Beechwood Homes

Beechwood Homes

2235 Millersport Highway

Getzville, NY 14068

7166888822

www.beechwoodcare.org/

Services: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy, Outpatient/Speech Language Pathology Therapy

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:272
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:272

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Beechwood Health Care Center, Inc.
2235 Millersport Highway
Getzville, NY 14068

Permanent Facility Identifier: 288

Operating Certificate: 1451306N

Medicaid Certified

Medicare Certified

Medicare Number: 335468

Statistics

Employee Flu Vaccination Rate: 84%

Occupancy Rate: 96%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain16.36002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.81002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine88.64002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine91.18002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication2.94002/1/2019
471Percentage of short-stay residents who made improvements in function68.84002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased13.58002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain4.16002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers8.40002/1/2019
404Percentage of long-stay residents who lose too much weight7.18002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder79.80002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.75002/1/2019
407Percentage of long-stay residents with a urinary tract infection1.91002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.00002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury5.47002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.37002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine96.76002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication17.61002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened33.40002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.87002/1/2019

Complaints

Number of Standard Health Deficiencies:20
Number of Live Safety Code Deficiencies:22
Number of Total Deficiencies:42
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):68
Intakes received per 100 occupied beds (last three years):26.1
Percent of total intakes received that were facility self reported incidents (last three years):28
On-site complaint investigations (last three years):26
Complaint investigations resulting in citations (last three years):4
Complaint investigations resulting in citations per 100 occupied beds (last three years):1.5
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:2
Complaint Citations in deficiency category: Resident Rights:1
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):4

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Multiple Deficiencies3-Apr-093000
14-Oct-08Quality of Care1-Jul-1110000
3-Jul-03Quality of Care15-Jun-041000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/8/2015CERTIFICATION/COMPLAINT2
11/15/2017CERTIFICATION/COMPLAINT2
5/23/2016COMPLAINT2
7/11/2017COMPLAINT2
9/13/2016CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/15/20171/12/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/15/20171/12/2018
LSCAISLE, CORRIDOR, OR RAMP WIDTH2111/15/20171/12/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE2211/15/20171/12/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING2211/15/20171/12/2018
LSCLIFE SAFETY CODE STANDARD229/13/201610/28/2016
LSCLIFE SAFETY CODE STANDARD229/13/201610/30/2016
LSCLIFE SAFETY CODE STANDARD229/13/201610/30/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS219/13/201610/30/2016
HealthCOMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE129/13/201610/30/2016
LSCMISCELLANEOUS229/13/201610/30/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/13/201610/30/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/13/201610/30/2016
LSCLIFE SAFETY CODE STANDARD229/13/201610/30/2016
LSCLIFE SAFETY CODE STANDARD229/13/201610/30/2016
LSCLIFE SAFETY CODE STANDARD229/13/201610/30/2016
LSCLIFE SAFETY CODE STANDARD229/13/201610/30/2016
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/8/201512/7/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2110/8/201512/7/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2110/8/201512/7/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS2110/8/201512/7/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2110/8/201512/7/2015
HealthMENUS MEET RES NEEDS/PREP IN ADVANCE/FOLLOWED2210/8/201512/7/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2110/8/201512/7/2015
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP2110/8/201512/7/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/8/201512/7/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES2110/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2110/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
LSCLIFE SAFETY CODE STANDARD2210/8/201512/7/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING315/23/20167/15/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/23/20167/15/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/11/20179/8/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/11/20179/8/2017