Elderwood at Grand Island

Elderwood at Grand Island

2850 Grand Island Blvd

Grand Island, NY 14072

7167735900

http:www.elderwood.com/riverwood/index.php

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:90
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:90

Administrative

Ownership: Proprietary--LLC

Operated by: 2850 Grand Island Boulevard Operating Company, LLC
2850 Grand Island Boulevard 31st Floor
Grand Island, NY 14072

Permanent Facility Identifier: 299

Operating Certificate: 1464302N

Medicaid Certified

Medicare Certified

Medicare Number: 335391

Statistics

Employee Flu Vaccination Rate: 0%

Occupancy Rate: 88%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine69.310011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.000011/1/2019
471Percentage of short-stay residents who made improvements in function68.300011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased14.680011/1/2019
404Percentage of long-stay residents who lose too much weight7.610011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder78.350011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.710011/1/2019
407Percentage of long-stay residents with a urinary tract infection2.500011/1/2019
408Percentage of long-stay residents who have depressive symptoms1.470011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.200011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine92.530011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication10.290011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened11.420011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication4.870011/1/2019

Complaints

Number of Standard Health Deficiencies:25
Number of Live Safety Code Deficiencies:15
Number of Total Deficiencies:40
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):63.0
Percent of total intakes received that were facility self reported incidents (last three years):71
On-site complaint investigations (last three years):13
Complaint investigations resulting in citations (last three years):8
Complaint investigations resulting in citations per 100 occupied beds (last three years):9.7
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:3
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:3
Complaint Citations across all deficiency categories (last three years):8

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
11/2/2018CERTIFICATION2
7/26/2017CERTIFICATION/COMPLAINT2
8/14/2019CERTIFICATION/COMPLAINT2
8/5/2016CERTIFICATION/COMPLAINT3

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS137/26/20171/1/2019
LSCPOLICIES/PROCEDURES FOR SHELTERING IN PLACE137/26/20171/1/2019
LSCHAZARDOUS AREAS - ENCLOSURE227/26/20171/1/2019
LSCGAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG227/26/20171/1/2019
HealthMENUS MEET RESIDENT NDS/PREP IN ADV/FOLLOWED227/26/20171/1/2019
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES217/26/20171/1/2019
HealthDEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES237/26/20171/1/2019
HealthADMINISTRATION237/26/20171/1/2019
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG227/26/201710/13/2019
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES227/26/201710/13/2019
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/26/201710/13/2019
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE217/26/201710/13/2019
HealthRESIDENT RECORDS - IDENTIFIABLE INFORMATION217/26/201710/13/2019
HealthTUBE FEEDING MGMT/RESTORE EATING SKILLS217/26/201710/13/2019
LSCCORRIDOR - DOORS227/26/201710/13/2019
LSCDOORS WITH SELF-CLOSING DEVICES227/26/201710/13/2019
LSCELECTRICAL SYSTEMS - OTHER217/26/201710/13/2019
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN217/26/201710/27/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION217/26/201710/27/2016
HealthSERVICES BY QUALIFIED PERSONS/PER CARE PLAN217/26/20179/23/2016
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS217/26/20179/23/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/26/20179/23/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY217/26/20179/23/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS317/26/20179/23/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON217/26/20179/23/2016
HealthPHYSICIAN VISITS - REVIEW CARE/NOTES/ORDERS217/26/20179/23/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING227/26/20179/23/2016
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR127/26/20179/23/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES127/26/20179/24/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE227/26/20179/24/2017
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE227/26/20179/24/2017
LSCPROTECTION - OTHER217/26/20179/24/2017
LSCELEVATORS227/26/20179/24/2017
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING217/26/20179/24/2017
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)217/26/20179/24/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS227/26/20179/24/2017
LSCEGRESS DOORS227/26/20179/24/2017
HealthROUTINE/EMERGENCY DENTAL SERVICES IN SNFS127/26/20179/24/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE217/26/20179/24/2017
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS217/26/20179/24/2017