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: 40%

Occupancy Rate: 88%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain8.333339/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.978349/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine78.161889/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine90.373279/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication1.463419/1/2017
471Percentage of short-stay residents who made improvements in function52.076369/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased9.347825009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain4.608427009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers10.961968009/1/2017
404Percentage of long-stay residents who lose too much weight5.263159009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder92.165901009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.665657009/1/2017
407Percentage of long-stay residents with a urinary tract infection5.684208009/1/2017
408Percentage of long-stay residents who have depressive symptoms0.462962009/1/2017
409Percentage of long-stay residents who were physically restrained0.000000009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.310921009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine91.446029009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.378149009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication11.940298009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened13.143377009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication15.665235009/1/2017

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):26
Intakes received per 100 occupied beds (last three years):17.2
Percent of total intakes received that were facility self reported incidents (last three years):65
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 Care380862000

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
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP11
HealthDepartment Criminal History Review211/25/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)211/25/2015
HealthDEVELOP COMPREHENSIVE CARE PLANS211/25/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING211/25/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES211/25/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES211/25/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS211/25/2015
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON211/25/2015
LSCLIFE SAFETY CODE STANDARD221/25/2015
LSCLIFE SAFETY CODE STANDARD211/25/2015
LSCLIFE SAFETY CODE STANDARD221/25/2015
LSCLIFE SAFETY CODE STANDARD221/25/2015
LSCLIFE SAFETY CODE STANDARD221/25/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP211/3/2014
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS211/3/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE211/3/2014
LSCLIFE SAFETY CODE STANDARD231/4/2014
LSCLIFE SAFETY CODE STANDARD221/4/2014
LSCLIFE SAFETY CODE STANDARD221/4/2014
LSCLIFE SAFETY CODE STANDARD2210/14/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS2111/18/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2111/18/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES2111/18/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2211/18/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS2111/18/2016
LSCLIFE SAFETY CODE STANDARD2311/26/2014
LSCLIFE SAFETY CODE STANDARD2212/14/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN2112/14/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2112/14/2015
HealthNO CATHETER, PREVENT UTI, RESTORE BLADDER2112/14/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES2112/14/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS2112/14/2015
LSCLIFE SAFETY CODE STANDARD2312/14/2015
LSCLIFE SAFETY CODE STANDARD2212/14/2015
LSCLIFE SAFETY CODE STANDARD2112/14/2015
LSCLIFE SAFETY CODE STANDARD229/28/2016
LSCLIFE SAFETY CODE STANDARD239/28/2016
LSCLIFE SAFETY CODE STANDARD229/28/2016