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: 35%

Occupancy Rate: 90%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain7.87004/1/2018
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.55004/1/2018
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine94.59004/1/2018
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine100.00004/1/2018
434Percentage of short-stay residents who newly received an antipsychotic medication3.37004/1/2018
471Percentage of short-stay residents who made improvements in function93.60004/1/2018

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased21.48004/1/2018
402Percentage of long-stay residents who self-report moderate to severe pain13.64004/1/2018
403Percentage of high risk long-stay residents with pressure ulcers1.77004/1/2018
404Percentage of long-stay residents who lose too much weight12.42004/1/2018
405Percentage of low risk long-stay residents who lose control of their bowels or bladder0.0000The number of residents is too small to report. Call the facility to discuss this quality measure.4/1/2018
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.64004/1/2018
407Percentage of long-stay residents with a urinary tract infection4.58004/1/2018
408Percentage of long-stay residents who have depressive symptoms0.00004/1/2018
409Percentage of long-stay residents who were physically restrained0.00004/1/2018
410Percentage of long-stay residents experiencing one or more falls with major injury1.30004/1/2018
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.00004/1/2018
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.00004/1/2018
419Percentage of long-stay residents who received an antipsychotic medication3.27004/1/2018
451Percentage of long-stay residents whose ability to move independently worsened17.31004/1/2018
452Percentage of long-stay residents who received an antianxiety or hypnotic medication8.78004/1/2018

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):11
Intakes received per 100 occupied beds (last three years):24.2
Percent of total intakes received that were facility self reported incidents (last three years):82
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
6/6/2014 0:00:00Multiple Deficiencies1/13/20164000

Surveys

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

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
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
HealthDIGNITY AND RESPECT OF INDIVIDUALITY221/29/20153/15/2015
HealthCOMPREHENSIVE ASSESSMENTS211/29/20153/15/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP211/29/20153/15/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY221/29/20153/15/2015
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS211/29/20153/15/2015
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE126/6/20147/25/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP126/6/20147/25/2014
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES426/6/20147/25/2014
HealthGOVERNING BODY-FACILITY POLICIES/APPOINT ADMN426/6/20147/25/2014
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
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP218/24/20169/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/24/20169/18/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE128/24/20169/18/2016
LSCElectrical Systems - Essential Electric Syste228/3/20179/6/2017
HealthPASRR REQUIREMENTS FOR MI & MR128/3/20179/7/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES218/3/20179/7/2017