Elderwood at Hamburg

Elderwood at Hamburg

5775 Maelou Drive

Hamburg, NY 14075

(716) 648-2820

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: 40%

Occupancy Rate: 91%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain12.984494/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.534174/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine79.282214/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine94.397284/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.046344/1/2017
471Percentage of short-stay residents who made improvements in function51.418714/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased9.777778004/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain4.171610004/1/2017
403Percentage of high risk long-stay residents with pressure ulcers7.239818004/1/2017
404Percentage of long-stay residents who lose too much weight4.148472004/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder87.709497004/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder4.806874004/1/2017
407Percentage of long-stay residents with a urinary tract infection8.078603004/1/2017
408Percentage of long-stay residents who have depressive symptoms0.476189004/1/2017
409Percentage of long-stay residents who were physically restrained0.000000004/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury3.267973004/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine91.428571004/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.692810004/1/2017
419Percentage of long-stay residents who received an antipsychotic medication11.725664004/1/2017
451Percentage of long-stay residents whose ability to move independently worsened6.349487004/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.362638004/1/2017

Complaints

Number of Standard Health Deficiencies:22
Number of Live Safety Code Deficiencies:17
Number of Total Deficiencies:39
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):21
Intakes received per 100 occupied beds (last three years):13.8
Percent of total intakes received that were facility self reported incidents (last three years):52
On-site complaint investigations (last three years):11
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
11/4/2013Certification2
9/20/2016Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN11
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED211/25/2015
LSCCORRIDOR WIDTH221/25/2015
LSCMEDICAL GAS SYSTEM221/25/2015
LSCSPRINKLER SYSTEM MAINTENANCE221/25/2015
LSCAUTOMATIC SPRINKLER SYSTEM211/25/2015
LSCHAZARDOUS AREAS - SEPARATION221/25/2015
HealthRESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST211/25/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS211/25/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS211/25/2015
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES211/25/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING211/25/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS211/25/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.211/25/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS211/3/2014
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS211/3/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN211/3/2014
LSCCONSTRUCTION TYPE231/4/2014
LSCHAZARDOUS AREAS - SEPARATION221/4/2014
LSCCORRIDOR WIDTH221/4/2014
LSCEMERGENCY PLAN2210/14/2016
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2111/18/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/18/2016
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES2111/18/2016
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS2211/18/2016
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM2111/18/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE2111/18/2016
LSCCONSTRUCTION TYPE2311/26/2014
LSCCORRIDOR WIDTH2212/14/2015
LSCAUTOMATIC SPRINKLER SYSTEM2112/14/2015
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2112/14/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/14/2015
HealthRESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE2112/14/2015
HealthFACILITY IS FREE OF ACCIDENT HAZARDS2112/14/2015
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM2112/14/2015
LSCCONSTRUCTION TYPE2312/14/2015
LSCCORRIDOR DOORS2212/14/2015
LSCCONSTRUCTION TYPE239/28/2016
LSCMEDICAL GAS SYSTEM229/28/2016
LSCCORRIDOR WIDTH229/28/2016