Elderwood at Lancaster
1818 Como Park Blvd
Lancaster, NY 14086
7166836165
www.elderwood.com/location/elderwood-at-lancaster/Services: Baseline Services
| Behavioral Intervention: | |
| Pediatric: | |
| Pediatric Ventilator Dependent: | |
| Residential Health Care: | 96 |
| Transitional Care Unit: | |
| Ventilator Dependent: | |
| Total Number of Beds: | 96 |
Ownership: Proprietary--LLC
Operated by: 1818 Como Park Boulevard Operating Company, LLC
1818 Como Park Boulevard 31st Floor
Lancaster, NY 14086
Permanent Facility Identifier: 272
Operating Certificate: 1406303N
Medicaid Certified
Medicare Certified
Medicare Number: 335577
Employee Flu Vaccination Rate: 95%
Occupancy Rate: 94%
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 424 | Percentage of short-stay residents who self-report moderate to severe pain | 8.3500 | 5/1/2019 | |
| 430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1200 | 5/1/2019 | |
| 434 | Percentage of short-stay residents who newly received an antipsychotic medication | 0.6000 | 5/1/2019 | |
| 471 | Percentage of short-stay residents who made improvements in function | 80.0100 | 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 | 12.9000 | 5/1/2019 | |
| 402 | Percentage of long-stay residents who self-report moderate to severe pain | 1.6500 | 5/1/2019 | |
| 404 | Percentage of long-stay residents who lose too much weight | 2.7400 | 5/1/2019 | |
| 405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 72.2200 | 5/1/2019 | |
| 406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5700 | 5/1/2019 | |
| 407 | Percentage of long-stay residents with a urinary tract infection | 4.7600 | 5/1/2019 | |
| 408 | Percentage of long-stay residents who have depressive symptoms | 0.0000 | 5/1/2019 | |
| 409 | Percentage of long-stay residents who were physically restrained | 0.0000 | 5/1/2019 | |
| 410 | Percentage of long-stay residents experiencing one or more falls with major injury | 1.0200 | 5/1/2019 | |
| 415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0000 | 5/1/2019 | |
| 419 | Percentage of long-stay residents who received an antipsychotic medication | 7.8800 | 5/1/2019 | |
| 451 | Percentage of long-stay residents whose ability to move independently worsened | 19.2600 | 5/1/2019 | |
| 452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.4400 | 5/1/2019 |
| Number of Standard Health Deficiencies: | 6 |
| Number of Live Safety Code Deficiencies: | 5 |
| Number of Total Deficiencies: | 11 |
| 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): | 21 |
| Intakes received per 100 occupied beds (last three years): | 23.3 |
| Percent of total intakes received that were facility self reported incidents (last three years): | 71 |
| On-site complaint investigations (last three years): | 8 |
| 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 |
|---|
| Initial Survey Date | Survey Type | Total Visits Required |
|---|---|---|
| 1/8/2019 | CERTIFICATION | 2 |
| 10/26/2017 | CERTIFICATION | 1 |
| 5/13/2015 | CERTIFICATION | 2 |
| 7/5/2016 | CERTIFICATION/COMPLAINT | 2 |
| 8/29/2017 | CERTIFICATION/COMPLAINT | 1 |
| Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
|---|---|---|---|---|---|
| Health | DEPARTMENT CRIMINAL HISTORY REVIEW | 2 | 1 | 1/8/2019 | 3/1/2019 |
| Health | MENUS MEET RESIDENT NDS/PREP IN ADV/FOLLOWED | 2 | 1 | 1/8/2019 | 3/1/2019 |
| Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 5/13/2015 | 7/10/2015 |
| Health | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 1 | 5/13/2015 | 7/10/2015 |
| Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 2 | 1 | 5/13/2015 | 7/10/2015 |
| Health | PASRR REQUIREMENTS FOR MI & MR | 2 | 1 | 5/13/2015 | 7/10/2015 |
| LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/13/2015 | 7/10/2015 |
| LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/13/2015 | 7/10/2015 |
| LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 5/13/2015 | 7/10/2015 |
| LSC | LIFE SAFETY CODE STANDARD | 2 | 1 | 7/5/2016 | 9/2/2016 |
| LSC | LIFE SAFETY CODE STANDARD | 2 | 2 | 7/5/2016 | 9/2/2016 |
