Elderwood at Hamburg

Elderwood at Hamburg

5775 Maelou Drive

Hamburg, NY 14075

7166482820

www.elderwood.com/locations/lakewood.php

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:166
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:166

Administrative

Ownership: Proprietary--LLC

Operated by: 5775 Maelou Drive Operating Company, LLC
641 Lexington Avenue 31st Floor
New York, NY 10022

Permanent Facility Identifier: 3295

Operating Certificate: 1430303N

Medicaid Certified

Medicare Certified

Medicare Number: 335679

Statistics

Employee Flu Vaccination Rate: 44%

Occupancy Rate: 81.3%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain9.47004/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.95004/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine87.45004/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine83.17004/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication0.90004/1/2018
471Percentage of short-stay residents who made improvements in function53.13004/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased9.54004/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain1.95004/1/2018
403Percentage of high risk long-stay residents with pressure ulcers11.68004/1/2018
404Percentage of long-stay residents who lose too much weight5.09004/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder83.60004/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.61004/1/2018
407Percentage of long-stay residents with a urinary tract infection4.67004/1/2018
408Percentage of long-stay residents who have depressive symptoms0.22004/1/2018
409Percentage of long-stay residents who were physically restrained0.60004/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury2.01004/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.42004/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine90.34004/1/2018
419Percentage of long-stay residents who received an antipsychotic medication13.67004/1/2018
451Percentage of long-stay residents whose ability to move independently worsened18.68004/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication14.99004/1/2018

Complaints

Number of Standard Health Deficiencies:24
Number of Live Safety Code Deficiencies:22
Number of Total Deficiencies:46
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):33
Intakes received per 100 occupied beds (last three years):22.0
Percent of total intakes received that were facility self reported incidents (last three years):64
On-site complaint investigations (last three years):14
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):0.7
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
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:0
Complaint Citations across all deficiency categories (last three years):1

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
11/27/2001 0:00:00Quality of Care4/9/20042000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/15/2015Certification2
11/26/2014Certification2
12/18/2017Certification2
9/20/2016Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP119/20/2016
HealthAccuracy of Assessments1112/18/2017
HealthDepartment Criminal History Review2111/26/20141/25/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2111/26/20141/25/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS2111/26/20141/25/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2111/26/20141/25/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2111/26/20141/25/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2111/26/20141/25/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS2111/26/20141/25/2015
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON2111/26/20141/25/2015
LSCLIFE SAFETY CODE STANDARD2211/26/20141/25/2015
LSCLIFE SAFETY CODE STANDARD2111/26/20141/25/2015
LSCLIFE SAFETY CODE STANDARD2211/26/20141/25/2015
LSCLIFE SAFETY CODE STANDARD2211/26/20141/25/2015
LSCLIFE SAFETY CODE STANDARD2211/26/20141/25/2015
LSCCorridor - Doors2212/18/20171/29/2018
LSCBuilding Construction Type and Height2212/18/20171/5/2018
LSCAisle, Corridor, or Ramp Width2212/18/20171/5/2018
LSCLIFE SAFETY CODE STANDARD229/20/201610/14/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/20/201611/18/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN219/20/201611/18/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/20/201611/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES219/20/201611/18/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY229/20/201611/18/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS219/20/201611/18/2016
LSCLIFE SAFETY CODE STANDARD2311/26/201411/26/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/15/201512/14/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER2110/15/201512/14/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2110/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2310/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2210/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2110/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2210/15/201512/14/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS2110/15/201512/14/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2110/15/201512/14/2015
HealthADL Care Provided for Dependent Residents2112/18/20172/5/2018
HealthTreatment/Svcs to Prevent/Heal Pressure Ulcer2112/18/20172/5/2018
HealthRespiratory/Tracheostomy Care and Suctioning2112/18/20172/5/2018
HealthFree from Unnec Psychotropic Meds/PRN Use2112/18/20172/5/2018
HealthNutritive Value/Appear, Palatable/Prefer Temp2112/18/20172/5/2018
LSCDoors with Self-Closing Devices2112/18/20172/5/2018
LSCFire Alarm System - Testing and Maintenance2112/18/20172/5/2018
LSCElectrical Systems - Other2212/18/20172/5/2018
LSCElectrical Equipment - Power Cords and Extens2212/18/20172/5/2018
LSCGas Equipment - Cylinder and Container Storag2212/18/20172/5/2018
LSCLIFE SAFETY CODE STANDARD239/20/20169/28/2016
LSCLIFE SAFETY CODE STANDARD229/20/20169/28/2016
LSCLIFE SAFETY CODE STANDARD229/20/20169/28/2016