Elderwood at Amherst

Elderwood at Amherst

4459 Bailey Ave

Amherst, NY 14226

7168352543

http:www.elderwood.com/location/elderwood-at-amherst/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:92
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:92

Administrative

Ownership: Proprietary--LLC

Operated by: 4459 Bailey Avenue Operating Company, LLC
4459 Bailey Avenue 31st Floor
Amherst, NY 14226

Permanent Facility Identifier: 232

Operating Certificate: 1451307N

Medicaid Certified

Medicare Certified

Medicare Number: 335056

Statistics

Employee Flu Vaccination Rate: 85%

Occupancy Rate: 92%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine93.730011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.210011/1/2019
471Percentage of short-stay residents who made improvements in function51.290011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased20.000011/1/2019
404Percentage of long-stay residents who lose too much weight5.560011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder95.000011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.560011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.390011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.850011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury4.250011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.840011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication7.090011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened26.410011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication11.110011/1/2019

Complaints

Number of Standard Health Deficiencies:22
Number of Live Safety Code Deficiencies:8
Number of Total Deficiencies:30
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:1
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :3
Total intakes received (last three years):52
Intakes received per 100 occupied beds (last three years):61.4
Percent of total intakes received that were facility self reported incidents (last three years):69
On-site complaint investigations (last three years):14
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):1.2
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:1
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):1

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
.Resident Rights11/13/20038000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
2/18/2016CERTIFICATION2
2/27/2017CERTIFICATION/COMPLAINT2
3/5/2019COMPLAINT2
4/4/2018CERTIFICATION/COMPLAINT2
5/11/2018OTHER2
7/2/2019CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthPHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH214/4/20184/25/2017
LSCEGRESS DOORS224/4/20184/25/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG224/4/20184/25/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE224/4/20184/25/2017
LSCCORRIDORS - CONSTRUCTION OF WALLS214/4/20184/26/2017
HealthCOMPREHENSIVE ASSESSMENTS124/4/20184/6/2016
HealthDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS214/4/20184/6/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES214/4/20184/6/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES214/4/20184/6/2016
LSCLIFE SAFETY CODE STANDARD224/4/20184/6/2016
LSCLIFE SAFETY CODE STANDARD224/4/20184/6/2016
HealthNUTRITION/HYDRATION STATUS MAINTENANCE214/4/20185/3/2019
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS214/4/20186/1/2018
HealthNOT EMPLOY/ENGAGE STAFF W/ ADVERSE ACTIONS224/4/20186/1/2018
HealthPAIN MANAGEMENT214/4/20186/1/2018
HealthQUALITY OF CARE214/4/20186/1/2018
HealthREQUEST/REFUSE/DSCNTNUE TRMNT;FORMLTE ADV DIR214/4/20186/1/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER214/4/20186/1/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE224/4/20186/1/2018
HealthACTIVITIES DAILY LIVING (ADLS)/MNTN ABILITIES214/4/20186/29/2018
HealthACTIVITIES MEET INTEREST/NEEDS EACH RESIDENT214/4/20186/29/2018
HealthCARE PLAN TIMING AND REVISION214/4/20186/29/2018
HealthDISPOSE GARBAGE AND REFUSE PROPERLY214/4/20186/29/2018
HealthENCODING/TRANSMITTING RESIDENT ASSESSMENTS214/4/20186/29/2018
HealthFOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY234/4/20186/29/2018
HealthINFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS224/4/20186/29/2018
HealthRESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING214/4/20186/29/2018
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER314/4/20186/29/2018
LSCSPRINKLER SYSTEM - INSTALLATION214/4/20188/2/2019
HealthINVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION214/4/20188/20/2019