KALEIDA HEALTH MILLARD FILLMORE GATES SKILLED NURSING FACILITY

The information listed below provides an in-depth look into the type and quality of care offered at Kaleida Health Millard Fillmore Gates Skilled Nursing Facility. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

KALEIDA HEALTH MILLARD FILLMORE GATES SKILLED NURSING FACILITY
3 GATES CIRCLE
BUFFALO, NY 14209
(716) 887-4013

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 70
  • Certified Beds: 75

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Kenmore | Tonawanda | Amherst

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Kaleida Health Millard Fillmore Gates Skilled Nursing Facility. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-53.0%
Total Percent:3.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.7%
ADL Index Range: 0-518.1%
Total Percent:25.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.2%
ADL Index Range: 6-1011.2%
ADL Index Range: 0-519.3%
Total Percent:34.7%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care and ventilator/respirator
13.3%
Total Percent:13.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
4.5%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:4.7%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
2.6%
ADL Index Range: 6-10
- No Signs of depression
2.1%
Total Percent:4.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
2.4%
ADL Index Range: 6-10
- No Signs of depression
5.7%
ADL Index Range: 2-5
- No Signs of depression
3.6%
ADL Index Range: 0-1
- No Signs of depression
2.1%
Total Percent:13.9%
 

Rating Details For Kaleida Health Millard Fillmore Gates Skilled Nursing Facility

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 5 Minutes1 Hour and 21 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 10 Minutes51 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 44 Minutes2 Hours and 34 Minutes
Total Licensed Nurse Hours2 Hours and 15 Minutes2 Hours and 12 Minutes
Total Nurse Hours4 Hours and 59 Minutes4 Hours and 46 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New York are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew York Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination87%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season85%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%14%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder68%53%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%4%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium4%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain8%16%
Percent of Short-Stay Residents Who Have Pressure Sores17%15%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/11/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/20/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/30/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/11/2010
  • Correction Date: 05/04/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/20/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/11/2010
  • Correction Date: 05/04/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/11/2010
  • Correction Date: 05/04/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/30/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Kaleida Health Millard Fillmore Gates Skilled Nursing Facility, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/02/2009
  • Correction Date: 03/20/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/02/2008
  • Correction Date: 01/01/1900
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/28/2009
  • Correction Date: 01/01/1900

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Kaleida Health Millard Fillmore Gates Skilled Nursing Facility had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/11/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/20/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/30/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/02/2009
  • Correction Date: 02/18/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/30/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/30/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/20/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/30/2011
Properly Constructed Piped-In Oxygen Systems.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/30/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/20/2009
Source: Medicare Nursing Home Compare; New York State Department of Health - Retrieved 2011