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: 60%

Occupancy Rate: 86%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain15.4885600000000019/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.293629/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine87.999999/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine81.695219/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.262629/1/2017
471Percentage of short-stay residents who made improvements in function67.169349/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased8.613444009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain11.000289009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.249464009/1/2017
404Percentage of long-stay residents who lose too much weight8.808292009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder83.035713009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.269234009/1/2017
407Percentage of long-stay residents with a urinary tract infection1.226994009/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000000009/1/2017
409Percentage of long-stay residents who were physically restrained1.792827009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury3.585655009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.185186009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine96.613548009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication11.943318009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened10.469610009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.745304009/1/2017

Complaints

Number of Standard Health Deficiencies:19
Number of Live Safety Code Deficiencies:44
Number of Total Deficiencies:63
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):50
Intakes received per 100 occupied beds (last three years):31.5
Percent of total intakes received that were facility self reported incidents (last three years):64
On-site complaint investigations (last three years):12
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
1/31/2017Complaint2
11/6/2013Complaint2
5/24/2016Certification2
5/31/2017Certification2
6/23/2014Certification2
7/29/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/2/2013
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS213/31/2017
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS217/14/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/14/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS217/14/2016
LSCLIFE SAFETY CODE STANDARD217/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD217/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
LSCLIFE SAFETY CODE STANDARD227/21/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/21/2016
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN217/21/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/21/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS217/21/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP127/21/2016
LSCElectrical Systems - Other227/26/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS217/26/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES127/26/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/26/2017
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE217/26/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS217/26/2017
LSCHazardous Areas - Enclosure217/26/2017
LSCSprinkler System - Maintenance and Testing227/26/2017
LSCElectrical Equipment - Power Cords and Extens227/26/2017
LSCGas Equipment - Cylinder and Container Storag227/26/2017
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD218/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
LSCLIFE SAFETY CODE STANDARD228/18/2014
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE129/23/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD229/23/2015
LSCLIFE SAFETY CODE STANDARD219/23/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS219/23/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING219/23/2015