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: 89%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain6.50005/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine93.65005/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.41005/1/2019
471Percentage of short-stay residents who made improvements in function65.81005/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased14.04005/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain7.08005/1/2019
404Percentage of long-stay residents who lose too much weight7.00005/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder91.05005/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.59005/1/2019
407Percentage of long-stay residents with a urinary tract infection1.21005/1/2019
408Percentage of long-stay residents who have depressive symptoms0.16005/1/2019
409Percentage of long-stay residents who were physically restrained1.81005/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury5.44005/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.09005/1/2019
419Percentage of long-stay residents who received an antipsychotic medication11.90005/1/2019
451Percentage of long-stay residents whose ability to move independently worsened21.95005/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication20.85005/1/2019

Complaints

Number of Standard Health Deficiencies:19
Number of Live Safety Code Deficiencies:12
Number of Total Deficiencies:31
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):52
Intakes received per 100 occupied beds (last three years):29.2
Percent of total intakes received that were facility self reported incidents (last three years):54
On-site complaint investigations (last three years):16
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
5/5/2015CERTIFICATION2
7/21/2016CERTIFICATION/COMPLAINT2
9/19/2017CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthEFFECTIVE ADMINISTRATION/RESIDENT WELL-BEING239/19/201711/10/2017
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE229/19/201711/10/2017
LSCGAS AND VACUUM PIPED SYSTEMS - INSPECTION AND219/19/201711/10/2017
LSCVERTICAL OPENINGS - ENCLOSURE229/19/201711/10/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS239/19/201711/9/2017
HealthCRIMINAL HISTORY RECORD CHECK PROCESS239/19/201711/9/2017
HealthDEPARTMENT CRIMINAL HISTORY REVIEW219/19/201711/9/2017
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR239/19/201711/9/2017
LSCSTAIRWAYS AND SMOKEPROOF ENCLOSURES229/19/201711/9/2017
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
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS215/5/20157/3/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY215/5/20157/3/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS215/5/20157/3/2015
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES125/5/20157/3/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING215/5/20157/3/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS215/5/20157/3/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/5/20157/3/2015
LSCLIFE SAFETY CODE STANDARD225/5/20157/3/2015
LSCLIFE SAFETY CODE STANDARD225/5/20157/3/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES127/21/20169/12/2016
HealthRELEASE RES INFO, SAFEGUARD CLINICAL RECORDS127/21/20169/12/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/12/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/12/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/12/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/12/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/12/2016
LSCLIFE SAFETY CODE STANDARD227/21/20169/12/2016