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: 30%

Occupancy Rate: 80%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain9.09099/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened09/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine95.412849/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1009/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication09/1/2017
471Percentage of short-stay residents who made improvements in function92.784169/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased24.590163009/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain12.603468009/1/2017
403Percentage of high risk long-stay residents with pressure ulcers0.000000009/1/2017
404Percentage of long-stay residents who lose too much weight5.806452009/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder56.000000009/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.662500009/1/2017
407Percentage of long-stay residents with a urinary tract infection1.935485009/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000000009/1/2017
409Percentage of long-stay residents who were physically restrained0.000000009/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury1.935483009/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.000000009/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000000009/1/2017
419Percentage of long-stay residents who received an antipsychotic medication1.290323009/1/2017
451Percentage of long-stay residents whose ability to move independently worsened23.790272009/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication9.929078009/1/2017

Complaints

Number of Standard Health Deficiencies:16
Number of Live Safety Code Deficiencies:8
Number of Total Deficiencies:24
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :8
Total intakes received (last three years):10
Intakes received per 100 occupied beds (last three years):22.0
Percent of total intakes received that were facility self reported incidents (last three years):80
On-site complaint investigations (last three years):3
Complaint investigations resulting in citations (last three years):3
Complaint investigations resulting in citations per 100 occupied beds (last three years):6.6
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:2
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):3

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
06/06/2014 0:00:00Multiple Deficiencies423824000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/29/2015Certification2
6/6/2014Certification2
8/24/2016Certification2
8/27/2015Certification2
8/3/2017Certification1

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthPASRR REQUIREMENTS FOR MI & MR12
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES21
LSCAisle, Corridor, or Ramp Width22
LSCCooking Facilities22
LSCElectrical Systems - Essential Electric Syste22
LSCElectrical Systems - Essential Electric Syste22
LSCGas Equipment - Cylinder and Container Storag22
HealthDIGNITY AND RESPECT OF INDIVIDUALITY2110/5/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY2210/5/2015
LSCLIFE SAFETY CODE STANDARD2210/5/2015
LSCLIFE SAFETY CODE STANDARD2210/5/2015
LSCLIFE SAFETY CODE STANDARD2210/5/2015
HealthDIGNITY AND RESPECT OF INDIVIDUALITY223/15/2015
HealthCOMPREHENSIVE ASSESSMENTS213/15/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP213/15/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY223/15/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS213/15/2015
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE127/25/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP127/25/2014
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES427/25/2014
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN427/25/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES219/18/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE129/18/2016