Elderwood at Amherst

Elderwood at Amherst

4459 Bailey Ave

Amherst, NY 14226

7168352543

www.elderwood.com/location/elderwood-at-amherst/

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: 92%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain25.83005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine91.29005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.41005/1/2019
471Percentage of short-stay residents who made improvements in function54.54005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased19.03005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain10.13005/1/2019
404Percentage of long-stay residents who lose too much weight7.50005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder100.00005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.14005/1/2019
407Percentage of long-stay residents with a urinary tract infection1.18005/1/2019
408Percentage of long-stay residents who have depressive symptoms0.00005/1/2019
409Percentage of long-stay residents who were physically restrained0.00005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.91005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine96.09005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication7.97005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened25.00005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.69005/1/2019

Complaints

Number of Standard Health Deficiencies:21
Number of Live Safety Code Deficiencies:7
Number of Total Deficiencies:28
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :4
Total intakes received (last three years):51
Intakes received per 100 occupied beds (last three years):60.0
Percent of total intakes received that were facility self reported incidents (last three years):67
On-site complaint investigations (last three years):13
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):1.2
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:1
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):1

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Resident Rights13-Nov-038000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/18/2016CERTIFICATION2
2/27/2017CERTIFICATION/COMPLAINT2
3/5/2019COMPLAINT1
4/4/2018CERTIFICATION/COMPLAINT2
5/11/2018CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNUTRITION/HYDRATION STATUS MAINTENANCE213/5/2019
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH212/27/20174/25/2017
LSCEGRESS DOORS222/27/20174/25/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG222/27/20174/25/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE222/27/20174/25/2017
LSCCORRIDORS - CONSTRUCTION OF WALLS212/27/20174/26/2017
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
LSCLIFE SAFETY CODE STANDARD222/18/20164/6/2016
LSCLIFE SAFETY CODE STANDARD222/18/20164/6/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/4/20186/1/2018
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
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
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