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: 85.9%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain34.25009/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.60009/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine89.80009/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine90.98009/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication2.36009/1/2018
471Percentage of short-stay residents who made improvements in function53.11009/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased16.88009/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain9.02009/1/2018
403Percentage of high risk long-stay residents with pressure ulcers7.73009/1/2018
404Percentage of long-stay residents who lose too much weight8.84009/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder97.06009/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.54009/1/2018
407Percentage of long-stay residents with a urinary tract infection2.68009/1/2018
408Percentage of long-stay residents who have depressive symptoms0.00009/1/2018
409Percentage of long-stay residents who were physically restrained0.00009/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury3.45009/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.51009/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine90.42009/1/2018
419Percentage of long-stay residents who received an antipsychotic medication9.80009/1/2018
451Percentage of long-stay residents whose ability to move independently worsened28.80009/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.59009/1/2018

Complaints

Number of Standard Health Deficiencies:17
Number of Live Safety Code Deficiencies:7
Number of Total Deficiencies:24
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):46.7
Percent of total intakes received that were facility self reported incidents (last three years):64
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
4/4/2018Certification2

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
HealthRequest/Refuse/Dscntnue Trmnt;Formlte Adv Dir214/4/20186/1/2018
HealthNot Employ/Engage Staff w/ Adverse Actions224/4/20186/1/2018
HealthADL Care Provided for Dependent Residents214/4/20186/1/2018
HealthQuality of Care214/4/20186/1/2018
HealthTreatment/Svcs to Prevent/Heal Pressure Ulcer214/4/20186/1/2018
HealthPain Management214/4/20186/1/2018
LSCSubdivision of Building Spaces - Smoke Barrie224/4/20186/1/2018