| Ellicott Center for Rehabilitation and Nursing | |
| 200 Seventh Street, Buffalo, New York 14201 | |
| (716) 847-2500 | |
| Name | Ellicott Center for Rehabilitation and Nursing |
|---|---|
| Location | 200 Seventh Street, Buffalo, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 160 |
| Occupancy Rate | 98.63% |
| Medicare ID (CCN) | 335437 |
| Legal Business Name | Waterfront Operations Associates LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Centers Health Care (36 nursing homes) |
| Chain Average Overall Rating | 2.2 out of 5 |
| NPI Number | 1477833309 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Waterfront Operations Associates LLC |
| Doing Business As | Ellicott Center for Rehabilitation and Nursing |
| Address | 200 7th St, Buffalo, NY 14201 |
| Phone Number | 716-847-2500 |
| NPI Number | 1780689299 |
| Match | Possible same name, address or phone number |
| Organization Name | Kaleida Health Waterfront Health Care Center |
| Address | 200 7th St, Buffalo, NY 14201 |
| Phone Number | 716-847-2500 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.48 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.96 | 0.86 |
| Nurse aide hours per resident per day | 2.09 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.9 | 3.42 |
| RN hours per resident per day on the weekend | 0.25 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 61.3% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $10,868 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 13, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 8, 2025 |
| Feb 13, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0836, Administration, Standard inspection | Minimal harm potential, widespread | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 2, 2025 |
| Feb 13, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by May 8, 2025 |
| Feb 7, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, widespread | Corrected by May 8, 2025 |
| Nov 13, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Oct 4, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 21, 2023 |
| Oct 4, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 21, 2023 |
| Sep 22, 2021 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Nov 3, 2021 |
| Sep 22, 2021 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 3, 2021 |
| Sep 22, 2021 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, pattern | Corrected by Nov 3, 2021 |
| Sep 22, 2021 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2021 |
| Sep 22, 2021 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2021 |
| Sep 22, 2021 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2021 |
| Sep 22, 2021 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.04 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.28 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.25 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.6 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 14.16 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.78 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.81 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.55 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.49 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.28 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.87 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.15 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 10.61 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.21 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.12 | 15.38 |
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