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
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 pain21.01002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.55002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine80.15002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine70.96002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.76002/1/2019
471Percentage of short-stay residents who made improvements in function69.82002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased14.98002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain14.59002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers10.66002/1/2019
404Percentage of long-stay residents who lose too much weight13.66002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder80.75002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.66002/1/2019
407Percentage of long-stay residents with a urinary tract infection0.85002/1/2019
408Percentage of long-stay residents who have depressive symptoms1.73002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.32002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine93.90002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine59.07002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication13.33002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened18.73002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.37002/1/2019

Complaints

Number of Standard Health Deficiencies:25
Number of Live Safety Code Deficiencies:32
Number of Total Deficiencies:57
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):51
Intakes received per 100 occupied beds (last three years):33.1
Percent of total intakes received that were facility self reported incidents (last three years):59
On-site complaint investigations (last three years):15
Complaint investigations resulting in citations (last three years):4
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.6
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:2
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):4

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/31/2017COMPLAINT2
11/30/2018CERTIFICATION/COMPLAINT1
5/24/2016CERTIFICATION/COMPLAINT2
5/31/2017CERTIFICATION/COMPLAINT2
7/29/2015CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/30/2018
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS211/31/20173/31/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)215/24/20167/14/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/24/20167/14/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/24/20167/14/2016
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 STANDARD215/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD215/24/20167/21/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP125/24/20167/21/2016
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
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCLIFE SAFETY CODE STANDARD225/24/20167/21/2016
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS225/31/20177/26/2017
LSCELECTRICAL SYSTEMS - OTHER225/31/20177/26/2017
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE215/31/20177/26/2017
LSCHAZARDOUS AREAS - ENCLOSURE215/31/20177/26/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING225/31/20177/26/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG225/31/20177/26/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/31/20177/26/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES125/31/20177/26/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS215/31/20177/26/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN NFS215/31/20177/26/2017
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
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE127/29/20159/23/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/29/20159/23/2015
LSCLIFE SAFETY CODE STANDARD227/29/20159/23/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/29/20159/23/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS217/29/20159/23/2015
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