Williamsville Suburban LLC

Williamsville Suburban LLC

163 South Union Road

Williamsville, NY 14221

(716) 632-6152

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

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: 81%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain4.656314/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.729844/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine69.481484/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine68.674694/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication2.756894/1/2017
471Percentage of short-stay residents who made improvements in function79.604614/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased21.855342004/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.445257004/1/2017
403Percentage of high risk long-stay residents with pressure ulcers10.795454004/1/2017
404Percentage of long-stay residents who lose too much weight3.318251004/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder39.130437004/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.056048004/1/2017
407Percentage of long-stay residents with a urinary tract infection0.888889004/1/2017
408Percentage of long-stay residents who have depressive symptoms25.559105004/1/2017
409Percentage of long-stay residents who were physically restrained0.292400004/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury1.754387004/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine73.482850004/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine65.497077004/1/2017
419Percentage of long-stay residents who received an antipsychotic medication25.080907004/1/2017
451Percentage of long-stay residents whose ability to move independently worsened14.440318004/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication16.543575004/1/2017

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):210
Intakes received per 100 occupied beds (last three years):113.9
Percent of total intakes received that were facility self reported incidents (last three years):46
On-site complaint investigations (last three years):64
Complaint investigations resulting in citations (last three years):24
Complaint investigations resulting in citations per 100 occupied beds (last three years):13.0
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 0:00:00Quality of Care6/8/20061000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
1/18/2017Certification1
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
HealthFACILITY IS FREE OF ACCIDENT HAZARDS21
HealthSUFFICIENT NURSING STAFF ON A 24-HOUR BASIS22
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS22
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES21
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS21
LSC22
LSC22
LSC22
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING21
HealthHOUSEKEEPING AND MAINTENANCE SERVICES12
HealthDIGNITY21
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.21
HealthCRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION TO DOH PER CESSATION OF EMPLOYMENT11
LSC22
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS21
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.211/30/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING211/30/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES2210/17/2014
HealthFACILITY PROVIDES SUFFICIENT FLUID INTAKE2112/3/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2112/3/2015
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES2112/3/2015
HealthPHYSICAL ENVIRONMENT223/28/2014
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN214/10/2015
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS214/10/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES224/10/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE214/10/2015
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.214/10/2015
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED214/10/2015
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/10/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS214/10/2015
HealthDISPOSE GARBAGE AND REFUSE PROPERLY214/10/2015
LSCCORRIDOR DOORS224/10/2015
LSCEMERGENCY PLAN224/10/2015
LSCMEDICAL GAS SYSTEM224/10/2015
LSCSPRINKLER SYSTEM MAINTENANCE224/10/2015
LSCHAZARDOUS AREAS - SEPARATION224/10/2015
LSCDOORS IN SMOKE PARTITIONS224/10/2015
LSCSMOKE PARTITION CONSTRUCTION224/10/2015
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS214/10/2015
HealthHOUSEKEEPING AND MAINTENANCE SERVICES224/4/2016
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.214/4/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/4/2016
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES214/4/2016
HealthMEDICATION ERROR RATES OF 5% OR MORE214/4/2016
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS224/4/2016
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM214/4/2016
HealthENVIRONMENT IS SAFE/FUNCTIONAL/SANITARY/COMFORTABLE214/4/2016
HealthFACILITY MAINTAINS QA COMMITTEE214/4/2016
LSCMEDICAL GAS SYSTEM224/4/2016
HealthRESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS224/4/2016
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING214/4/2016
HealthFACILITY MANAGEMENT OF RESIDENT FUNDS214/4/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE214/4/2016
HealthPOLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT224/4/2016
HealthDIGNITY214/4/2016
HealthASSESSMENT CONDUCTED AT LEAST EVERY 12 MONTHS214/4/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS224/4/2016
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN214/4/2016
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN214/4/2016
LSCEMERGENCY PLAN224/4/2016
HealthNURSE STAFFING124/4/2016
HealthQUARTERLY REVIEW OF ASSESSMENTS214/4/2016
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE214/8/2014
HealthAPPROPRIATE TREATMENT FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES214/8/2014
HealthESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION224/8/2014
LSCEMERGENCY PLAN224/8/2014
LSCMEDICAL GAS SYSTEM224/8/2014
LSCSPRINKLER SYSTEM MAINTENANCE224/8/2014
HealthCORRIDORS HAVE FIRMLY SECURED HANDRAILS214/8/2014
LSCEXIT ACCESS224/8/2014
LSCHAZARDOUS AREAS - SEPARATION224/8/2014
LSCDOORS IN SMOKE PARTITIONS224/8/2014
LSCCORRIDOR DOORS224/8/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS224/8/2014
HealthPROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES214/8/2014
HealthHOUSEKEEPING AND MAINTENANCE SERVICES124/8/2014
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.124/8/2014
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN224/8/2014
HealthDIGNITY214/8/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING224/8/2014
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.224/8/2014
LSCAUTOMATIC SPRINKLER SYSTEM224/9/2014
HealthRANGE OF MOTION TREATMENT AND SERVICES215/18/2015
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN215/18/2015
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS215/18/2015
HealthFACILITY MAINTAINS QA COMMITTEE225/18/2015
HealthRIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES225/18/2015
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES215/18/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE216/20/2014
HealthFACILITY IS FREE OF ACCIDENT HAZARDS228/29/2015
HealthNOT EMPLOY PERSONS GUILTY OF ABUSE218/29/2015