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 pain5.208312/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.456312/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine87.113412/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine85.230812/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.415512/1/2017
471Percentage of short-stay residents who made improvements in function66.064712/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased6.227112/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain3.034012/1/2017
403Percentage of high risk long-stay residents with pressure ulcers2.692312/1/2017
404Percentage of long-stay residents who lose too much weight5.223912/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder83.892612/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.769412/1/2017
407Percentage of long-stay residents with a urinary tract infection5.755412/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000012/1/2017
409Percentage of long-stay residents who were physically restrained0.714312/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.714312/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.324312/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.214312/1/2017
419Percentage of long-stay residents who received an antipsychotic medication8.856112/1/2017
451Percentage of long-stay residents whose ability to move independently worsened3.449312/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.828012/1/2017

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
7/26/2017Certification2
7/28/2014Certification2
8/5/2016Certification3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
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 STANDARD227/16/20159/11/2015
HealthRESIDENT CALL SYSTEM - ROOMS/TOILET/BATH227/16/20159/11/2015
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH217/16/20159/11/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD217/16/20159/11/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/16/20159/11/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/16/20159/11/2015
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES227/16/20159/11/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/16/20159/11/2015
LSCLIFE SAFETY CODE STANDARD217/16/20159/11/2015
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
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/28/20149/16/2014
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES217/28/20149/16/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY217/28/20149/16/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP217/28/20149/16/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES227/28/20149/16/2014
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY217/28/20149/16/2014
LSCLIFE SAFETY CODE STANDARD227/28/20149/16/2014
LSCLIFE SAFETY CODE STANDARD227/28/20149/16/2014
LSCLIFE SAFETY CODE STANDARD227/28/20149/16/2014
LSCLIFE SAFETY CODE STANDARD227/28/20149/16/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/28/20149/18/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS218/5/20169/23/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS318/5/20169/23/2016
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDERS218/5/20169/23/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON218/5/20169/23/2016
HealthRequirements Before Submitting a Request for128/5/20169/23/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY218/5/20169/23/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS218/5/20169/23/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN218/5/20169/23/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING228/5/20169/23/2016
LSCEgress Doors227/26/20179/24/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS127/26/20179/24/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/26/20179/24/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/26/20179/24/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES127/26/20179/24/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/26/20179/24/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/26/20179/24/2017
LSCElectrical Equipment - Power Cords and Extens227/26/20179/24/2017
LSCElevators227/26/20179/24/2017
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