Elderwood at Grand Island

Elderwood at Grand Island

2850 Grand Island Blvd

Grand Island, NY 14072

7167735900

www.elderwood.com/riverwood/index.php

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:90
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:90

Administrative

Ownership: Proprietary--LLC

Operated by: 2850 Grand Island Boulevard Operating Company, LLC
641 Lexington Avenue 31st Floor
New York, NY 10022

Permanent Facility Identifier: 299

Operating Certificate: 1464302N

Medicaid Certified

Medicare Certified

Medicare Number: 335391

Statistics

Employee Flu Vaccination Rate: 40%

Occupancy Rate: 85%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain5.20810/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.45610/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine87.11310/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine85.23110/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.41510/1/2017
471Percentage of short-stay residents who made improvements in function66.06510/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased6.2271000010/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain3.0340000010/1/2017
403Percentage of high risk long-stay residents with pressure ulcers2.6923000010/1/2017
404Percentage of long-stay residents who lose too much weight5.2239000010/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder83.8926000010/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.7694000010/1/2017
407Percentage of long-stay residents with a urinary tract infection5.7554000010/1/2017
408Percentage of long-stay residents who have depressive symptoms0.0000000010/1/2017
409Percentage of long-stay residents who were physically restrained0.7143000010/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.7143000010/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.3243000010/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.2143000010/1/2017
419Percentage of long-stay residents who received an antipsychotic medication8.8561000010/1/2017
451Percentage of long-stay residents whose ability to move independently worsened3.4493000010/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.8280000010/1/2017

Complaints

Number of Standard Health Deficiencies:32
Number of Live Safety Code Deficiencies:18
Number of Total Deficiencies:50
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :2
Total intakes received (last three years):43
Intakes received per 100 occupied beds (last three years):53.1
Percent of total intakes received that were facility self reported incidents (last three years):72
On-site complaint investigations (last three years):18
Complaint investigations resulting in citations (last three years):9
Complaint investigations resulting in citations per 100 occupied beds (last three years):11.1
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:4
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:2
Complaint Citations across all deficiency categories (last three years):9

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
3/3/2015Complaint2
7/16/2015Certification2
7/26/2017Certification1
7/28/2014Certification2
8/5/2016Certification3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE21
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)21
HealthHOUSEKEEPING & MAINTENANCE SERVICES12
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING21
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS21
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS12
LSCElectrical Equipment - Power Cords and Extens22
LSCEgress Doors22
LSCProtection - Other21
LSCSubdivision of Building Spaces - Smoke Barrie22
LSCSubdivision of Building Spaces - Smoke Barrie22
LSCElevators22
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN2110/27/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION2110/27/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES214/15/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/11/2015
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH219/11/2015
HealthRESIDENT CALL SYSTEM - ROOMS/TOILET/BATH229/11/2015
LSCLIFE SAFETY CODE STANDARD229/11/2015
LSCLIFE SAFETY CODE STANDARD219/11/2015
LSCLIFE SAFETY CODE STANDARD219/11/2015
LSCLIFE SAFETY CODE STANDARD219/11/2015
LSCLIFE SAFETY CODE STANDARD229/11/2015
LSCLIFE SAFETY CODE STANDARD229/11/2015
LSCLIFE SAFETY CODE STANDARD229/11/2015
LSCLIFE SAFETY CODE STANDARD219/11/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/11/2015
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES229/11/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING219/11/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/11/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/16/2014
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES219/16/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY219/16/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/16/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES229/16/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY219/16/2014
LSCLIFE SAFETY CODE STANDARD229/16/2014
LSCLIFE SAFETY CODE STANDARD229/16/2014
LSCLIFE SAFETY CODE STANDARD229/16/2014
LSCLIFE SAFETY CODE STANDARD229/16/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/18/2014
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS319/23/2016
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDERS219/23/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON219/23/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY219/23/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS219/23/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN219/23/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING229/23/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/23/2016
HealthRequirements Before Submitting a Request for129/23/2016