General |
City |
Rochester |
Williamsville |
State attribute explanation |
Ny |
Ny |
Street |
150 Highland Avenue |
147 Reist Street |
Zip Code |
14,620 |
14,221 |
Phone |
5,852,715,413 |
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 |
3 |
3 |
RN Only Star Rating |
4 |
4 |
Number of Certified Beds |
475 |
142 |
Total Number of Residents |
455 |
117 |
Percent of Occupied Beds |
96 % |
82 % |
Health Survey Date |
6/24/2011 |
3/9/2012 |
Fire Survey Date |
6/24/2011 |
3/9/2012 |
Sprinkler Status |
Partially Sprinklered |
Partially Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
Non Profit - Church Related |
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? |
Yes |
Yes |
Special Focus Facility? |
No |
No |
Civil Money Penalty Count |
75.2 |
75.2 |
Total Enforcement Actions Count |
75.2 |
75.2 |
# of deficiencies |
6 |
10 |
|
Staff Information |
Number of Residents |
455 |
117 |
Number of RN Hours Per Resident Per Day |
0.59 |
0.88 |
Number of LPN/LVN Hours Per Resident Per Day |
1.26 |
1.2 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.85 |
2.08 |
Number of CNA Hours Per Resident Per Day |
0.06 |
0.15 |
Number Therapy Hours Per Resident Per Day |
0.06 |
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: 04/13/2012date Of Correction: 06/13/2012 |
|
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: 12/23/2010date Of Correction: 02/18/2011 |
|
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: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/13/2012date Of Correction: 06/13/2012 |
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: 04/13/2012date Of Correction: 06/13/2012 |
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: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/27/2010date Of Correction: 11/17/2010 |
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: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/30/2010date Of Correction: 07/01/2010 |
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 |
22.8 % |
8.2 % |
Percent of long-stay residents whose need for help with daily activities has increased |
2 % |
2.6 / 3 |
Percent of long-stay residents who self-report moderate to severe pain |
17.5 % |
9.5 % |
Percent of long-stay high-risk residents with pressure ulcers |
4.6 % |
15.1 % |
Percent of long-stay residents who lose too much weight |
7.2 % |
6.9 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
53.2 % |
68.4 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.8 % |
3.4 % |
Percent of long-stay residents with a urinary tract infection |
2.6 / 3 |
9.8 % |
Percent of long-stay residents who have depressive symptoms |
5.6:1 |
10.9 % |
Percent of long-stay residents who were physically restrained |
0.2 % |
75.2 % |
Percent of short-stay residents who self-report moderate to severe pain |
36 % |
21.1 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
79.7 % |
87.4 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
85.8 % |
88.5 % |
Percent of short-stay residents who newly received an antipsychotic medication |
75.2 |
75.2 |
Percent of long-stay residents experiencing one or more falls with major injury |
3.3 % |
2 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
23 % |
8 % |
Percent of long-stay residents whose need for help with daily activities has increased |
1.50 % |
3.3 % |
Percent of long-stay residents who self-report moderate to severe pain |
12.9 (55.2) |
9.1 % |
Percent of long-stay high-risk residents with pressure ulcers |
5 % |
16.3:1 |
Percent of long-stay residents who lose too much weight |
6.1 % |
11 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
53.4 % |
67 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3 % |
2.7 % |
Percent of long-stay residents with a urinary tract infection |
2.1 % |
7.2 % |
Percent of long-stay residents who have depressive symptoms |
4.1 % |
13.3 % |
Percent of long-stay residents who were physically restrained |
0.3 % |
75.2 % |
Percent of long-stay residents experiencing one or more falls with major injury |
3.9 % |
2.7 % |
Percent of short-stay residents who self-report moderate to severe pain |
30.4 % |
22.2:1 |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
66.8 % |
83.9 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
80.4 % |
85.8 % |
Percent of short-stay residents who newly received an antipsychotic medication |
26.2 % |
23.1 % |