Fiddlers Green Manor Rehabilitation and Nursing Center

Fiddlers Green Manor Rehabilitation and Nursing Center

168 West Main Street

Springville , NY 14141

7165924781

www.fiddlersgreenmanor.com/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:82
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:82

Administrative

Ownership: Proprietary--LLC

Operated by: JSSG Healthcare, LLC
255 Warner Avenue
Roslyn Heights, NY 11577

Permanent Facility Identifier: 282

Operating Certificate: 1427303N

Medicaid Certified

Medicare Certified

Medicare Number: 335457

Statistics

Employee Flu Vaccination Rate: 53%

Occupancy Rate: 92.7%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain26.87009/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened0.00009/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine95.34009/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine95.10009/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication0.00009/1/2018
471Percentage of short-stay residents who made improvements in function55.76009/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased13.92009/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain7.76009/1/2018
403Percentage of high risk long-stay residents with pressure ulcers12.88009/1/2018
404Percentage of long-stay residents who lose too much weight5.86009/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder36.75009/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.27009/1/2018
407Percentage of long-stay residents with a urinary tract infection1.56009/1/2018
408Percentage of long-stay residents who have depressive symptoms2.46009/1/2018
409Percentage of long-stay residents who were physically restrained1.17009/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury2.73009/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.00009/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.00009/1/2018
419Percentage of long-stay residents who received an antipsychotic medication15.53009/1/2018
451Percentage of long-stay residents whose ability to move independently worsened27.46009/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication28.85009/1/2018

Complaints

Number of Standard Health Deficiencies:51
Number of Live Safety Code Deficiencies:21
Number of Total Deficiencies:72
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):74
Intakes received per 100 occupied beds (last three years):101.3
Percent of total intakes received that were facility self reported incidents (last three years):57
On-site complaint investigations (last three years):24
Complaint investigations resulting in citations (last three years):9
Complaint investigations resulting in citations per 100 occupied beds (last three years):12.3
Complaint Citations in deficiency category: Administration:2
Complaint Citations in deficiency category: Quality of Care:5
Complaint Citations in deficiency category: Resident Rights:2
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):9

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
Multiple Deficiencies3/5/20084000
1/29/2004Quality of Care12/6/20061000
1/5/2016Multiple Deficiencies7/12/201612000
8/29/2002Quality of Care12/6/20061000
9/12/2011Quality of Care6/10/20134000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/5/2016Complaint2
10/8/2015Complaint2
4/14/2015Certification2
4/5/2016Certification2
5/9/2017Certification3
6/25/2015Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES115/9/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING2110/8/201512/5/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE2110/8/201512/5/2015
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS2210/8/201512/5/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES221/5/20163/4/2016
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE124/5/20165/27/2016
HealthCriminal History Record Check Process214/5/20165/27/2016
HealthCriminal History Record Check Process214/5/20165/27/2016
HealthResponsibilities of Providers; Required Notif214/5/20165/27/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/5/20165/27/2016
HealthCONVEYANCE OF PERSONAL FUNDS UPON DEATH124/5/20165/27/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/5/20165/27/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES224/5/20165/27/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY214/5/20165/27/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES224/5/20165/27/2016
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES214/5/20165/27/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES224/5/20165/27/2016
HealthQUARTERLY ASSESSMENT AT LEAST EVERY 3 MONTHS224/5/20165/27/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS214/5/20165/27/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/5/20165/27/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/5/20165/27/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION224/5/20165/27/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES214/5/20165/27/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE214/5/20165/27/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS224/5/20165/27/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE214/5/20165/27/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS224/5/20165/27/2016
HealthWAIVER-RN 8 HRS 7 DAYS/WK, FULL-TIME DON214/5/20165/27/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON224/5/20165/27/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/5/20165/27/2016
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN214/5/20165/27/2016
LSCLIFE SAFETY CODE STANDARD224/5/20165/27/2016
LSCLIFE SAFETY CODE STANDARD224/5/20165/27/2016
LSCLIFE SAFETY CODE STANDARD224/5/20165/27/2016
LSCLIFE SAFETY CODE STANDARD214/5/20165/27/2016
LSCLIFE SAFETY CODE STANDARD224/5/20165/27/2016
HealthPOSTED NURSE STAFFING INFORMATION124/5/20165/27/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/14/20156/11/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/14/20156/11/2015
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES224/14/20156/11/2015
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES214/14/20156/11/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES214/14/20156/11/2015
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS214/14/20156/11/2015
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS214/14/20156/11/2015
HealthPOSTED NURSE STAFFING INFORMATION124/14/20156/11/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY224/14/20156/11/2015
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/14/20156/11/2015
LSCLIFE SAFETY CODE STANDARD224/14/20156/11/2015
LSCLIFE SAFETY CODE STANDARD224/14/20156/11/2015
LSCLIFE SAFETY CODE STANDARD224/14/20156/11/2015
LSCLIFE SAFETY CODE STANDARD224/14/20156/11/2015
LSCLIFE SAFETY CODE STANDARD224/14/20156/11/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/14/20156/11/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY214/14/20156/11/2015
HealthSAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT124/14/20156/11/2015
LSCLIFE SAFETY CODE STANDARD224/14/20156/11/2015
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS214/14/20156/11/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/14/20156/11/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS125/9/20177/1/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES125/9/20177/1/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY225/9/20177/1/2017
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION225/9/20177/1/2017
LSCGeneral Requirements - Other225/9/20177/1/2017
LSCDoors with Self-Closing Devices215/9/20177/1/2017
LSCSprinkler System - Maintenance and Testing225/9/20177/1/2017
LSCElectrical Systems - Other225/9/20177/1/2017
LSCElectrical Systems - Essential Electric Syste225/9/20177/1/2017
LSCElectrical Equipment - Power Cords and Extens225/9/20177/1/2017
LSCElectrical Equipment - Testing and Maintenanc225/9/20177/1/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING216/25/20157/17/2015
LSCBuilding Construction Type and Height225/9/20178/3/2017
LSCVertical Openings - Enclosure225/9/20178/3/2017
LSCSprinkler System - Installation225/9/20178/3/2017