JENNIE B RICHMOND CHAFFEE NURSING HOME CO., INC.

Nursing Home Inspector

222 EAST MAIN STREET
SPRINGVILLE, NY 14141
Erie County
Phone: 716-592-2871
Provider Number: 335435
Last Inspection: 04/21/2017

About the Nursing Home

Number of Beds: 80
Number of Residents: 62
Beds Available: 18
Percent Occupancy: 78%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: YES

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

27

Facility
18

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

27

2017
48

2016
21

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

4/21/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 6/5/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/5/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 6/5/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 6/5/2017
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 6/5/2017
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 6/5/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/5/2017
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 6/5/2017
 

4/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Actual 4 7/25/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 5/31/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 5/31/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/31/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 7/25/2016
 
Failed To: Provide residents with private access to a telephone. Isolated : Minimal 3 5/31/2016
 
Failed To: 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. Isolated : Minimal 3 7/25/2016
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 5/31/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 6/15/2016
 
Failed To: Maintain comfortable and safe temperature levels. Isolated : Minimal 3 5/31/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 5/31/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/31/2016
 
Failed To: Dispose of garbage and refuse properly. Pattern : Potential 3 5/31/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 5/31/2016
 
Failed To: Keep clinical record information safe. Pattern : Potential 3 5/31/2016
 

4/3/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 5/8/2015
 
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 5/3/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/8/2015
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 5/3/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 5/3/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 5/3/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 5/3/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 62 145.81 167.28
Registered Nurses 0.72 0.79 0.74
Licensed Practical / Vocational Nurses 1.04 0.98 0.84
Certified Nursing Assistants 2.72 2.43 2.30
Total Staff Hours 4.48 4.20 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 7 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 92 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 94 96
of long-stay residents experiencing one or more falls with major injury 5 2 2
of long-stay residents who have depressive symptoms 15 7 8
of long-stay residents who lose too much weight 5 5 6
of long-stay residents who received an antianxiety or hypnotic medication 12 15 15
of long-stay residents who received an antipsychotic medication 19 13 13
of long-stay residents who self-report moderate to severe pain 11 4 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 45 21 16
of long-stay residents whose need for help with daily activities has increased 29 16 13
of long-stay residents with a catheter inserted and left in their bladder 3 1 1
of long-stay residents with a urinary tract infection 9 2 3
of low risk long-stay residents who lose control of their bowels or bladder 37 57 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 81 80 81
of short-stay residents who had an outpatient emergency department visit 17 10 9
of short-stay residents who made improvements in function 80 68 68
of short-stay residents who newly received an antipsychotic medication 3 1 1
of short-stay residents who self-report moderate to severe pain 21 10 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 82 82
of short-stay residents who were rehospitalized after a nursing home admission 25 19 21
of short-stay residents who were successfully discharged to the community 53 55 48
of short-stay residents with pressure ulcers that are new or worsened 4 1 0