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
4459 Bailey Avenue 31st Floor
Amherst, NY 14226

Permanent Facility Identifier: 232

Operating Certificate: 1451307N

Medicaid Certified

Medicare Certified

Medicare Number: 335056

Statistics

Employee Flu Vaccination Rate: 85%

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 pain25.88002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.98002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine87.67002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine90.53002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.61002/1/2019
471Percentage of short-stay residents who made improvements in function54.88002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased17.49002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain7.91002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers9.29002/1/2019
404Percentage of long-stay residents who lose too much weight9.94002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder100.00002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.71002/1/2019
407Percentage of long-stay residents with a urinary tract infection2.34002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.00002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.72002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.47002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine94.55002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication7.17002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened24.58002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.24002/1/2019

Complaints

Number of Standard Health Deficiencies:26
Number of Live Safety Code Deficiencies:7
Number of Total Deficiencies:33
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :3
Total intakes received (last three years):48
Intakes received per 100 occupied beds (last three years):57.1
Percent of total intakes received that were facility self reported incidents (last three years):71
On-site complaint investigations (last three years):11
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 Rights13-Nov-038000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/18/2016CERTIFICATION2
2/27/2017CERTIFICATION/COMPLAINT2
3/13/2015CERTIFICATION2
4/4/2018CERTIFICATION/COMPLAINT2
5/11/2018CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG222/27/20174/25/2017
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
LSCCORRIDORS - CONSTRUCTION OF WALLS212/27/20174/26/2017
LSCLIFE SAFETY CODE STANDARD222/18/20164/6/2016
LSCLIFE SAFETY CODE STANDARD222/18/20164/6/2016
HealthCOMPREHENSIVE ASSESSMENTS122/18/20164/6/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS212/18/20164/6/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES212/18/20164/6/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES212/18/20164/6/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY213/13/20155/8/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES213/13/20155/8/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS213/13/20155/8/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE123/13/20155/8/2015
HealthRIGHT TO NOTICE BEFORE ROOM/ROOMMATE CHANGE213/13/20155/8/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES213/13/20155/8/2015
HealthNOT EMPLOY/ENGAGE STAFF W/ ADVERSE ACTIONS224/4/20186/1/2018
HealthPAIN MANAGEMENT214/4/20186/1/2018
HealthQUALITY OF CARE214/4/20186/1/2018
HealthREQUEST/REFUSE/DSCNTNUE TRMNT;FORMLTE ADV DIR214/4/20186/1/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER214/4/20186/1/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE224/4/20186/1/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/4/20186/1/2018
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENTS215/11/20186/29/2018
HealthFOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY235/11/20186/29/2018
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS225/11/20186/29/2018
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING215/11/20186/29/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER315/11/20186/29/2018
HealthACTIVITIES DAILY LIVING (ADLS)/MNTN ABILITIES215/11/20186/29/2018
HealthACTIVITIES MEET INTEREST/NEEDS EACH RESIDENT215/11/20186/29/2018
HealthCARE PLAN TIMING AND REVISION215/11/20186/29/2018
HealthDISPOSE GARBAGE AND REFUSE PROPERLY215/11/20186/29/2018