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: 32%

Occupancy Rate: 81.5%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain37.41004/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.38004/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine90.83004/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine89.99004/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication2.15004/1/2018
471Percentage of short-stay residents who made improvements in function49.26004/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased17.21004/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain9.63004/1/2018
403Percentage of high risk long-stay residents with pressure ulcers6.93004/1/2018
404Percentage of long-stay residents who lose too much weight9.49004/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder97.78004/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.12004/1/2018
407Percentage of long-stay residents with a urinary tract infection2.30004/1/2018
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 injury4.21004/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.52004/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine83.91004/1/2018
419Percentage of long-stay residents who received an antipsychotic medication10.98004/1/2018
451Percentage of long-stay residents whose ability to move independently worsened27.77004/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication12.11004/1/2018

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):39
Intakes received per 100 occupied beds (last three years):46.6
Percent of total intakes received that were facility self reported incidents (last three years):64
On-site complaint investigations (last three years):12
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 Rights11/13/20038000

Surveys

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

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH212/27/20174/25/2017
LSCEgress Doors222/27/20174/25/2017
LSCSubdivision of Building Spaces - Smoke Barrie222/27/20174/25/2017
LSCGas Equipment - Cylinder and Container Storag222/27/20174/25/2017
LSCCorridors - Construction of Walls212/27/20174/26/2017
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES212/18/20164/6/2016
HealthCOMPREHENSIVE ASSESSMENTS122/18/20164/6/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES212/18/20164/6/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS212/18/20164/6/2016
LSCLIFE SAFETY CODE STANDARD222/18/20164/6/2016
LSCLIFE SAFETY CODE STANDARD222/18/20164/6/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES213/13/20155/8/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE213/13/20155/8/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES213/13/20155/8/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY213/13/20155/8/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS213/13/20155/8/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE123/13/20155/8/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES214/7/20146/2/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/7/20146/2/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE224/7/20146/2/2014
LSCLIFE SAFETY CODE STANDARD224/7/20146/2/2014
LSCLIFE SAFETY CODE STANDARD224/7/20146/2/2014
LSCLIFE SAFETY CODE STANDARD224/7/20146/2/2014
LSCLIFE SAFETY CODE STANDARD224/7/20146/2/2014
LSCLIFE SAFETY CODE STANDARD224/7/20146/2/2014