Elderwood at Cheektowaga

Elderwood at Cheektowaga

225 Bennett Road

Cheektowaga, NY 14227

(716) 681-9480

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: 60%

Occupancy Rate: 93%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain16.236553/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.524833/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine89.738433/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine87.547523/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.494563/1/2017
471Percentage of short-stay residents who made improvements in function69.187043/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased7.484406003/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain11.166908003/1/2017
403Percentage of high risk long-stay residents with pressure ulcers6.479480003/1/2017
404Percentage of long-stay residents who lose too much weight9.254499003/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder82.894735003/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.837471003/1/2017
407Percentage of long-stay residents with a urinary tract infection1.018331003/1/2017
408Percentage of long-stay residents who have depressive symptoms0.201208003/1/2017
409Percentage of long-stay residents who were physically restrained2.589641003/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury3.386452003/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine94.927535003/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine97.808765003/1/2017
419Percentage of long-stay residents who received an antipsychotic medication13.967611003/1/2017
451Percentage of long-stay residents whose ability to move independently worsened7.231799003/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication16.528927003/1/2017

Complaints

Number of Standard Health Deficiencies:24
Number of Live Safety Code Deficiencies:44
Number of Total Deficiencies:68
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):53
Intakes received per 100 occupied beds (last three years):33.2
Percent of total intakes received that were facility self reported incidents (last three years):75
On-site complaint investigations (last three years):18
Complaint investigations resulting in citations (last three years):5
Complaint investigations resulting in citations per 100 occupied beds (last three years):3.1
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:3
Complaint Citations in deficiency category: Resident Rights:2
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):5

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
11/6/2013Complaint2
4/5/2013Certification2
5/24/2016Certification2
5/9/2013Complaint1
6/23/2014Certification2
7/29/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2112/2/2013
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING213/20/2013
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES216/1/2013
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN216/1/2013
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN216/1/2013
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS216/1/2013
HealthPROPER CARE & SERVICES FOR RESIDENT W/ NASO-GASTRIC TUBE216/1/2013
HealthFACILITY IS FREE OF ACCIDENT HAZARDS216/1/2013
HealthFOOD PROPERLY PREPARED, PALATABLE, ETC.126/1/2013
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS226/1/2013
HealthDISPOSE GARBAGE AND REFUSE PROPERLY226/1/2013
LSCHAZARDOUS AREAS - SEPARATION226/1/2013
LSCSPRINKLER SYSTEM MAINTENANCE226/1/2013
LSCMEDICAL GAS SYSTEM226/1/2013
LSCHAZARDOUS AREAS - SEPARATION226/1/2013
LSCSPRINKLER SYSTEM MAINTENANCE226/1/2013
HealthRESIDENTS RIGHT TO BE FREE FROM ABUSE216/1/2013
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM217/14/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE217/14/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.217/14/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/21/2016
LSCTESTING OF FIRE ALARM227/21/2016
LSCGENERATORS INSPECTED/TESTED217/21/2016
LSCMEDICAL GAS SYSTEM227/21/2016
LSCSPACE HEATERS227/21/2016
LSCVENTILATING EQUIPMENT227/21/2016
LSCPORTABLE FIRE EXTINGUISHERS227/21/2016
LSCSPRINKLER SYSTEM MAINTENANCE227/21/2016
LSCTESTING OF FIRE ALARM227/21/2016
LSCEMERGENCY LIGHTING227/21/2016
LSCEXIT ACCESS227/21/2016
LSCHAZARDOUS AREAS - SEPARATION227/21/2016
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS217/21/2016
HealthLAB SERVICES ONLY WHEN ORDERED BY PHYSICIAN217/21/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN127/21/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS217/21/2016
LSCGENERATORS INSPECTED/TESTED217/21/2016
LSCDOORS IN FIRE AND SMOKE PARTITIONS228/18/2014
LSCSMOKE PARTITION CONSTRUCTION228/18/2014
LSCHAZARDOUS AREAS - SEPARATION228/18/2014
LSCAUTOMATIC SPRINKLER SYSTEM218/18/2014
LSCPORTABLE FIRE EXTINGUISHERS228/18/2014
LSCFURNISHING AND DECORATIONS228/18/2014
LSCGENERATORS INSPECTED/TESTED228/18/2014
LSCEMERGENCY PLAN228/18/2014
LSCHAZARDOUS AREAS - SEPARATION228/18/2014
LSCSTAIRS AND SMOKE PROOF TOWERS228/18/2014
LSCVENTILATING EQUIPMENT228/18/2014
LSCWASTEBASKETS228/18/2014
LSCGENERATORS INSPECTED/TESTED228/18/2014
LSCWASTEBASKETS228/18/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING219/23/2015
LSCEMERGENCY PLAN229/23/2015
LSCMEDICAL GAS SYSTEM229/23/2015
LSCPORTABLE FIRE EXTINGUISHERS229/23/2015
LSCSPRINKLER SYSTEM MAINTENANCE229/23/2015
LSCHAZARDOUS AREAS - SEPARATION229/23/2015
LSCEMERGENCY PLAN229/23/2015
LSCPORTABLE FIRE EXTINGUISHERS229/23/2015
LSCEXIT PARTITIONS229/23/2015
LSCSPRINKLER SYSTEM MAINTENANCE229/23/2015
LSCHAZARDOUS AREAS - SEPARATION229/23/2015
LSCSMOKE PARTITION CONSTRUCTION229/23/2015
LSCDOORS IN FIRE AND SMOKE PARTITIONS229/23/2015
LSCCONSTRUCTION TYPE219/23/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS219/23/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.219/23/2015
HealthSURVEY RESULTS READILY ACCESSIBLE TO RESIDENTS129/23/2015