Fiddlers Green Manor Rehabilitation and Nursing Center
168 West Main Street
Springville, NY 14141
7165924781
http:www.fiddlersgreenmanor.com/Services: Baseline Services
Behavioral Intervention: | |
Pediatric: | |
Pediatric Ventilator Dependent: | |
Residential Health Care: | 82 |
Transitional Care Unit: | |
Ventilator Dependent: | |
Total Number of Beds: | 82 |
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
Employee Flu Vaccination Rate: 90%
Occupancy Rate: 87%
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0000 | 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 | 79.1820 | 9/1/2020 |
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
401 | Percentage of long-stay residents whose need for help with daily activities has increased | 13.3330 | 11/1/2019 | |
404 | Percentage of long-stay residents who lose too much weight | 3.7170 | 11/1/2019 | |
405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 42.7630 | 11/1/2019 | |
406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3900 | 11/1/2019 | |
407 | Percentage of long-stay residents with a urinary tract infection | 0.7410 | 11/1/2019 | |
408 | Percentage of long-stay residents who have depressive symptoms | 1.5440 | 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 | 2.9630 | 11/1/2019 | |
415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0000 | 11/1/2019 | |
419 | Percentage of long-stay residents who received an antipsychotic medication | 10.5770 | 11/1/2019 | |
451 | Percentage of long-stay residents whose ability to move independently worsened | 18.3490 | 11/1/2019 | |
452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.8700 | 11/1/2019 |
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 |
Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
---|---|---|---|
. | Multiple Deficiencies | 3/5/2008 | 4000 |
1/29/2004 | Quality of Care | 12/6/2006 | 1000 |
1/5/2016 | Multiple Deficiencies | 7/12/2016 | 12000 |
8/29/2002 | Quality of Care | 12/6/2006 | 1000 |
9/12/2011 | Quality of Care | 6/10/2013 | 4000 |
Initial Survey Date | Survey Type | Total Visits Required |
---|---|---|
10/7/2019 | CERTIFICATION/COMPLAINT | 2 |
5/9/2017 | CERTIFICATION/COMPLAINT | 3 |
7/20/2020 | COMPLAINT | 1 |
9/21/2018 | CERTIFICATION/COMPLAINT | 2 |
Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
---|---|---|---|---|---|
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 9/21/2018 | . |
Health | NOTICE OF RIGHTS, RULES, SERVICES, CHARGES | 1 | 1 | 9/21/2018 | . |
LSC | POLICIES/PROCEDURES-VOLUNTEERS AND STAFFING | 1 | 3 | 9/21/2018 | 10/10/2018 |
Health | MEDICAID/MEDICARE COVERAGE/LIABILITY NOTICE | 1 | 2 | 9/21/2018 | 10/20/2018 |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 9/21/2018 | 11/20/2018 |
LSC | EP PROGRAM PATIENT POPULATION | 1 | 3 | 9/21/2018 | 11/20/2018 |
LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 2 | 9/21/2018 | 11/20/2018 |
LSC | ROLES UNDER A WAIVER DECLARED BY SECRETARY | 1 | 3 | 9/21/2018 | 11/20/2018 |
LSC | SUBSISTENCE NEEDS FOR STAFF AND PATIENTS | 1 | 3 | 9/21/2018 | 11/20/2018 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 9/21/2018 | 12/5/2019 |
Health | QUALITY OF LIFE | 1 | 2 | 9/21/2018 | 12/5/2019 |
Health | REPORTING OF ALLEGED VIOLATIONS | 2 | 1 | 9/21/2018 | 12/5/2019 |
LSC | FIRE ALARM SYSTEM - INSTALLATION | 2 | 1 | 9/21/2018 | 12/5/2019 |
Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 2 | 9/21/2018 | 7/1/2017 |
Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 2 | 9/21/2018 | 7/1/2017 |
Health | HOUSEKEEPING & MAINTENANCE SERVICES | 1 | 2 | 9/21/2018 | 7/1/2017 |
Health | INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS | 1 | 2 | 9/21/2018 | 7/1/2017 |
LSC | DOORS WITH SELF-CLOSING DEVICES | 2 | 1 | 9/21/2018 | 7/1/2017 |
LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 9/21/2018 | 7/1/2017 |
LSC | ELECTRICAL EQUIPMENT - TESTING AND MAINTENANC | 2 | 2 | 9/21/2018 | 7/1/2017 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 9/21/2018 | 7/1/2017 |
LSC | ELECTRICAL SYSTEMS - OTHER | 2 | 2 | 9/21/2018 | 7/1/2017 |
LSC | GENERAL REQUIREMENTS - OTHER | 2 | 2 | 9/21/2018 | 7/1/2017 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 9/21/2018 | 7/1/2017 |
LSC | BUILDING CONSTRUCTION TYPE AND HEIGHT | 2 | 2 | 9/21/2018 | 8/3/2017 |
LSC | SPRINKLER SYSTEM - INSTALLATION | 2 | 2 | 9/21/2018 | 8/3/2017 |
LSC | VERTICAL OPENINGS - ENCLOSURE | 2 | 2 | 9/21/2018 | 8/3/2017 |