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
5775 Maelou Drive 31st Floor
Hamburg, NY 14075

Permanent Facility Identifier: 3295

Operating Certificate: 1430303N

Medicaid Certified

Medicare Certified

Medicare Number: 335679

Statistics

Employee Flu Vaccination Rate: 74%

Occupancy Rate: 81%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain9.62002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.76002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine82.12002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine79.10002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.54002/1/2019
471Percentage of short-stay residents who made improvements in function58.23002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased14.10002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain3.26002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers11.76002/1/2019
404Percentage of long-stay residents who lose too much weight4.77002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder84.29002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.80002/1/2019
407Percentage of long-stay residents with a urinary tract infection3.46002/1/2019
408Percentage of long-stay residents who have depressive symptoms0.23002/1/2019
409Percentage of long-stay residents who were physically restrained0.85002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.35002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine93.05002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine83.97002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication11.93002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened9.54002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication12.61002/1/2019

Complaints

Number of Standard Health Deficiencies:18
Number of Live Safety Code Deficiencies:16
Number of Total Deficiencies:34
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):42
Intakes received per 100 occupied beds (last three years):31.1
Percent of total intakes received that were facility self reported incidents (last three years):62
On-site complaint investigations (last three years):18
Complaint investigations resulting in citations (last three years):0
Complaint investigations resulting in citations per 100 occupied beds (last three years):0.0
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
Complaint Citations in deficiency category: Resident Rights:0
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):0

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
27-Nov-01Quality of Care9-Apr-042000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/15/2015CERTIFICATION/COMPLAINT2
12/18/2017CERTIFICATION/COMPLAINT2
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
LSCCORRIDOR - DOORS2212/18/20171/29/2018
LSCAISLE, CORRIDOR, OR RAMP WIDTH2212/18/20171/5/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT2212/18/20171/5/2018
LSCLIFE SAFETY CODE STANDARD229/20/201610/14/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/20/201611/18/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY229/20/201611/18/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS219/20/201611/18/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS219/20/201611/18/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN219/20/201611/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES219/20/201611/18/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2110/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2110/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2210/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2210/15/201512/14/2015
LSCLIFE SAFETY CODE STANDARD2310/15/201512/14/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2110/15/201512/14/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2110/15/201512/14/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS2110/15/201512/14/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER2110/15/201512/14/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/18/20172/5/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE2112/18/20172/5/2018
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP2112/18/20172/5/2018
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING2112/18/20172/5/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER2112/18/20172/5/2018
LSCDOORS WITH SELF-CLOSING DEVICES2112/18/20172/5/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS2212/18/20172/5/2018
LSCELECTRICAL SYSTEMS - OTHER2212/18/20172/5/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE2112/18/20172/5/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG2212/18/20172/5/2018
LSCLIFE SAFETY CODE STANDARD229/20/20169/28/2016
LSCLIFE SAFETY CODE STANDARD239/20/20169/28/2016
LSCLIFE SAFETY CODE STANDARD229/20/20169/28/2016