| General |
| City |
| Rochester |
Williamsville |
| State attribute explanation |
| Ny |
Ny |
| Street |
| 1500 Portland Avenue |
147 Reist Street |
| Zip Code |
| 14,621 |
14,221 |
| Phone |
| 5,856,976,000 |
7,166,335,400 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 388 |
142 |
|
Total Number of Residents |
| 376 |
117 |
|
Percent of Occupied Beds |
| 97 % |
82 % |
| Health Survey Date |
| 9/22/2011 |
3/9/2012 |
| Fire Survey Date |
| 9/22/2011 |
3/9/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Church Related |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 5 |
10 |
|
| Staff Information |
| Number of Residents |
| 441 |
117 |
| Number of RN Hours Per Resident Per Day |
| 0.85 |
0.88 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.03 |
1.2 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.88 |
2.08 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.15 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.15 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 10/01/2010date Of Correction: 11/19/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 06/09/2009date Of Correction: 08/01/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 03/09/2012date Of Correction: 05/01/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 10/28/2010date Of Correction: 12/01/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 10/01/2010date Of Correction: 12/01/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 03/09/2012date Of Correction: 05/01/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/01/2010date Of Correction: 12/01/2010 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/24/2011date Of Correction: Not Available |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/26/2010date Of Correction: 08/02/2010 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/28/2010date Of Correction: 12/01/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/13/2010date Of Correction: 07/05/2010 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/13/2010date Of Correction: 07/05/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/30/2010date Of Correction: Not Available |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/09/2012date Of Correction: 05/01/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 03/30/2010date Of Correction: Not Available |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10 % |
8.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.2 % |
2.6 / 3 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.1 % |
9.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.4 % |
15.1 % |
| Percent of long-stay residents who lose too much weight |
| 8.1 / 8.8 |
6.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 60.6 % |
68.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.6 % |
3.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.4 / 10.4 |
9.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.4 % |
10.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.4 % |
21.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.9 % |
87.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.6 % |
88.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.6 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4 % |
2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11.2-20 |
8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3 % |
3.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.1 % |
9.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7 % |
16.3:1 |
| Percent of long-stay residents who lose too much weight |
| 8.4 % |
11 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65 % |
67 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.1 % |
7.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.9 % |
13.3 % |
| Percent of long-stay residents who were physically restrained |
| 0.6 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.5 % |
2.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.2:1 |
22.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.7 % |
83.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.3 % |
85.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11 % |
23.1 % |