Canterbury Woods
725 Renaissance Drive
Williamsville, NY 14221
7169295800
http:canterburywoods.org/Services: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy, Outpatient/Speech Language Pathology Therapy
Behavioral Intervention: | |
Pediatric: | |
Pediatric Ventilator Dependent: | |
Residential Health Care: | 48 |
Transitional Care Unit: | |
Ventilator Dependent: | |
Total Number of Beds: | 48 |
Ownership: Voluntary--Not for Profit Corporation
Operated by: Episcopal Church Home & Affiliates Life Care Community Inc
725 Renaissance Drive
Williamsville, NY 14221
Permanent Facility Identifier: 7789
Operating Certificate: 1421305N
Medicaid Certified
Medicare Certified
Medicare Number: 335816
Employee Flu Vaccination Rate: 78%
Occupancy Rate: 98%
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.5710 | 9/1/2020 | |
434 | Percentage of short-stay residents who newly received an antipsychotic medication | 1.0640 | 9/1/2020 | |
471 | Percentage of short-stay residents who made improvements in function | 89.2700 | 9/1/2020 |
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
401 | Percentage of long-stay residents whose need for help with daily activities has increased | 11.4290 | 11/1/2019 | |
404 | Percentage of long-stay residents who lose too much weight | 2.8780 | 11/1/2019 | |
405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 76.1900 | 11/1/2019 | |
406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.3670 | 11/1/2019 | |
407 | Percentage of long-stay residents with a urinary tract infection | 5.9600 | 11/1/2019 | |
408 | Percentage of long-stay residents who have depressive symptoms | 0.0000 | 11/1/2019 | |
409 | Percentage of long-stay residents who were physically restrained | 0.0000 | 11/1/2019 | |
410 | Percentage of long-stay residents experiencing one or more falls with major injury | 2.6140 | 11/1/2019 | |
415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1180 | 11/1/2019 | |
419 | Percentage of long-stay residents who received an antipsychotic medication | 20.2610 | 11/1/2019 | |
451 | Percentage of long-stay residents whose ability to move independently worsened | 15.3560 | 11/1/2019 | |
452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3480 | 11/1/2019 |
Number of Standard Health Deficiencies: | 13 |
Number of Live Safety Code Deficiencies: | 8 |
Number of Total Deficiencies: | 21 |
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): | 34 |
Intakes received per 100 occupied beds (last three years): | 75.0 |
Percent of total intakes received that were facility self reported incidents (last three years): | 74 |
On-site complaint investigations (last three years): | 7 |
Complaint investigations resulting in citations (last three years): | 2 |
Complaint investigations resulting in citations per 100 occupied beds (last three years): | 4.4 |
Complaint Citations in deficiency category: Administration: | 0 |
Complaint Citations in deficiency category: Quality of Care: | 0 |
Complaint Citations in deficiency category: Resident Rights: | 1 |
Complaint Citations in deficiency category: Dietary Services: | 0 |
Complaint Citations in deficiency category: Physical Environment: | 0 |
Complaint Citations in deficiency category: Other Services: | 1 |
Complaint Citations across all deficiency categories (last three years): | 4 |
Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
---|
Initial Survey Date | Survey Type | Total Visits Required |
---|---|---|
42986 | CERTIFICATION/COMPLAINT | 2 |
43136 | COMPLAINT | 2 |
43410 | CERTIFICATION/COMPLAINT | 2 |
43769 | CERTIFICATION | 2 |
43984 | COMPLAINT | 1 |
44022 | COMPLAINT | 1 |
Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
---|---|---|---|---|---|
Health | DEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES | 2 | 1 | 11/6/2018 | 1/4/2019 |
Health | DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON | 2 | 2 | 11/6/2018 | 1/4/2019 |
Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 2 | 11/6/2018 | 1/4/2019 |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 2 | 11/6/2018 | 1/4/2019 |
Health | INFECTION CONTROL | 2 | 3 | 11/6/2018 | 1/4/2019 |
Health | INFECTION PREVENTION & CONTROL | 2 | 3 | 11/6/2018 | 1/4/2019 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 1 | 11/6/2018 | 1/4/2019 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 1 | 11/6/2018 | 1/4/2019 |
LSC | FUNDAMENTALS - BUILDING SYSTEM CATEGORIES | 2 | 2 | 11/6/2018 | 1/4/2019 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 11/6/2018 | 1/4/2019 |
LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 11/6/2018 | 1/4/2019 |
Health | DEPARTMENT CRIMINAL HISTORY REVIEW | 2 | 2 | 11/6/2018 | 10/24/2017 |
Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 2 | 11/6/2018 | 10/24/2017 |
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 2 | 11/6/2018 | 10/24/2017 |
Health | MAINTAINS EFFECTIVE PEST CONTROL PROGRAM | 2 | 1 | 11/6/2018 | 10/24/2017 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 11/6/2018 | 10/24/2017 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 11/6/2018 | 10/24/2017 |
LSC | SPRINKLER SYSTEM - INSTALLATION | 2 | 2 | 11/6/2018 | 10/24/2017 |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 11/6/2018 | 12/20/2019 |
LSC | SOILED LINEN AND TRASH CONTAINERS | 2 | 2 | 11/6/2018 | 12/20/2019 |
Health | FREE FROM ABUSE AND NEGLECT | 2 | 1 | 11/6/2018 | 3/27/2018 |