Williamsville Suburban LLC

Williamsville Suburban LLC

163 South Union Road

Williamsville, NY 14221

7166326152

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

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:220
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:220

Administrative

Ownership: Proprietary--LLC

Operated by: Williamsville Suburban, LLC
163 Union Road
Williamsville, NY 14221

Permanent Facility Identifier: 1378

Operating Certificate: 1421306N

Medicaid Certified

Medicare Certified

Medicare Number: 335647

Statistics

Employee Flu Vaccination Rate: 0%

Occupancy Rate: 75%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain0.83910/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.037000000000000110/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine57.60210/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine48.95310/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.8610/1/2017
471Percentage of short-stay residents who made improvements in function82.59210/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased20.4878000010/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.8267000010/1/2017
403Percentage of high risk long-stay residents with pressure ulcers6.1281000010/1/2017
404Percentage of long-stay residents who lose too much weight6.2712000010/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder42.4242000010/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.6287000010/1/2017
407Percentage of long-stay residents with a urinary tract infection0.4601000010/1/2017
408Percentage of long-stay residents who have depressive symptoms17.2477000010/1/2017
409Percentage of long-stay residents who were physically restrained0.0000000010/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury2.1374000010/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine73.1707000010/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine57.5573000010/1/2017
419Percentage of long-stay residents who received an antipsychotic medication21.1149000010/1/2017
451Percentage of long-stay residents whose ability to move independently worsened12.5085000010/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication14.4393000010/1/2017

Complaints

Number of Standard Health Deficiencies:69
Number of Live Safety Code Deficiencies:21
Number of Total Deficiencies:90
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):219
Intakes received per 100 occupied beds (last three years):119.6
Percent of total intakes received that were facility self reported incidents (last three years):46
On-site complaint investigations (last three years):63
Complaint investigations resulting in citations (last three years):24
Complaint investigations resulting in citations per 100 occupied beds (last three years):13.1
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:11
Complaint Citations in deficiency category: Resident Rights:12
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:1
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):24

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
6/16/2005 0:00Quality of Care6/8/20061000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/18/2017Certification2
11/4/2015Complaint2
12/8/2014Complaint2
2/18/2015Certification3
2/7/2014Certification2
2/8/2016Certification2
5/20/2014Complaint2
7/30/2015Complaint2
8/25/2014Complaint2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthResponsibilities of Providers; Required Notif11
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)211/30/2015
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING211/30/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES2210/17/2014
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES2112/3/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)2112/3/2015
HealthSUFFICIENT FLUID TO MAINTAIN HYDRATION2112/3/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES213/14/2017
LSCGas Equipment - Cylinder and Container Storag223/14/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)213/14/2017
HealthDIGNITY AND RESPECT OF INDIVIDUALITY213/14/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES123/14/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING213/14/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS213/14/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES213/14/2017
HealthSUFFICIENT 24-HR NURSING STAFF PER CARE PLANS223/14/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY223/14/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE213/14/2017
LSCHazardous Areas - Enclosure223/14/2017
LSCPortable Fire Extinguishers223/14/2017
LSCFire Drills223/14/2017
HealthPhysical Environment223/28/2014
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS214/10/2015
LSCLIFE SAFETY CODE STANDARD224/10/2015
LSCLIFE SAFETY CODE STANDARD224/10/2015
LSCLIFE SAFETY CODE STANDARD224/10/2015
HealthHOUSEKEEPING & MAINTENANCE SERVICES224/10/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/10/2015
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/10/2015
HealthDepartment Criminal History Review214/10/2015
LSCLIFE SAFETY CODE STANDARD224/10/2015
LSCLIFE SAFETY CODE STANDARD224/10/2015
LSCLIFE SAFETY CODE STANDARD224/10/2015
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/10/2015
HealthDISPOSE GARBAGE & REFUSE PROPERLY214/10/2015
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY214/10/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/10/2015
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN214/10/2015
LSCLIFE SAFETY CODE STANDARD224/10/2015
HealthPOSTED NURSE STAFFING INFORMATION124/4/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS214/4/2016
HealthSAFE/FUNCTIONAL/SANITARY/COMFORTABLE ENVIRON214/4/2016
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS214/4/2016
LSCLIFE SAFETY CODE STANDARD224/4/2016
LSCLIFE SAFETY CODE STANDARD224/4/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES224/4/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)214/4/2016
HealthFACILITY MANAGEMENT OF PERSONAL FUNDS214/4/2016
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/4/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES224/4/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY214/4/2016
HealthCOMPREHENSIVE ASSESS AT LEAST EVERY 12 MONTHS214/4/2016
HealthQUARTERLY ASSESSMENT AT LEAST EVERY 3 MONTHS214/4/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS224/4/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP214/4/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN214/4/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING214/4/2016
HealthTREATMENT/SERVICES TO IMPROVE/MAINTAIN ADLS224/4/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/4/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/4/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE214/4/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS224/4/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING224/8/2014
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP224/8/2014
HealthHOUSEKEEPING & MAINTENANCE SERVICES124/8/2014
HealthDIGNITY AND RESPECT OF INDIVIDUALITY214/8/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS214/8/2014
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)224/8/2014
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES124/8/2014
LSCLIFE SAFETY CODE STANDARD224/8/2014
LSCLIFE SAFETY CODE STANDARD224/8/2014
LSCLIFE SAFETY CODE STANDARD224/8/2014
LSCLIFE SAFETY CODE STANDARD224/8/2014
LSCLIFE SAFETY CODE STANDARD224/8/2014
LSCLIFE SAFETY CODE STANDARD224/8/2014
LSCLIFE SAFETY CODE STANDARD224/8/2014
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE224/8/2014
HealthCORRIDORS HAVE FIRMLY SECURED HANDRAILS214/8/2014
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION224/8/2014
HealthTX/SVC FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES214/8/2014
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/8/2014
LSCLIFE SAFETY CODE STANDARD224/9/2014
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION215/18/2015
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE215/18/2015
HealthQAA COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS225/18/2015
HealthRIGHT TO REFUSE; FORMULATE ADVANCE DIRECTIVES225/18/2015
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES215/18/2015
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP215/18/2015
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS216/20/2014
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS218/29/2015
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES228/29/2015