Elderwood at Grand Island

Elderwood at Grand Island

2850 Grand Island Blvd

Grand Island, NY 14072

(716) 773-5900

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: 93%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain2.981034/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened2.693594/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine86.516854/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine93.317974/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.158274/1/2017
471Percentage of short-stay residents who made improvements in function52.764954/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased7.539683004/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain1.220326004/1/2017
403Percentage of high risk long-stay residents with pressure ulcers3.278689004/1/2017
404Percentage of long-stay residents who lose too much weight6.024096004/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder83.193278004/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.082902004/1/2017
407Percentage of long-stay residents with a urinary tract infection2.307694004/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000000004/1/2017
409Percentage of long-stay residents who were physically restrained0.757578004/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.754716004/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.281787004/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000000004/1/2017
419Percentage of long-stay residents who received an antipsychotic medication12.252964004/1/2017
451Percentage of long-stay residents whose ability to move independently worsened7.261656004/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.038610004/1/2017

Complaints

Number of Standard Health Deficiencies:30
Number of Live Safety Code Deficiencies:12
Number of Total Deficiencies:42
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):38
Intakes received per 100 occupied beds (last three years):47.0
Percent of total intakes received that were facility self reported incidents (last three years):74
On-site complaint investigations (last three years):14
Complaint investigations resulting in citations (last three years):6
Complaint investigations resulting in citations per 100 occupied beds (last three years):7.4
Complaint Citations in deficiency category: Administration:0
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:2
Complaint Citations across all deficiency categories (last three years):6

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
3/3/2015Complaint2
5/7/2013Certification2
7/16/2015Certification2
7/28/2014Certification2
8/5/2016Certification3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthRANGE OF MOTION TREATMENT AND SERVICES2110/27/2016
HealthLAB SERVICES ONLY WHEN ORDERED BY PHYSICIAN2110/27/2016
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES214/15/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS227/5/2013
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS217/5/2013
HealthFACILITY PROVIDES SUFFICIENT FLUID INTAKE217/5/2013
HealthDEVELOP COMPREHENSIVE CARE PLANS217/5/2013
HealthFACILITY IS FREE OF ACCIDENT HAZARDS219/11/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/11/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING219/11/2015
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT229/11/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.219/11/2015
HealthFACILITY PROVIDES DRUGS AND BIOLOGICALS219/11/2015
HealthRESIDENT CALL SYSTEM229/11/2015
LSCSMOKE PARTITION CONSTRUCTION229/11/2015
LSCSTAIRS AND SMOKE PROOF TOWERS219/11/2015
LSCEXIT ACCESS219/11/2015
LSCFIRE DRILLS229/11/2015
LSCSPRINKLER SYSTEM MAINTENANCE229/11/2015
LSCEXISTING ELEVATOR REQUIREMENTS229/11/2015
LSCHAZARDOUS AREAS - SEPARATION219/11/2015
LSCDOORS IN SMOKE PARTITIONS219/11/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.219/16/2014
HealthDIGNITY219/16/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN219/16/2014
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES229/16/2014
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS219/16/2014
LSCSMOKE PARTITION CONSTRUCTION229/16/2014
LSCDOORS IN SMOKE PARTITIONS229/16/2014
LSCHAZARDOUS AREAS - SEPARATION229/16/2014
LSCEMERGENCY PLAN229/16/2014
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT219/16/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/18/2014
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS319/23/2016
HealthPHYSICIAN RESPONSIBILITIES DURING VISITS219/23/2016
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST219/23/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/23/2016
HealthCRIMINAL HISTORY RECORD CHECK SUBJECT'S SIGNED INFORMED CONSENT REQUIRED129/23/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING229/23/2016
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN219/23/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS219/23/2016
HealthDIGNITY219/23/2016