Fiddlers Green Manor Rehabilitation and Nursing Center

Fiddlers Green Manor Rehabilitation and Nursing Center

168 West Main Street

Springville, NY 14141

7165924781

http:www.fiddlersgreenmanor.com/

Services: Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:82
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:82

Administrative

Ownership: Proprietary--LLC

Operated by: JSSG Healthcare, LLC
255 Warner Avenue
Roslyn Heights, NY 11577

Permanent Facility Identifier: 282

Operating Certificate: 1427303N

Medicaid Certified

Medicare Certified

Medicare Number: 335457

Statistics

Employee Flu Vaccination Rate: 90%

Occupancy Rate: 87%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine100.00009/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication0.00009/1/2020
471Percentage of short-stay residents who made improvements in function79.18209/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased13.333011/1/2019
404Percentage of long-stay residents who lose too much weight3.717011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder42.763011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.390011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.741011/1/2019
408Percentage of long-stay residents who have depressive symptoms1.544011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.963011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication10.577011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened18.349011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication14.870011/1/2019

Complaints

Number of Standard Health Deficiencies:8
Number of Live Safety Code Deficiencies:16
Number of Total Deficiencies:24
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):84
Intakes received per 100 occupied beds (last three years):109.7
Percent of total intakes received that were facility self reported incidents (last three years):68
On-site complaint investigations (last three years):16
Complaint investigations resulting in citations (last three years):1
Complaint investigations resulting in citations per 100 occupied beds (last three years):1.3
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:0
Complaint Citations across all deficiency categories (last three years):2

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed
.Multiple Deficiencies3/5/20084000
1/29/2004Quality of Care12/6/20061000
1/5/2016Multiple Deficiencies7/12/201612000
8/29/2002Quality of Care12/6/20061000
9/12/2011Quality of Care6/10/20134000

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/7/2019CERTIFICATION/COMPLAINT2
5/9/2017CERTIFICATION/COMPLAINT3
7/20/2020COMPLAINT1
9/21/2018CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/21/2018.
HealthNOTICE OF RIGHTS, RULES, SERVICES, CHARGES119/21/2018.
LSCPOLICIES/PROCEDURES-VOLUNTEERS AND STAFFING139/21/201810/10/2018
HealthMEDICAID/MEDICARE COVERAGE/LIABILITY NOTICE129/21/201810/20/2018
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/21/201811/20/2018
LSCEP PROGRAM PATIENT POPULATION139/21/201811/20/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE229/21/201811/20/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY139/21/201811/20/2018
LSCSUBSISTENCE NEEDS FOR STAFF AND PATIENTS139/21/201811/20/2018
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/21/201812/5/2019
HealthQUALITY OF LIFE129/21/201812/5/2019
HealthREPORTING OF ALLEGED VIOLATIONS219/21/201812/5/2019
LSCFIRE ALARM SYSTEM - INSTALLATION219/21/201812/5/2019
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION229/21/20187/1/2017
HealthFOOD PROCURE, STORE/PREPARE/SERVE - SANITARY229/21/20187/1/2017
HealthHOUSEKEEPING & MAINTENANCE SERVICES129/21/20187/1/2017
HealthINVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS129/21/20187/1/2017
LSCDOORS WITH SELF-CLOSING DEVICES219/21/20187/1/2017
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS229/21/20187/1/2017
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC229/21/20187/1/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE229/21/20187/1/2017
LSCELECTRICAL SYSTEMS - OTHER229/21/20187/1/2017
LSCGENERAL REQUIREMENTS - OTHER229/21/20187/1/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING229/21/20187/1/2017
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/21/20188/3/2017
LSCSPRINKLER SYSTEM - INSTALLATION229/21/20188/3/2017
LSCVERTICAL OPENINGS - ENCLOSURE229/21/20188/3/2017