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
2850 Grand Island Boulevard 31st Floor
Grand Island, NY 14072

Permanent Facility Identifier: 299

Operating Certificate: 1464302N

Medicaid Certified

Medicare Certified

Medicare Number: 335391

Statistics

Employee Flu Vaccination Rate: 0%

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 pain6.45002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.96002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine82.06002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine75.38002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.00002/1/2019
471Percentage of short-stay residents who made improvements in function57.29002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased6.91002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain2.03002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers2.88002/1/2019
404Percentage of long-stay residents who lose too much weight8.37002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder72.34002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.17002/1/2019
407Percentage of long-stay residents with a urinary tract infection1.86002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.39002/1/2019
409Percentage of long-stay residents who were physically restrained1.12002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.35002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.00002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine97.77002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication5.75002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened9.24002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.41002/1/2019

Complaints

Number of Standard Health Deficiencies:29
Number of Live Safety Code Deficiencies:18
Number of Total Deficiencies:47
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):51
Intakes received per 100 occupied beds (last three years):63.0
Percent of total intakes received that were facility self reported incidents (last three years):65
On-site complaint investigations (last three years):15
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: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:3
Complaint Citations across all deficiency categories (last three years):9

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
11/2/2018CERTIFICATION1
3/3/2015COMPLAINT2
7/16/2015CERTIFICATION/COMPLAINT2
7/26/2017CERTIFICATION/COMPLAINT2
8/5/2016CERTIFICATION/COMPLAINT3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthADMINISTRATION2311/2/2018
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES2311/2/2018
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/2/2018
HealthMENUS MEET RESIDENT NDS/PREP IN ADV/FOLLOWED2211/2/2018
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG2211/2/2018
LSCHAZARDOUS AREAS - ENCLOSURE2211/2/2018
LSCPOLICIES/PROCEDURES FOR SHELTERING IN PLACE1311/2/2018
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS1311/2/2018
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN218/5/201610/27/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION218/5/201610/27/2016
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES213/3/20154/15/2015
LSCLIFE SAFETY CODE STANDARD217/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD217/16/20159/11/2015
HealthRESIDENT CALL SYSTEM - ROOMS/TOILET/BATH227/16/20159/11/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD217/16/20159/11/2015
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH217/16/20159/11/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/16/20159/11/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/16/20159/11/2015
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES227/16/20159/11/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD217/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD227/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD227/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD227/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD227/16/20159/11/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING228/5/20169/23/2016
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR128/5/20169/23/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN218/5/20169/23/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS218/5/20169/23/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/5/20169/23/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY218/5/20169/23/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS318/5/20169/23/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON218/5/20169/23/2016
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDERS218/5/20169/23/2016
LSCEGRESS DOORS227/26/20179/24/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS127/26/20179/24/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/26/20179/24/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/26/20179/24/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES127/26/20179/24/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/26/20179/24/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/26/20179/24/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE227/26/20179/24/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE227/26/20179/24/2017
LSCPROTECTION - OTHER217/26/20179/24/2017
LSCELEVATORS227/26/20179/24/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS227/26/20179/24/2017