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 Code	Measure Description	Average Score	Processing Date
424	Percentage of short-stay residents who self-report moderate to severe pain	18.64754	4/1/2017
425	Percentage of short-stay residents with pressure ulcers that are new or worsened	0.24117	4/1/2017
426	Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.08841	4/1/2017
430	Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.25512	4/1/2017
434	Percentage of short-stay residents who newly received an antipsychotic medication	2.97297	4/1/2017
471	Percentage of short-stay residents who made improvements in function	70.24023	4/1/2017

Nursing Home CMS Quality (Long Stay)

Measure Code	Measure Description	Average Score	Processing Date
401	Percentage of long-stay residents whose need for help with daily activities has increased	10.56603700	4/1/2017
402	Percentage of long-stay residents who self-report moderate to severe pain	8.43178400	4/1/2017
403	Percentage of high risk long-stay residents with pressure ulcers	1.79372100	4/1/2017
404	Percentage of long-stay residents who lose too much weight	3.93012800	4/1/2017
405	Percentage of low risk long-stay residents who lose control of their bowels or bladder	69.04762100	4/1/2017
406	Percentage of long-stay residents with a catheter inserted and left in their bladder	1.52806800	4/1/2017
407	Percentage of long-stay residents with a urinary tract infection	1.47058900	4/1/2017
408	Percentage of long-stay residents who have depressive symptoms	0.00000000	4/1/2017
409	Percentage of long-stay residents who were physically restrained	0.00000000	4/1/2017
410	Percentage of long-stay residents experiencing one or more falls with major injury	1.10294100	4/1/2017
411	Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.04153400	4/1/2017
415	Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.00000000	4/1/2017
419	Percentage of long-stay residents who received an antipsychotic medication	15.29850700	4/1/2017
451	Percentage of long-stay residents whose ability to move independently worsened	11.70052700	4/1/2017
452	Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.62963000	4/1/2017

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 Date	Deficiency Category	Stipulation Date	Fine Assessed

Surveys

Initial Survey Date	Survey Type	Total Visits Required
5/13/2015	Certification	2
5/14/2013	Certification	2
7/28/2014	Certification	2
7/5/2016	Certification	2

Citations

Inspection Type	Deficiency	Severity	Residents Affected	Date citation corrected
LSC	EMERGENCY PLAN	2	2	7/10/2015
Health	NOT EMPLOY PERSONS GUILTY OF ABUSE	2	1	7/10/2015
Health	DIGNITY	2	1	7/10/2015
Health	PASARR REQUIREMENTS FOR MI AND MR	2	1	7/10/2015
Health	ADL CARE PROVIDED FOR DEPENDENT RESIDENTS	2	1	7/10/2015
LSC	CORRIDOR WALLS	2	2	7/10/2015
LSC	MEDICAL GAS SYSTEM	2	2	7/10/2015
LSC	DOORS IN FIRE AND SMOKE PARTITIONS	2	2	7/12/2013
Health	STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS	2	2	7/12/2013
Health	FACILITY IS FREE OF ACCIDENT HAZARDS	2	1	7/12/2013
Health	PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING	2	1	7/12/2013
Health	SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN	2	1	7/12/2013
LSC	CORRIDOR DOORS	2	2	9/2/2016
LSC	DOORS IN SMOKE PARTITIONS	2	1	9/2/2016
Health	RIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES	2	1	9/26/2014
Health	SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN	2	1	9/26/2014
Health	PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING	2	1	9/26/2014
Health	FACILITY IS FREE OF ACCIDENT HAZARDS	2	2	9/26/2014
LSC	HAZARDOUS AREAS - SEPARATION	2	2	9/26/2014
LSC	FIRE DRILLS	2	2	9/26/2014
LSC	TESTING OF FIRE ALARM	2	2	9/26/2014
LSC	PORTABLE FIRE EXTINGUISHERS	2	2	9/26/2014
LSC	GENERATORS INSPECTED/TESTED	2	2	9/26/2014
LSC	EMERGENCY PLAN	2	2	9/26/2014