St Catherine Laboure Health Care Center

St Catherine Laboure Health Care Center

2157 Main Street

Buffalo, NY 14214

7168621450

http:www.chsbuffalo.org/Facilities/SSFacilities/SCL

Services: Adult Day Health Care, Baseline Services, Clinical Laboratory Service, Radiology - Diagnostic

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: Sisters of Charity Hospital
2157 Main Street
Buffalo, NY 14214

Permanent Facility Identifier: 252

Operating Certificate: 1401324N

Medicaid Certified

Medicare Certified

Medicare Number: 335419

Statistics

Employee Flu Vaccination Rate: 76%

Occupancy Rate: 84%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine78.50909/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication0.00009/1/2020
471Percentage of short-stay residents who made improvements in function62.09409/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased7.860011/1/2019
404Percentage of long-stay residents who lose too much weight6.757011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder74.667011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.000011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.000011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.426011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.953011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine84.980011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication7.826011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened14.872011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication6.911011/1/2019

Complaints

Number of Standard Health Deficiencies:16
Number of Live Safety Code Deficiencies:8
Number of Total Deficiencies:24
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):41
Intakes received per 100 occupied beds (last three years):54.0
Percent of total intakes received that were facility self reported incidents (last three years):49
On-site complaint investigations (last three years):9
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):1.3
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
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:1
Complaint Citations across all deficiency categories (last three years):2

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
4/17/2009Multiple Deficiencies6/16/20104000
5/16/2002Multiple Deficiencies11/25/20024000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/10/2018CERTIFICATION/COMPLAINT2
10/28/2016CERTIFICATION/COMPLAINT2
5/13/2019CERTIFICATION/COMPLAINT2
5/5/2020COMPLAINT1

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthHOUSEKEEPING & MAINTENANCE SERVICES125/5/202012/21/2016
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES125/5/202012/21/2016
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING235/5/20203/10/2018
HealthACTIVITIES MEET INTEREST/NEEDS EACH RESIDENT225/5/20203/7/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/5/20203/7/2018
HealthCRIMINAL HISTORY RECORD CHECK PROCESS215/5/20203/7/2018
HealthDEPARTMENT CRIMINAL HISTORY REVIEW215/5/20203/7/2018
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS225/5/20203/7/2018
HealthINCREASE/PREVENT DECREASE IN ROM/MOBILITY215/5/20203/7/2018
HealthINFECTION PREVENTION & CONTROL225/5/20203/7/2018
HealthREQUIRED NOTICES AND CONTACT INFORMATION125/5/20203/7/2018
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION215/5/20203/7/2018
HealthRESIDENT RIGHTS/EXERCISE OF RIGHTS215/5/20203/7/2018
HealthSELF-DETERMINATION215/5/20203/7/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER215/5/20203/7/2018
LSCDOORS WITH SELF-CLOSING DEVICES215/5/20203/7/2018
LSCEGRESS DOORS225/5/20203/7/2018
LSCELECTRICAL SYSTEMS - OTHER225/5/20203/7/2018
LSCGAS AND VACUUM PIPED SYSTEMS - OTHER225/5/20203/7/2018
LSCSPRINKLER SYSTEM - INSTALLATION225/5/20203/7/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/5/20207/8/2019
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION215/5/20207/8/2019
LSCEGRESS DOORS225/5/20207/8/2019
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC225/5/20207/8/2019