Safire Rehabilitation of Northtowns, LLC
2799 Sheridan Drive
Tonawanda, NY 14150
7168374466
www2.erie.gov/saferseniorhomes/index.php?q=safire-rehabilitation-northtowns-llcServices: Baseline Services
| Behavioral Intervention: | |
| Pediatric: | |
| Pediatric Ventilator Dependent: | |
| Residential Health Care: | 100 |
| Transitional Care Unit: | |
| Ventilator Dependent: | |
| Total Number of Beds: | 100 |
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
Employee Flu Vaccination Rate: 83%
Occupancy Rate: 89%
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.8600 | 11/1/2019 | |
| 434 | Percentage of short-stay residents who newly received an antipsychotic medication | 0.0000 | 11/1/2019 | |
| 471 | Percentage of short-stay residents who made improvements in function | 85.4000 | 11/1/2019 |
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 401 | Percentage of long-stay residents whose need for help with daily activities has increased | 18.8500 | 11/1/2019 | |
| 404 | Percentage of long-stay residents who lose too much weight | 5.8400 | 11/1/2019 | |
| 405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 53.3300 | 11/1/2019 | |
| 406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9300 | 11/1/2019 | |
| 407 | Percentage of long-stay residents with a urinary tract infection | 3.5300 | 11/1/2019 | |
| 408 | Percentage of long-stay residents who have depressive symptoms | 2.3400 | 11/1/2019 | |
| 409 | Percentage of long-stay residents who were physically restrained | 0.0000 | 11/1/2019 | |
| 410 | Percentage of long-stay residents experiencing one or more falls with major injury | 3.8500 | 11/1/2019 | |
| 415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8500 | 11/1/2019 | |
| 419 | Percentage of long-stay residents who received an antipsychotic medication | 1.5900 | 11/1/2019 | |
| 451 | Percentage of long-stay residents whose ability to move independently worsened | 23.4800 | 11/1/2019 | |
| 452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.1900 | 11/1/2019 |
| Number of Standard Health Deficiencies: | 48 |
| Number of Live Safety Code Deficiencies: | 23 |
| Number of Total Deficiencies: | 71 |
| Number of Deficiencies related to Actual Harm or Immediate Jeopardy: | 2 |
| Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy : | 3 |
| Total intakes received (last three years): | 155 |
| Intakes received per 100 occupied beds (last three years): | 166.4 |
| 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): | 12 |
| Complaint investigations resulting in citations per 100 occupied beds (last three years): | 12.9 |
| Complaint Citations in deficiency category: Administration: | 2 |
| Complaint Citations in deficiency category: Quality of Care: | 6 |
| Complaint Citations in deficiency category: Resident Rights: | 3 |
| Complaint Citations in deficiency category: Dietary Services: | 0 |
| Complaint Citations in deficiency category: Physical Environment: | 0 |
| Complaint Citations in deficiency category: Other Services: | 1 |
| Complaint Citations across all deficiency categories (last three years): | 12 |
| Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
|---|---|---|---|
| . | Quality of Care | 2/24/2005 | 6000 |
| 5/14/2003 | Quality of Care | 3/1/2005 | 4000 |
| 9/15/2016 | Quality of Care | 12/19/2016 | 12000 |
| Initial Survey Date | Survey Type | Total Visits Required |
|---|---|---|
| 12/14/2016 | CERTIFICATION/COMPLAINT | 2 |
| 2/27/2019 | COMPLAINT | 2 |
| 3/16/2018 | CERTIFICATION/COMPLAINT | 2 |
| 5/19/2016 | COMPLAINT | 2 |
| 6/11/2019 | CERTIFICATION/COMPLAINT | 2 |
| 7/6/2017 | COMPLAINT | 2 |
| 9/15/2016 | COMPLAINT | 2 |
| 9/26/2017 | COMPLAINT | 2 |
| Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
|---|---|---|---|---|---|
| Health | CARE PLAN TIMING AND REVISION | 1 | 1 | 7/6/2017 | . |
| Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 1 | 7/6/2017 | 11/3/2017 |
| Health | DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON | 2 | 1 | 7/6/2017 | 11/9/2016 |
| Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 3 | 1 | 7/6/2017 | 11/9/2016 |
| Health | RESIDENTS FREE OF SIGNIFICANT MED ERRORS | 3 | 1 | 7/6/2017 | 11/9/2016 |
| Health | INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS | 2 | 1 | 7/6/2017 | 2/12/2017 |
| LSC | FIRE DRILLS | 2 | 2 | 7/6/2017 | 2/12/2017 |
| Health | CRIMINAL HISTORY RECORD CHECK PROCESS | 2 | 2 | 7/6/2017 | 2/12/2017 |
| Health | DEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES | 2 | 1 | 7/6/2017 | 2/12/2017 |
| Health | FACILITY MANAGEMENT OF PERSONAL FUNDS | 1 | 2 | 7/6/2017 | 2/12/2017 |
| Health | MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE | 2 | 1 | 7/6/2017 | 2/12/2017 |
