Canterbury Woods

Canterbury Woods

725 Renaissance Drive

Williamsville, NY 14221

7169295800

canterburywoods.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:48
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:48

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Episcopal Church Home & Affiliates Life Care Community Inc
725 Renaissance Drive
Williamsville, NY 14221

Permanent Facility Identifier: 7789

Operating Certificate: 1421305N

Medicaid Certified

Medicare Certified

Medicare Number: 335816

Statistics

Employee Flu Vaccination Rate: 29%

Occupancy Rate: 97.9%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain5.56004/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.71004/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine95.24004/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine83.52004/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication0.00004/1/2018
471Percentage of short-stay residents who made improvements in function75.47004/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased10.39004/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain11.75004/1/2018
403Percentage of high risk long-stay residents with pressure ulcers5.63004/1/2018
404Percentage of long-stay residents who lose too much weight2.94004/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder65.75004/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.44004/1/2018
407Percentage of long-stay residents with a urinary tract infection2.94004/1/2018
408Percentage of long-stay residents who have depressive symptoms0.00004/1/2018
409Percentage of long-stay residents who were physically restrained0.00004/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury5.81004/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.83004/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.84004/1/2018
419Percentage of long-stay residents who received an antipsychotic medication8.14004/1/2018
451Percentage of long-stay residents whose ability to move independently worsened13.95004/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication16.67004/1/2018

Complaints

Number of Standard Health Deficiencies:10
Number of Live Safety Code Deficiencies:10
Number of Total Deficiencies:20
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:0
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :0
Total intakes received (last three years):33
Intakes received per 100 occupied beds (last three years):71.1
Percent of total intakes received that were facility self reported incidents (last three years):82
On-site complaint investigations (last three years):9
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.2
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
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):1

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/5/2018Complaint2
7/9/2015Certification2
8/5/2014Certification2
8/8/2016Certification2
9/8/2017Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthDepartment Criminal History Review229/8/201710/24/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/8/201710/24/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES229/8/201710/24/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY229/8/201710/24/2017
HealthMAINTAINS EFFECTIVE PEST CONTROL PROGRAM219/8/201710/24/2017
LSCSprinkler System - Installation229/8/201710/24/2017
LSCElectrical Systems - Essential Electric Syste229/8/201710/24/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY217/9/20158/28/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY227/9/20158/28/2015
LSCLIFE SAFETY CODE STANDARD227/9/20158/28/2015
LSCLIFE SAFETY CODE STANDARD227/9/20158/28/2015
LSCLIFE SAFETY CODE STANDARD227/9/20158/28/2015
LSCLIFE SAFETY CODE STANDARD227/9/20158/28/2015
LSCMISCELLANEOUS227/9/20158/28/2015
LSCLIFE SAFETY CODE STANDARD227/9/20158/28/2015
LSCLIFE SAFETY CODE STANDARD228/5/20149/19/2014
LSCLIFE SAFETY CODE STANDARD228/5/20149/19/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS218/8/20169/23/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES218/8/20169/23/2016