Elderwood at Amherst

4459 Bailey Ave

Amherst, NY 14226

7168352543

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 Code	Measure Description	Average Score	Processing Date
430	Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.7300	11/1/2019
434	Percentage of short-stay residents who newly received an antipsychotic medication	0.2100	11/1/2019
471	Percentage of short-stay residents who made improvements in function	51.2900	11/1/2019

Nursing Home CMS Quality (Long Stay)

Measure Code	Measure Description	Average Score	Processing Date
401	Percentage of long-stay residents whose need for help with daily activities has increased	20.0000	11/1/2019
404	Percentage of long-stay residents who lose too much weight	5.5600	11/1/2019
405	Percentage of low risk long-stay residents who lose control of their bowels or bladder	95.0000	11/1/2019
406	Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5600	11/1/2019
407	Percentage of long-stay residents with a urinary tract infection	0.3900	11/1/2019
408	Percentage of long-stay residents who have depressive symptoms	0.8500	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	4.2500	11/1/2019
415	Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8400	11/1/2019
419	Percentage of long-stay residents who received an antipsychotic medication	7.0900	11/1/2019
451	Percentage of long-stay residents whose ability to move independently worsened	26.4100	11/1/2019
452	Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.1100	11/1/2019

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 Date	Deficiency Category	Stipulation Date	Fine Assessed
.	Resident Rights	11/13/2003	8000

Surveys

Initial Survey Date	Survey Type	Total Visits Required
2/18/2016	CERTIFICATION	2
2/27/2017	CERTIFICATION/COMPLAINT	2
3/5/2019	COMPLAINT	2
4/4/2018	CERTIFICATION/COMPLAINT	2
5/11/2018	OTHER	2
7/2/2019	CERTIFICATION/COMPLAINT	2

Citations

Inspection Type	Deficiency	Severity	Residents Affected	Date of Initial Survey	Date Citation Corrected
Health	PHARMACEUTICAL SVC - ACCURATE PROCEDURES, RPH	2	1	4/4/2018	4/25/2017
LSC	EGRESS DOORS	2	2	4/4/2018	4/25/2017
LSC	GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG	2	2	4/4/2018	4/25/2017
LSC	SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE	2	2	4/4/2018	4/25/2017
LSC	CORRIDORS - CONSTRUCTION OF WALLS	2	1	4/4/2018	4/26/2017
Health	COMPREHENSIVE ASSESSMENTS	1	2	4/4/2018	4/6/2016
Health	DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS	2	1	4/4/2018	4/6/2016
Health	SELF-DETERMINATION - RIGHT TO MAKE CHOICES	2	1	4/4/2018	4/6/2016
Health	TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES	2	1	4/4/2018	4/6/2016
LSC	LIFE SAFETY CODE STANDARD	2	2	4/4/2018	4/6/2016
LSC	LIFE SAFETY CODE STANDARD	2	2	4/4/2018	4/6/2016
Health	NUTRITION/HYDRATION STATUS MAINTENANCE	2	1	4/4/2018	5/3/2019
Health	ADL CARE PROVIDED FOR DEPENDENT RESIDENTS	2	1	4/4/2018	6/1/2018
Health	NOT EMPLOY/ENGAGE STAFF W/ ADVERSE ACTIONS	2	2	4/4/2018	6/1/2018
Health	PAIN MANAGEMENT	2	1	4/4/2018	6/1/2018
Health	QUALITY OF CARE	2	1	4/4/2018	6/1/2018
Health	REQUEST/REFUSE/DSCNTNUE TRMNT;FORMLTE ADV DIR	2	1	4/4/2018	6/1/2018
Health	TREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER	2	1	4/4/2018	6/1/2018
LSC	SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE	2	2	4/4/2018	6/1/2018
Health	ACTIVITIES DAILY LIVING (ADLS)/MNTN ABILITIES	2	1	4/4/2018	6/29/2018
Health	ACTIVITIES MEET INTEREST/NEEDS EACH RESIDENT	2	1	4/4/2018	6/29/2018
Health	CARE PLAN TIMING AND REVISION	2	1	4/4/2018	6/29/2018
Health	DISPOSE GARBAGE AND REFUSE PROPERLY	2	1	4/4/2018	6/29/2018
Health	ENCODING/TRANSMITTING RESIDENT ASSESSMENTS	2	1	4/4/2018	6/29/2018
Health	FOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY	2	3	4/4/2018	6/29/2018
Health	INFLUENZA AND PNEUMOCOCCAL IMMUNIZATIONS	2	2	4/4/2018	6/29/2018
Health	RESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING	2	1	4/4/2018	6/29/2018
Health	TREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER	3	1	4/4/2018	6/29/2018
LSC	SPRINKLER SYSTEM - INSTALLATION	2	1	4/4/2018	8/2/2019
Health	INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION	2	1	4/4/2018	8/20/2019