| Health | MENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED | 2 | 2 | 7/6/2017 | 2/12/2017 |
| Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 2 | 7/6/2017 | 2/12/2017 |
| Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 7/6/2017 | 2/12/2017 |
| Health | RESIDENTS FREE OF SIGNIFICANT MED ERRORS | 2 | 1 | 7/6/2017 | 2/12/2017 |
| Health | RIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE | 1 | 2 | 7/6/2017 | 2/12/2017 |
| Health | ROUTINE/EMERGENCY DENTAL SERVICES IN NFS | 2 | 1 | 7/6/2017 | 2/12/2017 |
| LSC | VERTICAL OPENINGS - ENCLOSURE | 2 | 2 | 7/6/2017 | 2/12/2017 |
| Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES | 2 | 1 | 7/6/2017 | 2/12/2017 |
| Health | TREATMENT/DEVICES TO MAINTAIN HEARING/VISION | 2 | 1 | 7/6/2017 | 2/12/2017 |
| LSC | CORRIDOR - DOORS | 2 | 2 | 7/6/2017 | 2/12/2017 |
| LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 7/6/2017 | 2/12/2017 |
| LSC | ELECTRICAL EQUIPMENT - TESTING AND MAINTENANC | 2 | 2 | 7/6/2017 | 2/12/2017 |
| LSC | ELEVATORS | 2 | 2 | 7/6/2017 | 2/12/2017 |
| LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 2 | 7/6/2017 | 2/12/2017 |
| LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 7/6/2017 | 2/17/2017 |
| Health | QUALITY OF CARE | 2 | 1 | 7/6/2017 | 4/22/2019 |
| Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 7/6/2017 | 5/14/2018 |
| Health | ADMINISTRATION | 2 | 2 | 7/6/2017 | 5/14/2018 |
| Health | BASELINE CARE PLAN | 2 | 1 | 7/6/2017 | 5/14/2018 |
| Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 2 | 7/6/2017 | 5/14/2018 |
| Health | DEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN | 2 | 2 | 7/6/2017 | 5/14/2018 |
| Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 7/6/2017 | 5/14/2018 |
| Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER | 2 | 1 | 7/6/2017 | 5/14/2018 |
| Health | RESIDENT RECORDS - IDENTIFIABLE INFORMATION | 2 | 1 | 7/6/2017 | 5/14/2018 |
| Health | REPORTING OF ALLEGED VIOLATIONS | 2 | 2 | 7/6/2017 | 5/14/2018 |
| Health | PHYSICIAN VISITS - REVIEW CARE/NOTES/ORDER | 2 | 1 | 7/6/2017 | 5/14/2018 |
| Health | PHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS | 2 | 2 | 7/6/2017 | 5/14/2018 |
| Health | LABEL/STORE DRUGS AND BIOLOGICALS | 2 | 1 | 7/6/2017 | 5/14/2018 |
| Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 2 | 7/6/2017 | 5/14/2018 |
| LSC | FIRE DRILLS | 2 | 2 | 7/6/2017 | 5/7/2018 |
| LSC | LTC AND ICF/IID SHARING PLAN WITH PATIENTS | 1 | 3 | 7/6/2017 | 5/7/2018 |
| LSC | PRIMARY/ALTERNATE MEANS FOR COMMUNICATION | 1 | 3 | 7/6/2017 | 5/7/2018 |
| Health | NOT EMPLOY/ENGAGE STAFF W/ ADVERSE ACTIONS | 2 | 2 | 7/6/2017 | 5/7/2018 |
| LSC | ROLES UNDER A WAIVER DECLARED BY SECRETARY | 1 | 3 | 7/6/2017 | 5/7/2018 |
| LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 7/6/2017 | 5/7/2018 |
| Health | CRIMINAL HISTORY RECORD CHECK PROCESS | 2 | 2 | 7/6/2017 | 5/7/2018 |
| Health | DEPARTMENT CRIMINAL HISTORY REVIEW | 2 | 2 | 7/6/2017 | 5/7/2018 |
| LSC | SUBSISTENCE NEEDS FOR STAFF AND PATIENTS | 1 | 3 | 7/6/2017 | 5/7/2018 |
| Health | INFECTION CONTROL | 2 | 2 | 7/6/2017 | 5/7/2018 |
| Health | INFECTION PREVENTION & CONTROL | 2 | 2 | 7/6/2017 | 5/7/2018 |
| Health | RESIDENT RIGHTS/EXERCISE OF RIGHTS | 1 | 2 | 7/6/2017 | 5/7/2018 |
| LSC | FUNDAMENTALS - BUILDING SYSTEM CATEGORIES | 2 | 2 | 7/6/2017 | 5/7/2018 |
| LSC | COOKING FACILITIES | 2 | 1 | 7/6/2017 | 5/7/2018 |
| LSC | ELECTRICAL EQUIPMENT - TESTING AND MAINTENANC | 2 | 2 | 7/6/2017 | 5/7/2018 |
| LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 7/6/2017 | 5/7/2018 |
| LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 7/6/2017 | 6/11/2018 |
| Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 1 | 7/6/2017 | 6/2/2016 |
| Health | RIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES | 2 | 1 | 7/6/2017 | 8/10/2017 |
| Health | FOOD IN FORM TO MEET INDIVIDUAL NEEDS | 2 | 2 | 7/6/2017 | 8/9/2019 |
| Health | FREE FROM ABUSE AND NEGLECT | 2 | 1 | 7/6/2017 | 8/9/2019 |
| Health | INFECTION CONTROL | 1 | 2 | 7/6/2017 | 8/9/2019 |
| Health | REPORTING OF ALLEGED VIOLATIONS | 2 | 1 | 7/6/2017 | 8/9/2019 |
| LSC | DOORS WITH SELF-CLOSING DEVICES | 2 | 2 | 7/6/2017 | 8/9/2019 |
| LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 7/6/2017 | 8/9/2019 |
| Health | QUALITY OF CARE | 2 | 1 | 7/6/2017 | 8/9/2019 |
| Health | FOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY | 2 | 2 | 7/6/2017 | 8/9/2019 |
| Health | MENUS MEET RESIDENT NDS/PREP IN ADV/FOLLOWED | 1 | 2 | 7/6/2017 | 8/9/2019 |
| LSC | EP TESTING REQUIREMENTS | 1 | 3 | 7/6/2017 | 8/9/2019 |
| Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 1 | 7/6/2017 | 8/9/2019 |
| LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 7/6/2017 | 8/9/2019 |
