Elderwood at Hamburg
5775 Maelou Drive
Hamburg, NY 14075
7166482820
www.elderwood.com/location/elderwood-at-hamburg/Services: Baseline Services
Behavioral Intervention: | |
Pediatric: | |
Pediatric Ventilator Dependent: | |
Residential Health Care: | 166 |
Transitional Care Unit: | |
Ventilator Dependent: | |
Total Number of Beds: | 166 |
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
Employee Flu Vaccination Rate: 74%
Occupancy Rate: 83%
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
424 | Percentage of short-stay residents who self-report moderate to severe pain | 10.6000 | 5/1/2019 | |
430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4000 | 5/1/2019 | |
434 | Percentage of short-stay residents who newly received an antipsychotic medication | 2.2000 | 5/1/2019 | |
471 | Percentage of short-stay residents who made improvements in function | 57.0300 | 5/1/2019 |
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
401 | Percentage of long-stay residents whose need for help with daily activities has increased | 18.2000 | 5/1/2019 | |
402 | Percentage of long-stay residents who self-report moderate to severe pain | 4.6600 | 5/1/2019 | |
404 | Percentage of long-stay residents who lose too much weight | 5.3500 | 5/1/2019 | |
405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 81.4400 | 5/1/2019 | |
406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.4200 | 5/1/2019 | |
407 | Percentage of long-stay residents with a urinary tract infection | 1.7400 | 5/1/2019 | |
408 | Percentage of long-stay residents who have depressive symptoms | 0.2300 | 5/1/2019 | |
409 | Percentage of long-stay residents who were physically restrained | 0.8700 | 5/1/2019 | |
410 | Percentage of long-stay residents experiencing one or more falls with major injury | 3.0300 | 5/1/2019 | |
415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.8000 | 5/1/2019 | |
419 | Percentage of long-stay residents who received an antipsychotic medication | 11.4500 | 5/1/2019 | |
451 | Percentage of long-stay residents whose ability to move independently worsened | 9.0000 | 5/1/2019 | |
452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.7300 | 5/1/2019 |
Number of Standard Health Deficiencies: | 23 |
Number of Live Safety Code Deficiencies: | 19 |
Number of Total Deficiencies: | 42 |
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): | 49 |
Intakes received per 100 occupied beds (last three years): | 35.8 |
Percent of total intakes received that were facility self reported incidents (last three years): | 65 |
On-site complaint investigations (last three years): | 19 |
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 |
Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
---|---|---|---|
27-Nov-01 | Quality of Care | 9-Apr-04 | 2000 |
Initial Survey Date | Survey Type | Total Visits Required |
---|---|---|
10/15/2015 | CERTIFICATION/COMPLAINT | 2 |
12/18/2017 | CERTIFICATION/COMPLAINT | 2 |
4/5/2019 | CERTIFICATION/COMPLAINT | 1 |
9/20/2016 | CERTIFICATION | 2 |
Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
---|---|---|---|---|---|
Health | DEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN | 2 | 1 | 4/5/2019 | |
Health | DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON | 2 | 2 | 4/5/2019 | |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 2 | 4/5/2019 | |
Health | FREE OF MEDICATION ERROR RTS 5 PRCNT OR MORE | 2 | 1 | 4/5/2019 | |
Health | RESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF | 1 | 2 | 4/5/2019 | |
LSC | AISLE, CORRIDOR, OR RAMP WIDTH | 2 | 2 | 4/5/2019 | |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 4/5/2019 | |
LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 4/5/2019 | |
Health | RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP | 1 | 1 | 9/20/2016 | |
Health | ACCURACY OF ASSESSMENTS | 1 | 1 | 12/18/2017 | |
LSC | CORRIDOR - DOORS | 2 | 2 | 12/18/2017 | 1/29/2018 |
LSC | AISLE, CORRIDOR, OR RAMP WIDTH | 2 | 2 | 12/18/2017 | 1/5/2018 |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 12/18/2017 | 1/5/2018 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 9/20/2016 | 10/14/2016 |
Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 2 | 9/20/2016 | 11/18/2016 |
Health | INFECTION CONTROL, PREVENT SPREAD, LINENS | 2 | 1 | 9/20/2016 | 11/18/2016 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 9/20/2016 | 11/18/2016 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 9/20/2016 | 11/18/2016 |
Health | SERVICES BY QUALIFIED PERSONS/PER CARE PLAN | 2 | 1 | 9/20/2016 | 11/18/2016 |
Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES | 2 | 1 | 9/20/2016 | 11/18/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 10/15/2015 | 12/14/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 3 | 10/15/2015 | 12/14/2015 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 10/15/2015 | 12/14/2015 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 10/15/2015 | 12/14/2015 |
Health | INFECTION CONTROL, PREVENT SPREAD, LINENS | 2 | 1 | 10/15/2015 | 12/14/2015 |
Health | NO CATHETER, PREVENT UTI, RESTORE BLADDER | 2 | 1 | 10/15/2015 | 12/14/2015 |
Health | SERVICES BY QUALIFIED PERSONS/PER CARE PLAN | 2 | 1 | 10/15/2015 | 12/14/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 1 | 10/15/2015 | 12/14/2015 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 10/15/2015 | 12/14/2015 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 12/18/2017 | 2/5/2018 |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 12/18/2017 | 2/5/2018 |
Health | RESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING | 2 | 1 | 12/18/2017 | 2/5/2018 |
Health | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER | 2 | 1 | 12/18/2017 | 2/5/2018 |
Health | NUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP | 2 | 1 | 12/18/2017 | 2/5/2018 |
LSC | DOORS WITH SELF-CLOSING DEVICES | 2 | 1 | 12/18/2017 | 2/5/2018 |
LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 12/18/2017 | 2/5/2018 |
LSC | ELECTRICAL SYSTEMS - OTHER | 2 | 2 | 12/18/2017 | 2/5/2018 |
LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 1 | 12/18/2017 | 2/5/2018 |
LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 12/18/2017 | 2/5/2018 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 9/20/2016 | 9/28/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 3 | 9/20/2016 | 9/28/2016 |
LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 9/20/2016 | 9/28/2016 |