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ST FRANCIS HOME OF WILLIAMSVILLE

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ST FRANCIS HOME OF WILLIAMSVILLE VS
Nursing Homes USA
General
City WILLIAMSVILLE   0% Nursing Homes USA have WILLIAMSVILLE
State attribute explanation NY   4.1% Nursing Homes USA have NY
Street 147 REIST STREET  
Zip Code 14221  
Phone 7166335400  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
142 
108.94
Total Number of Residents
117 
91.25
Percent of Occupied Beds
82 %
83.65 %
Health Survey Date 3/9/2012  
Fire Survey Date 3/9/2012  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Church Related  4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
10 
7.48
Staff Information
Number of Residents
117 
91.38
Number of RN Hours Per Resident Per Day
0.88 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.2 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.08 
1.59
Number of CNA Hours Per Resident Per Day
0.15 
5.49
Number Therapy Hours Per Resident Per Day
0.15 
0.10
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 03/09/2012
date Of Correction: 05/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 10/28/2010
date Of Correction: 12/01/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 03/09/2012
date Of Correction: 05/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/24/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/28/2010
date Of Correction: 12/01/2010 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/13/2010
date Of Correction: 07/05/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/13/2010
date Of Correction: 07/05/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/30/2010
date Of Correction: Not Available 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 03/09/2012
date Of Correction: 05/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 03/30/2010
date Of Correction: Not Available 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
8.2 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
9.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
15.1 %
12.58 %
Percent of long-stay residents who lose too much weight
6.9 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
68.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
10.9 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
21.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
88.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
9.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 16.3:1 % 
Percent of long-stay residents who lose too much weight
11 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
67 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
13.3 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 22.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
23.1 %
17.34 %

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