Canterbury Woods

Canterbury Woods

725 Renaissance Drive

Williamsville, NY 14221

(716) 929-5800

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: 20%

Occupancy Rate: 97%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain6.666666/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened06/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine95.454546/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine88.372096/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication4.081636/1/2017
471Percentage of short-stay residents who made improvements in function88.249416/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased14.792898006/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain5.855206006/1/2017
403Percentage of high risk long-stay residents with pressure ulcers2.362206006/1/2017
404Percentage of long-stay residents who lose too much weight4.022984006/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder72.500000006/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.519298006/1/2017
407Percentage of long-stay residents with a urinary tract infection5.202311006/1/2017
408Percentage of long-stay residents who have depressive symptoms1.190475006/1/2017
409Percentage of long-stay residents who were physically restrained0.000000006/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury7.428572006/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine97.872340006/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.285716006/1/2017
419Percentage of long-stay residents who received an antipsychotic medication9.142857006/1/2017
451Percentage of long-stay residents whose ability to move independently worsened13.265754006/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication24.117649006/1/2017

Complaints

Number of Standard Health Deficiencies:9
Number of Live Safety Code Deficiencies:12
Number of Total Deficiencies:21
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):41
Intakes received per 100 occupied beds (last three years):90.1
Percent of total intakes received that were facility self reported incidents (last three years):88
On-site complaint investigations (last three years):5
Complaint investigations resulting in citations (last three years):0
Complaint investigations resulting in citations per 100 occupied beds (last three years):0.0
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
Complaint Citations in deficiency category: Resident Rights:0
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):0

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
6/20/2013Certification2
7/9/2015Certification2
8/5/2014Certification2
8/8/2016Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES218/14/2013
LSCSMOKE PARTITION CONSTRUCTION228/14/2013
HealthCRIMINAL HISTORY RECORD CHECK SUBJECT'S SIGNED INFORMED CONSENT REQUIRED128/14/2013
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN218/14/2013
HealthRESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS218/14/2013
LSCCOOKING EQUIPMENT228/14/2013
LSCMEDICAL GAS SYSTEM228/14/2013
LSCOTHER228/14/2013
HealthPASARR REQUIREMENTS FOR MI AND MR228/14/2013
LSCSTAIRS AND SMOKE PROOF TOWERS228/28/2015
LSCSMOKE PARTITION CONSTRUCTION228/28/2015
LSCMEDICAL GAS SYSTEM228/28/2015
LSCOTHER228/28/2015
LSCCORRIDOR DOORS228/28/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS228/28/2015
HealthDIGNITY218/28/2015
LSCEMERGENCY PLAN228/28/2015
LSCSMOKE PARTITION CONSTRUCTION229/19/2014
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS229/19/2014
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES219/23/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE219/23/2016