Elderwood at Cheektowaga

Elderwood at Cheektowaga

225 Bennett Road

Cheektowaga, NY 14227

7166819480

www.elderwood.com/maplewood/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:172
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:172

Administrative

Ownership: Proprietary--LLC

Operated by: 225 Bennett Road Operating Company, LLC
641 Lexington Avenue 31st Floor
New York, NY 10022

Permanent Facility Identifier: 4474

Operating Certificate: 1455303N

Medicaid Certified

Medicare Certified

Medicare Number: 335752

Statistics

Employee Flu Vaccination Rate: 66%

Occupancy Rate: 90.1%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain22.79004/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.58004/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine84.73004/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine81.77004/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication0.27004/1/2018
471Percentage of short-stay residents who made improvements in function71.60004/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased10.78004/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain11.47004/1/2018
403Percentage of high risk long-stay residents with pressure ulcers8.83004/1/2018
404Percentage of long-stay residents who lose too much weight12.56004/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder80.40004/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.55004/1/2018
407Percentage of long-stay residents with a urinary tract infection0.61004/1/2018
408Percentage of long-stay residents who have depressive symptoms0.41004/1/2018
409Percentage of long-stay residents who were physically restrained0.99004/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury5.17004/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.52004/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine91.85004/1/2018
419Percentage of long-stay residents who received an antipsychotic medication13.31004/1/2018
451Percentage of long-stay residents whose ability to move independently worsened17.24004/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication16.70004/1/2018

Complaints

Number of Standard Health Deficiencies:18
Number of Live Safety Code Deficiencies:44
Number of Total Deficiencies:62
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):49
Intakes received per 100 occupied beds (last three years):31.2
Percent of total intakes received that were facility self reported incidents (last three years):61
On-site complaint investigations (last three years):11
Complaint investigations resulting in citations (last three years):4
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.5
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:3
Complaint Citations in deficiency category: Resident Rights:1
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):4

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/31/2017Complaint2
5/24/2016Certification2
5/31/2017Certification2
6/23/2014Certification2
7/29/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS211/31/20173/31/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/24/20167/14/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/24/20167/14/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/24/20167/14/2016
LSCLIFE SAFETY CODE STANDARD215/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD215/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/24/20167/21/2016
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN215/24/20167/21/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/24/20167/21/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/24/20167/21/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP125/24/20167/21/2016
LSCElectrical Systems - Other225/31/20177/26/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/31/20177/26/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES125/31/20177/26/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/31/20177/26/2017
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE215/31/20177/26/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS215/31/20177/26/2017
LSCHazardous Areas - Enclosure215/31/20177/26/2017
LSCSprinkler System - Maintenance and Testing225/31/20177/26/2017
LSCElectrical Equipment - Power Cords and Extens225/31/20177/26/2017
LSCGas Equipment - Cylinder and Container Storag225/31/20177/26/2017
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD216/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
LSCLIFE SAFETY CODE STANDARD226/23/20148/18/2014
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/29/20159/23/2015
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE127/29/20159/23/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD217/29/20159/23/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/29/20159/23/2015