MAINTAIN HEARING/VISION217/6/20172/12/2017
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES217/6/20172/12/2017
LSCCORRIDOR - DOORS227/6/20172/12/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS227/6/20172/12/2017
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC227/6/20172/12/2017
LSCELEVATORS227/6/20172/12/2017
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE227/6/20172/12/2017
LSCVERTICAL OPENINGS - ENCLOSURE227/6/20172/12/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS227/6/20172/12/2017
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES217/6/20172/12/2017
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT227/6/20172/17/2017
HealthQUALITY OF CARE217/6/20174/22/2019
HealthPHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS227/6/20175/14/2018
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDER217/6/20175/14/2018
HealthREPORTING OF ALLEGED VIOLATIONS227/6/20175/14/2018
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION217/6/20175/14/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER217/6/20175/14/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/6/20175/14/2018
HealthADMINISTRATION227/6/20175/14/2018
HealthBASELINE CARE PLAN217/6/20175/14/2018
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN227/6/20175/14/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE217/6/20175/14/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES227/6/20175/14/2018
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION227/6/20175/14/2018
HealthLABEL/STORE DRUGS AND BIOLOGICALS217/6/20175/14/2018
HealthDEPARTMENT CRIMINAL HISTORY REVIEW227/6/20175/7/2018
HealthCRIMINAL HISTORY RECORD CHECK PROCESS227/6/20175/7/2018
HealthINFECTION CONTROL227/6/20175/7/2018
HealthRESIDENT RIGHTS/EXERCISE OF RIGHTS127/6/20175/7/2018
HealthNOT EMPLOY/ENGAGE STAFF W/ ADVERSE ACTIONS227/6/20175/7/2018
HealthINFECTION PREVENTION & CONTROL227/6/20175/7/2018
LSCFIRE DRILLS227/6/20175/7/2018
LSCCOOKING FACILITIES217/6/20175/7/2018
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC227/6/20175/7/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE227/6/20175/7/2018
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES227/6/20175/7/2018
LSCLTC AND ICF/IID SHARING PLAN WITH PATIENTS137/6/20175/7/2018
LSCPRIMARY/ALTERNATE MEANS FOR COMMUNICATION137/6/20175/7/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY137/6/20175/7/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING227/6/20175/7/2018
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS137/6/20175/7/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT227/6/20176/11/2018
HealthSELF-DETERMINATION227/6/20176/29/2020
HealthTUBE FEEDING MGMT/RESTORE EATING SKILLS217/6/20176/29/2020
LSCCOOKING FACILITIES217/6/20176/29/2020
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE227/6/20176/29/2020
LSCFIRE DRILLS227/6/20176/29/2020
LSCVERTICAL OPENINGS - ENCLOSURE217/6/20176/29/2020
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES217/6/20176/29/2020
LSCLTC AND ICF/IID SHARING PLAN WITH PATIENTS137/6/20176/29/2020
HealthINFECTION CONTROL127/6/20176/29/2020
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG227/6/20176/29/2020
HealthINFECTION PREVENTION & CONTROL227/6/20176/29/2020
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/6/20176/29/2020
HealthCRIMINAL HISTORY RECORD CHECK PROCESS217/6/20176/29/2020
HealthDEPARTMENT CRIMINAL HISTORY REVIEW217/6/20176/29/2020
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION127/6/20176/29/2020
HealthINCREASE/PREVENT DECREASE IN ROM/MOBILITY217/6/20176/29/2020
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION217/6/20176/29/2020
HealthNURSE AIDE PEFORM REVIEW-12 HR/YR IN-SERVICE127/6/20176/29/2020
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF127/6/20176/29/2020
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT127/6/20176/29/2020
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES217/6/20178/10/2017
HealthFREE FROM ABUSE AND NEGLECT217/6/20178/9/2019
HealthINFECTION CONTROL127/6/20178/9/2019
HealthFOOD IN FORM TO MEET INDIVIDUAL NEEDS227/6/20178/9/2019
LSCEP TESTING REQUIREMENTS137/6/20178/9/2019
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION217/6/20178/9/2019
HealthFOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY227/6/20178/9/2019
HealthMENUS MEET RESIDENT NDS/PREP IN ADV/FOLLOWED127/6/20178/9/2019
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS227/6/20178/9/2019
HealthQUALITY OF CARE217/6/20178/9/2019
HealthREPORTING OF ALLEGED VIOLATIONS217/6/20178/9/2019
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT227/6/20178/9/2019
LSCDOORS WITH SELF-CLOSING DEVICES227/6/20178/9/2019