Fox Run at Orchard Park

Fox Run at Orchard Park

One Fox Run Lane

Orchard Park, NY 14127

7166625001

www.foxrunorchardpark.com/

Services: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:50
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:50

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Orchard Park Ccrc, Inc.
One Fox Run Lane
Orchard Park, NY 14127

Permanent Facility Identifier: 8555

Operating Certificate: 1435304N

Medicaid Certified

Medicare Certified

Medicare Number: 335854

Statistics

Employee Flu Vaccination Rate: 84%

Occupancy Rate: 94%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain6.59002/1/2019
425Percentage of short-stay residents with pressure ulcers that are new or worsened5.47002/1/2019
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine98.26002/1/2019
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine97.14002/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication10.39002/1/2019
471Percentage of short-stay residents who made improvements in function88.99002/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased19.86002/1/2019
402Percentage of long-stay residents who self-report moderate to severe pain11.03002/1/2019
403Percentage of high risk long-stay residents with pressure ulcers1.63002/1/2019
404Percentage of long-stay residents who lose too much weight5.42002/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder33.33002/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder6.31002/1/2019
407Percentage of long-stay residents with a urinary tract infection3.59002/1/2019
408Percentage of long-stay residents who have depressive symptoms1.24002/1/2019
409Percentage of long-stay residents who were physically restrained0.00002/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury0.60002/1/2019
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.29002/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.00002/1/2019
419Percentage of long-stay residents who received an antipsychotic medication7.32002/1/2019
451Percentage of long-stay residents whose ability to move independently worsened28.51002/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication7.64002/1/2019

Complaints

Number of Standard Health Deficiencies:14
Number of Live Safety Code Deficiencies:17
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):9
Intakes received per 100 occupied beds (last three years):19.1
Percent of total intakes received that were facility self reported incidents (last three years):89
On-site complaint investigations (last three years):5
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):2.1
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):1

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
6-Jun-14Multiple Deficiencies13-Jan-164000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/29/2015CERTIFICATION/COMPLAINT2
8/24/2016CERTIFICATION2
8/27/2015CERTIFICATION2
8/3/2017CERTIFICATION/COMPLAINT2
9/28/2018CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES219/28/201810/18/2018
LSCPLAN BASED ON ALL HAZARDS RISK ASSESSMENT139/28/201810/18/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY139/28/201810/18/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING219/28/201810/18/2018
HealthINFECTION CONTROL229/28/201810/26/2018
HealthINFECTION PREVENTION & CONTROL229/28/201810/26/2018
HealthDIGNITY AND RESPECT OF INDIVIDUALITY218/27/201510/5/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY228/27/201510/5/2015
LSCLIFE SAFETY CODE STANDARD228/27/201510/5/2015
LSCLIFE SAFETY CODE STANDARD228/27/201510/5/2015
LSCLIFE SAFETY CODE STANDARD228/27/201510/5/2015
HealthCOMPREHENSIVE ASSESSMENTS211/29/20153/15/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY221/29/20153/15/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/29/20153/15/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP211/29/20153/15/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS211/29/20153/15/2015
LSCCOOKING FACILITIES228/3/20178/23/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE228/3/20178/23/2017
LSCAISLE, CORRIDOR, OR RAMP WIDTH228/3/20179/1/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG228/3/20179/1/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE128/24/20169/18/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP218/24/20169/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/24/20169/18/2016
LSCCORRIDORS - CONSTRUCTION OF WALLS229/28/20189/29/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS229/28/20189/29/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE229/28/20189/29/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE229/28/20189/29/2018
LSCVERTICAL OPENINGS - ENCLOSURE219/28/20189/29/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE228/3/20179/6/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES218/3/20179/7/2017
HealthPASRR REQUIREMENTS FOR MI & MR128/3/20179/7/2017