Elderwood at Cheektowaga

Elderwood at Cheektowaga

225 Bennett Road

Cheektowaga, NY 14227

7166819480

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

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
225 Bennett Road 31st Floor
Cheektowaga, NY 14227

Permanent Facility Identifier: 4474

Operating Certificate: 1455303N

Medicaid Certified

Medicare Certified

Medicare Number: 335752

Statistics

Employee Flu Vaccination Rate: 73%

Occupancy Rate: 90%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain22.20005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine63.48005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.75005/1/2019
471Percentage of short-stay residents who made improvements in function64.25005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased13.36005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain15.50005/1/2019
404Percentage of long-stay residents who lose too much weight11.60005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder80.61005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.80005/1/2019
407Percentage of long-stay residents with a urinary tract infection0.84005/1/2019
408Percentage of long-stay residents who have depressive symptoms1.72005/1/2019
409Percentage of long-stay residents who were physically restrained0.00005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury1.48005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine50.63005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication12.47005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened15.31005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication9.23005/1/2019

Complaints

Number of Standard Health Deficiencies:26
Number of Live Safety Code Deficiencies:32
Number of Total Deficiencies:58
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):43
Intakes received per 100 occupied beds (last three years):27.7
Percent of total intakes received that were facility self reported incidents (last three years):49
On-site complaint investigations (last three years):15
Complaint investigations resulting in citations (last three years):5
Complaint investigations resulting in citations per 100 occupied beds (last three years):3.2
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:1
Complaint Citations across all deficiency categories (last three years):5

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/15/2019COMPLAINT2
1/31/2017COMPLAINT2
11/30/2018CERTIFICATION/COMPLAINT2
5/24/2016CERTIFICATION/COMPLAINT2
5/31/2017CERTIFICATION/COMPLAINT2
7/29/2015CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCELEVATORS2211/30/20181/25/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/30/20181/25/2019
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE2211/30/20181/25/2019
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION2211/30/20181/25/2019
HealthDIALYSIS2111/30/20181/25/2019
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES2111/30/20181/25/2019
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/30/20181/25/2019
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2111/30/20181/25/2019
HealthDEPARTMENT CRIMINAL HISTORY REVIEW2211/30/20181/25/2019
HealthRESIDENTS ARE FREE OF SIGNIFICANT MED ERRORS211/15/20192/15/2019
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
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/24/20167/21/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP125/24/20167/21/2016
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
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS215/24/20167/21/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS215/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD215/24/20167/21/2016
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN215/24/20167/21/2016
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
LSCELECTRICAL SYSTEMS - OTHER225/31/20177/26/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS215/31/20177/26/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/31/20177/26/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES125/31/20177/26/2017
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE215/31/20177/26/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/31/20177/26/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG225/31/20177/26/2017
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/29/20159/23/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/29/20159/23/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/29/20159/23/2015
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE127/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD217/29/20159/23/2015
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