Beechwood Homes

Beechwood Homes

2235 Millersport Highway

Getzville, NY 14068

(716) 688-8822

www.beechwoodcare.org/

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

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: 30%

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 pain16.947113/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.718373/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine77.20453/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine86.057693/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.131143/1/2017
471Percentage of short-stay residents who made improvements in function77.60593/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased16.562110003/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain7.978227003/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.055631003/1/2017
404Percentage of long-stay residents who lose too much weight6.535948003/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder68.224299003/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.486162003/1/2017
407Percentage of long-stay residents with a urinary tract infection4.248365003/1/2017
408Percentage of long-stay residents who have depressive symptoms0.110498003/1/2017
409Percentage of long-stay residents who were physically restrained0.965667003/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury7.403434003/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine91.369049003/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine94.527898003/1/2017
419Percentage of long-stay residents who received an antipsychotic medication16.125540003/1/2017
451Percentage of long-stay residents whose ability to move independently worsened35.410648003/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.527012003/1/2017

Complaints

Number of Standard Health Deficiencies:29
Number of Live Safety Code Deficiencies:38
Number of Total Deficiencies:67
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :1
Total intakes received (last three years):78
Intakes received per 100 occupied beds (last three years):29.5
Percent of total intakes received that were facility self reported incidents (last three years):53
On-site complaint investigations (last three years):28
Complaint investigations resulting in citations (last three years):6
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.3
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:3
Complaint Citations in deficiency category: Resident Rights:2
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:1
Complaint Citations across all deficiency categories (last three years):6

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Multiple Deficiencies4/3/20093000
10/14/2008 0:00:00Quality of Care7/1/201110000
7/3/2003 0:00:00Quality of Care6/15/20041000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/8/2015Certification2
5/17/2013Certification2
5/23/2016Complaint2
7/18/2014Certification2
9/13/2016Certification2
9/24/2013Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
LSCCORRIDOR WIDTH2210/28/2016
LSCMEDICAL GAS SYSTEM2210/30/2016
LSCAUTOMATIC SPRINKLER SYSTEM2210/30/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS2110/30/2016
LSCEMERGENCY PLAN2210/30/2016
LSCOTHER2210/30/2016
LSCAUTOMATIC SPRINKLER SYSTEM2210/30/2016
LSCHAZARDOUS AREAS - SEPARATION2210/30/2016
LSCSMOKE PARTITION CONSTRUCTION2210/30/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN2110/30/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2110/30/2016
HealthASSESSMENT AFTER A SIGNIFICANT CHANGE1210/30/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2111/1/2013
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE2111/1/2013
HealthFACILITY PROVIDES DRUGS AND BIOLOGICALS2211/1/2013
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2111/1/2013
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2112/7/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2112/7/2015
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES2112/7/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2112/7/2015
LSCEMERGENCY PLAN2212/7/2015
LSCWASTEBASKETS2212/7/2015
LSCFLAMMABLE FURNISHINGS2212/7/2015
LSCSPACE HEATERS2212/7/2015
LSCSPRINKLER SYSTEM MAINTENANCE2212/7/2015
LSCAUTOMATIC SPRINKLER SYSTEM2212/7/2015
LSCTESTING OF FIRE ALARM2212/7/2015
LSCEXIT ACCESS2112/7/2015
LSCHAZARDOUS AREAS - SEPARATION2212/7/2015
LSCSMOKE PARTITION CONSTRUCTION2212/7/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS2112/7/2015
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.2112/7/2015
HealthMENUS MEET NUTRITIONAL NEEDS/PREPARATION IN ADVANCE/FOLLOWED2212/7/2015
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATION2112/7/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS2112/7/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/7/2015
LSCCORRIDOR WIDTH2212/7/2015
LSCCORRIDOR WIDTH226/20/2013
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS227/1/2013
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS227/1/2013
LSCSTAIRS AND SMOKE PROOF TOWERS227/1/2013
LSCCORRIDOR WIDTH227/1/2013
LSCSPRINKLER SYSTEM MAINTENANCE227/1/2013
LSCVENTILATING EQUIPMENT227/1/2013
LSCHAZARDOUS AREAS - SEPARATION227/1/2013
LSCFURNISHING AND DECORATIONS227/1/2013
LSCWASTEBASKETS227/1/2013
LSCOTHER227/1/2013
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING317/15/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.217/15/2016
LSCMEDICAL GAS SYSTEM229/5/2014
LSCCORRIDOR WIDTH229/5/2014
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES229/5/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN219/5/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING219/5/2014
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES219/5/2014
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS229/5/2014
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS229/5/2014
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM219/5/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS219/5/2014
LSCCORRIDOR DOORS229/5/2014
LSCSMOKE PARTITION CONSTRUCTION229/5/2014
LSCHAZARDOUS AREAS - SEPARATION229/5/2014
LSCSTAIRS AND SMOKE PROOF TOWERS229/5/2014
LSCEMERGENCY PLAN229/5/2014
LSCPORTABLE FIRE EXTINGUISHERS229/5/2014
LSCSPRINKLER SYSTEM MAINTENANCE229/5/2014