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: 85%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine100.000011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.000011/1/2019
471Percentage of short-stay residents who made improvements in function70.430011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased11.310011/1/2019
404Percentage of long-stay residents who lose too much weight5.570011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder40.990011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder0.360011/1/2019
407Percentage of long-stay residents with a urinary tract infection0.690011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.350011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury3.810011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication8.970011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened16.990011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication17.420011/1/2019

Complaints

Number of Standard Health Deficiencies:39
Number of Live Safety Code Deficiencies:23
Number of Total Deficiencies:62
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:2
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :3
Total intakes received (last three years):79
Intakes received per 100 occupied beds (last three years):103.2
Percent of total intakes received that were facility self reported incidents (last three years):68
On-site complaint investigations (last three years):20
Complaint investigations resulting in citations (last three years):8
Complaint investigations resulting in citations per 100 occupied beds (last three years):10.4
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:3
Complaint Citations in deficiency category: Resident Rights:4
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:1
Complaint Citations across all deficiency categories (last three years):8

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
1/5/2016COMPLAINT2
10/7/2019CERTIFICATION/COMPLAINT1
4/5/2016CERTIFICATION/COMPLAINT2
5/9/2017CERTIFICATION/COMPLAINT3
9/21/2018CERTIFICATION/COMPLAINT2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/21/2018.
HealthQUALITY OF LIFE129/21/2018.
HealthREPORTING OF ALLEGED VIOLATIONS219/21/2018.
LSCBUILDING CONSTRUCTION TYPE AND HEIGHT229/21/2018.
LSCFIRE ALARM SYSTEM - INSTALLATION219/21/2018.
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
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)319/21/20183/4/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING319/21/20183/4/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES229/21/20183/4/2016
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES219/21/20185/27/2016
HealthFREE OF MEDICATION ERROR RATES OF 5% OR MORE219/21/20185/27/2016
HealthHOUSEKEEPING & MAINTENANCE SERVICES229/21/20185/27/2016
HealthINCREASE/PREVENT DECREASE IN RANGE OF MOTION229/21/20185/27/2016
HealthINFECTION CONTROL, PREVENT SPREAD, LINENS219/21/20185/27/2016
HealthLAB SVCS ONLY WHEN ORDERED BY PHYSICIAN219/21/20185/27/2016
HealthMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE219/21/20185/27/2016
HealthNOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)219/21/20185/27/2016
HealthPOSTED NURSE STAFFING INFORMATION129/21/20185/27/2016
HealthPROVIDE CARE/SERVICES FOR HIGHEST WELL BEING219/21/20185/27/2016
HealthQUARTERLY ASSESSMENT AT LEAST EVERY 3 MONTHS229/21/20185/27/2016
HealthREASONABLE ACCOMMODATION OF NEEDS/PREFERENCES219/21/20185/27/2016
HealthRESIDENTS FREE OF SIGNIFICANT MED ERRORS229/21/20185/27/2016
HealthRESPONSIBILITIES OF PROVIDERS; REQUIRED NOTIF219/21/20185/27/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP219/21/20185/27/2016
HealthRIGHT TO SURVEY RESULTS - READILY ACCESSIBLE129/21/20185/27/2016
HealthSELF-DETERMINATION - RIGHT TO MAKE CHOICES229/21/20185/27/2016
HealthWAIVER-RN 8 HRS 7 DAYS/WK, FULL-TIME DON219/21/20185/27/2016
LSCLIFE SAFETY CODE STANDARD219/21/20185/27/2016
LSCLIFE SAFETY CODE STANDARD229/21/20185/27/2016
LSCLIFE SAFETY CODE STANDARD229/21/20185/27/2016
LSCLIFE SAFETY CODE STANDARD229/21/20185/27/2016
LSCLIFE SAFETY CODE STANDARD229/21/20185/27/2016
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS219/21/20185/27/2016
HealthCONVEYANCE OF PERSONAL FUNDS UPON DEATH129/21/20185/27/2016
HealthCRIMINAL HISTORY RECORD CHECK PROCESS219/21/20185/27/2016
HealthCRIMINAL HISTORY RECORD CHECK PROCESS219/21/20185/27/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS219/21/20185/27/2016
HealthDEVELOP/IMPLMENT ABUSE/NEGLECT, ETC POLICIES229/21/20185/27/2016
HealthDIGNITY AND RESPECT OF INDIVIDUALITY219/21/20185/27/2016
HealthDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS229/21/20185/27/2016
HealthDRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON229/21/20185/27/2016
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
HealthESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION229/21/20187/1/2017
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