Elderwood at Amherst

Elderwood at Amherst

4459 Bailey Ave

Amherst, NY 14226

(716) 835-2543

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: 89%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain30.578516/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.623216/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine89.603966/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine89.183226/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.746266/1/2017
471Percentage of short-stay residents who made improvements in function43.836386/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased18.110236006/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain9.637323006/1/2017
403Percentage of high risk long-stay residents with pressure ulcers3.004293006/1/2017
404Percentage of long-stay residents who lose too much weight2.985075006/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder98.550723006/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.541197006/1/2017
407Percentage of long-stay residents with a urinary tract infection1.107011006/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000000006/1/2017
409Percentage of long-stay residents who were physically restrained0.000000006/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury5.882353006/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine91.780821006/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine66.544118006/1/2017
419Percentage of long-stay residents who received an antipsychotic medication16.417909006/1/2017
451Percentage of long-stay residents whose ability to move independently worsened28.405434006/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication15.384616006/1/2017

Complaints

Number of Standard Health Deficiencies:13
Number of Live Safety Code Deficiencies:7
Number of Total Deficiencies:20
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):32
Intakes received per 100 occupied beds (last three years):38.1
Percent of total intakes received that were facility self reported incidents (last three years):63
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 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 citation corrected
LSC224/25/2017
LSC224/25/2017
LSC224/25/2017
HealthFACILITY PROVIDES DRUGS AND BIOLOGICALS214/25/2017
LSC214/26/2017
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS214/6/2016
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES214/6/2016
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES214/6/2016
HealthCOMPREHENSIVE ASSESSMENTS124/6/2016
LSCSTAIRWAY ENCLOSURES AND VERTICAL SHAFTS224/6/2016
LSCSMOKE PARTITION CONSTRUCTION224/6/2016
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS125/8/2015
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM215/8/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS215/8/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS215/8/2015
HealthRESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE215/8/2015
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES215/8/2015
LSCCOOKING EQUIPMENT226/2/2014
LSCSMOKE DETECTOR MAINTENANCE226/2/2014
LSCTESTING OF FIRE ALARM226/2/2014
LSCSMOKE PARTITION CONSTRUCTION226/2/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS226/2/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN216/2/2014
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES216/2/2014
LSCMEDICAL GAS SYSTEM226/2/2014