Elderwood at Lancaster

Elderwood at Lancaster

1818 Como Park Blvd

Lancaster, NY 14086

(716) 683-6165

www.elderwood.com/locations/linwood.php

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:96
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:96

Administrative

Ownership: Proprietary--LLC

Operated by: 1818 Como Park Boulevard Operating Company, LLC
641 Lexington Avenue 31st Floor
New York, NY 10022

Permanent Facility Identifier: 272

Operating Certificate: 1406303N

Medicaid Certified

Medicare Certified

Medicare Number: 335577

Statistics

Employee Flu Vaccination Rate: 20%

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 pain18.647544/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.241174/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine95.088414/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.255124/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.972974/1/2017
471Percentage of short-stay residents who made improvements in function70.240234/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased10.566037004/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain8.431784004/1/2017
403Percentage of high risk long-stay residents with pressure ulcers1.793721004/1/2017
404Percentage of long-stay residents who lose too much weight3.930128004/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder69.047621004/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.528068004/1/2017
407Percentage of long-stay residents with a urinary tract infection1.470589004/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000000004/1/2017
409Percentage of long-stay residents who were physically restrained0.000000004/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury1.102941004/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.041534004/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000000004/1/2017
419Percentage of long-stay residents who received an antipsychotic medication15.298507004/1/2017
451Percentage of long-stay residents whose ability to move independently worsened11.700527004/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication19.629630004/1/2017

Complaints

Number of Standard Health Deficiencies:12
Number of Live Safety Code Deficiencies:12
Number of Total Deficiencies:24
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):36
Intakes received per 100 occupied beds (last three years):41.4
Percent of total intakes received that were facility self reported incidents (last three years):75
On-site complaint investigations (last three years):12
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

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
5/13/2015Certification2
5/14/2013Certification2
7/28/2014Certification2
7/5/2016Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
LSCEMERGENCY PLAN227/10/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE217/10/2015
HealthDIGNITY217/10/2015
HealthPASARR REQUIREMENTS FOR MI AND MR217/10/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/10/2015
LSCCORRIDOR WALLS227/10/2015
LSCMEDICAL GAS SYSTEM227/10/2015
LSCDOORS IN FIRE AND SMOKE PARTITIONS227/12/2013
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS227/12/2013
HealthFACILITY IS FREE OF ACCIDENT HAZARDS217/12/2013
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING217/12/2013
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN217/12/2013
LSCCORRIDOR DOORS229/2/2016
LSCDOORS IN SMOKE PARTITIONS219/2/2016
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES219/26/2014
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN219/26/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING219/26/2014
HealthFACILITY IS FREE OF ACCIDENT HAZARDS229/26/2014
LSCHAZARDOUS AREAS - SEPARATION229/26/2014
LSCFIRE DRILLS229/26/2014
LSCTESTING OF FIRE ALARM229/26/2014
LSCPORTABLE FIRE EXTINGUISHERS229/26/2014
LSCGENERATORS INSPECTED/TESTED229/26/2014
LSCEMERGENCY PLAN229/26/2014