Elderwood at Hamburg

Elderwood at Hamburg

5775 Maelou Drive

Hamburg, NY 14075

7166482820

www.elderwood.com/location/elderwood-at-hamburg/

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: 89%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine92.710011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.590011/1/2019
471Percentage of short-stay residents who made improvements in function52.460011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased21.990011/1/2019
404Percentage of long-stay residents who lose too much weight4.180011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder69.430011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.380011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.450011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.230011/1/2019
409Percentage of long-stay residents who were physically restrained0.450011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.900011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.760011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication8.920011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened9.020011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.390011/1/2019

Complaints

Number of Standard Health Deficiencies:19
Number of Live Safety Code Deficiencies:15
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):58
Intakes received per 100 occupied beds (last three years):38.1
Percent of total intakes received that were facility self reported incidents (last three years):71
On-site complaint investigations (last three years):21
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:1
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):1

Enforcements

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

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/11/2019COMPLAINT2
12/18/2017CERTIFICATION/COMPLAINT2
4/5/2019CERTIFICATION/COMPLAINT2
9/20/2016CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP114/5/2019.
HealthACCURACY OF ASSESSMENTS114/5/2019.
LSCCORRIDOR - DOORS224/5/20191/29/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT224/5/20191/5/2018
LSCAISLE, CORRIDOR, OR RAMP WIDTH224/5/20191/5/2018
LSCLIFE SAFETY CODE STANDARD224/5/201910/14/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES214/5/201911/15/2019
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN214/5/201911/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/5/201911/18/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/5/201911/18/2016
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY224/5/201911/18/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/5/201911/18/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/5/201911/18/2016
LSCDOORS WITH SELF-CLOSING DEVICES214/5/20192/5/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS224/5/20192/5/2018
LSCELECTRICAL SYSTEMS - OTHER224/5/20192/5/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE214/5/20192/5/2018
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG224/5/20192/5/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/5/20192/5/2018
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE214/5/20192/5/2018
HealthNUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP214/5/20192/5/2018
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING214/5/20192/5/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER214/5/20192/5/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT224/5/20194/23/2019
LSCAISLE, CORRIDOR, OR RAMP WIDTH224/5/20194/23/2019
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF124/5/20195/10/2019
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON224/5/20195/31/2019
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE224/5/20195/31/2019
HealthFREE OF MEDICATION ERROR RTS 5 PRCNT OR MORE214/5/20195/31/2019
HealthDEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN214/5/20195/31/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE224/5/20195/7/2019
LSCLIFE SAFETY CODE STANDARD224/5/20199/28/2016
LSCLIFE SAFETY CODE STANDARD224/5/20199/28/2016
LSCLIFE SAFETY CODE STANDARD234/5/20199/28/2016