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: 93%

Occupancy Rate: 89%

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	73.4690	9/1/2020
434	Percentage of short-stay residents who newly received an antipsychotic medication	0.0000	9/1/2020
471	Percentage of short-stay residents who made improvements in function	66.7190	9/1/2020

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	18.8000	11/1/2019
404	Percentage of long-stay residents who lose too much weight	6.3490	11/1/2019
405	Percentage of low risk long-stay residents who lose control of their bowels or bladder	80.4120	11/1/2019
406	Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0850	11/1/2019
407	Percentage of long-stay residents with a urinary tract infection	3.2490	11/1/2019
408	Percentage of long-stay residents who have depressive symptoms	2.2140	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	3.2490	11/1/2019
415	Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.6970	11/1/2019
419	Percentage of long-stay residents who received an antipsychotic medication	9.7010	11/1/2019
451	Percentage of long-stay residents whose ability to move independently worsened	10.1710	11/1/2019
452	Percentage of long-stay residents who received an antianxiety or hypnotic medication	2.2990	11/1/2019

Complaints

Number of Standard Health Deficiencies:	14
Number of Live Safety Code Deficiencies:	15
Number of Total Deficiencies:	29
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):	53
Intakes received per 100 occupied beds (last three years):	64.2
Percent of total intakes received that were facility self reported incidents (last three years):	68
On-site complaint investigations (last three years):	12
Complaint investigations resulting in citations (last three years):	3
Complaint investigations resulting in citations per 100 occupied beds (last three years):	3.6
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):	16

Enforcements

Survey Date	Deficiency Category	Stipulation Date	Fine Assessed
11/2/2018	Multiple Deficiencies	1/16/2019	2000

Surveys

Initial Survey Date	Survey Type	Total Visits Required
11/2/2018	CERTIFICATION	2
6/8/2020	COMPLAINT	1
7/26/2017	CERTIFICATION/COMPLAINT	2
8/14/2019	CERTIFICATION/COMPLAINT	2

Citations

Inspection Type	Deficiency	Severity	Residents Affected	Date of Initial Survey	Date Citation Corrected
Health	ADMINISTRATION	2	3	7/26/2017	1/1/2019
Health	DEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES	2	3	7/26/2017	1/1/2019
Health	FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES	2	1	7/26/2017	1/1/2019
Health	MENUS MEET RESIDENT NDS/PREP IN ADV/FOLLOWED	2	2	7/26/2017	1/1/2019
LSC	GAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG	2	2	7/26/2017	1/1/2019
LSC	HAZARDOUS AREAS - ENCLOSURE	2	2	7/26/2017	1/1/2019
LSC	POLICIES/PROCEDURES FOR SHELTERING IN PLACE	1	3	7/26/2017	1/1/2019
LSC	SUBSISTENCE NEEDS FOR STAFF AND PATIENTS	1	3	7/26/2017	1/1/2019
Health	ADL CARE PROVIDED FOR DEPENDENT RESIDENTS	2	1	7/26/2017	10/13/2019
Health	FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE	2	1	7/26/2017	10/13/2019
Health	RESIDENT RECORDS - IDENTIFIABLE INFORMATION	2	1	7/26/2017	10/13/2019
Health	TUBE FEEDING MGMT/RESTORE EATING SKILLS	2	1	7/26/2017	10/13/2019
LSC	CORRIDOR - DOORS	2	2	7/26/2017	10/13/2019
LSC	DOORS WITH SELF-CLOSING DEVICES	2	2	7/26/2017	10/13/2019
LSC	ELECTRICAL SYSTEMS - OTHER	2	1	7/26/2017	10/13/2019
LSC	FUNDAMENTALS - BUILDING SYSTEM CATEGORIES	2	2	7/26/2017	10/13/2019
LSC	GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG	2	2	7/26/2017	10/13/2019
Health	ADL CARE PROVIDED FOR DEPENDENT RESIDENTS	2	1	7/26/2017	9/24/2017
Health	HOUSEKEEPING & MAINTENANCE SERVICES	1	2	7/26/2017	9/24/2017
Health	NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)	2	1	7/26/2017	9/24/2017
Health	PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING	2	1	7/26/2017	9/24/2017
Health	RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE	2	1	7/26/2017	9/24/2017
Health	ROUTINE/EMERGENCY DENTAL SERVICES IN SNFS	1	2	7/26/2017	9/24/2017
LSC	EGRESS DOORS	2	2	7/26/2017	9/24/2017
LSC	ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS	2	2	7/26/2017	9/24/2017
LSC	ELEVATORS	2	2	7/26/2017	9/24/2017
LSC	PROTECTION - OTHER	2	1	7/26/2017	9/24/2017
LSC	SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE	2	2	7/26/2017	9/24/2017
LSC	SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE	2	2	7/26/2017	9/24/2017