Elderwood at Amherst

Elderwood at Amherst

4459 Bailey Ave

Amherst, NY 14226

7168352543

www.elderwood.com/locations/wedgewood.php

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:92
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:92

Administrative

Ownership: Proprietary--LLC

Operated by: 4459 Bailey Avenue Operating Company, LLC
641 Lexington Avenue 31st Floor
New York, NY 10022

Permanent Facility Identifier: 232

Operating Certificate: 1451307N

Medicaid Certified

Medicare Certified

Medicare Number: 335056

Statistics

Employee Flu Vaccination Rate: 30%

Occupancy Rate: 91%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain33.828579/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.239840000000000039/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine89.952719/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine88.016969/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.721159/1/2017
471Percentage of short-stay residents who made improvements in function41.585049/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased17.928287009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain9.237199009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers3.111111009/1/2017
404Percentage of long-stay residents who lose too much weight5.555557009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder98.571427009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.110140009/1/2017
407Percentage of long-stay residents with a urinary tract infection1.515151009/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000000009/1/2017
409Percentage of long-stay residents who were physically restrained0.000000009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury5.660375009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine92.657343009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine65.283020009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication16.475096009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened28.510839009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.898834009/1/2017

Complaints

Number of Standard Health Deficiencies:14
Number of Live Safety Code Deficiencies:11
Number of Total Deficiencies:25
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):35
Intakes received per 100 occupied beds (last three years):41.6
Percent of total intakes received that were facility self reported incidents (last three years):69
On-site complaint investigations (last three years):10
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
Resident Rights379388000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/18/2016Certification2
2/27/2017Certification2
3/13/2015Certification2
4/7/2014Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH214/25/2017
LSCEgress Doors224/25/2017
LSCSubdivision of Building Spaces - Smoke Barrie224/25/2017
LSCGas Equipment - Cylinder and Container Storag224/25/2017
LSCCorridors - Construction of Walls214/26/2017
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES214/6/2016
HealthCOMPREHENSIVE ASSESSMENTS124/6/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/6/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/6/2016
LSCLIFE SAFETY CODE STANDARD224/6/2016
LSCLIFE SAFETY CODE STANDARD224/6/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/8/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE215/8/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/8/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY215/8/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/8/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE125/8/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES216/2/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP216/2/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE226/2/2014
LSCLIFE SAFETY CODE STANDARD226/2/2014
LSCLIFE SAFETY CODE STANDARD226/2/2014
LSCLIFE SAFETY CODE STANDARD226/2/2014
LSCLIFE SAFETY CODE STANDARD226/2/2014
LSCLIFE SAFETY CODE STANDARD226/2/2014