Elderwood at Williamsville

Elderwood at Williamsville

200 Bassett Road

Williamsville, NY 14221

7166896681

www.elderwood.com/location/elderwood-village-at-williamsville/

Services: Baseline Services, Ventilator Dependent

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:180
Transitional Care Unit:
Ventilator Dependent:20
Total Number of Beds:200

Administrative

Ownership: Proprietary--LLC

Operated by: 200 Bassett Road Operating Company, LLC
200 Bassett Road 31st Floor
Williamsville, NY 14221

Permanent Facility Identifier: 2815

Operating Certificate: 1421307N

Medicaid Certified

Medicare Certified

Medicare Number: 335326

Statistics

Employee Flu Vaccination Rate: 96%

Occupancy Rate: 94%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine95.400011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication1.760011/1/2019
471Percentage of short-stay residents who made improvements in function71.070011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased17.990011/1/2019
404Percentage of long-stay residents who lose too much weight9.570011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder89.350011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.750011/1/2019
407Percentage of long-stay residents with a urinary tract infection1.070011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.330011/1/2019
409Percentage of long-stay residents who were physically restrained1.230011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.060011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.850011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication9.950011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened23.240011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication18.700011/1/2019

Complaints

Number of Standard Health Deficiencies:12
Number of Live Safety Code Deficiencies:10
Number of Total Deficiencies:22
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):30.3
Percent of total intakes received that were facility self reported incidents (last three years):59
On-site complaint investigations (last three years):15
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
2/4/2019CERTIFICATION/COMPLAINT2
7/21/2016CERTIFICATION/COMPLAINT2
9/19/2017CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING232/4/201911/10/2017
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE222/4/201911/10/2017
LSCGAS AND VACUUM PIPED SYSTEMS - INSPECTION AND212/4/201911/10/2017
LSCVERTICAL OPENINGS - ENCLOSURE222/4/201911/10/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS232/4/201911/9/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS232/4/201911/9/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW212/4/201911/9/2017
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR232/4/201911/9/2017
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES222/4/201911/9/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS222/4/20193/29/2019
HealthDEPARTMENT CRIMINAL HISTORY REVIEW222/4/20193/29/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES222/4/20193/29/2019
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE212/4/20193/31/2019
HealthINCREASE/PREVENT DECREASE IN ROM/MOBILITY212/4/20193/31/2019
HealthHOUSEKEEPING & MAINTENANCE SERVICES122/4/20199/12/2016
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS122/4/20199/12/2016
LSCLIFE SAFETY CODE STANDARD222/4/20199/12/2016
LSCLIFE SAFETY CODE STANDARD222/4/20199/12/2016
LSCLIFE SAFETY CODE STANDARD222/4/20199/12/2016
LSCLIFE SAFETY CODE STANDARD222/4/20199/12/2016
LSCLIFE SAFETY CODE STANDARD222/4/20199/12/2016
LSCLIFE SAFETY CODE STANDARD222/4/20199/12/2016