Fox Run at Orchard Park

Fox Run at Orchard Park

One Fox Run Lane

Orchard Park, NY 14127

7166625001

http:www.foxrunorchardpark.com/

Services: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:60
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:60

Administrative

Ownership: Voluntary--Not for Profit Corporation

Operated by: Orchard Park Ccrc, Inc.
One Fox Run Lane
Orchard Park, NY 14127

Permanent Facility Identifier: 8555

Operating Certificate: 1435304N

Medicaid Certified

Medicare Certified

Medicare Number: 335854

Statistics

Employee Flu Vaccination Rate: 84%

Occupancy Rate: 90%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine81.030011/1/2019
434Percentage of short-stay residents who newly received an antipsychotic medication0.000011/1/2019
471Percentage of short-stay residents who made improvements in function86.650011/1/2019

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased19.720011/1/2019
404Percentage of long-stay residents who lose too much weight5.660011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder41.380011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder3.690011/1/2019
407Percentage of long-stay residents with a urinary tract infection1.740011/1/2019
408Percentage of long-stay residents who have depressive symptoms1.170011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.310011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine55.490011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication4.070011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened21.340011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication3.120011/1/2019

Complaints

Number of Standard Health Deficiencies:7
Number of Live Safety Code Deficiencies:18
Number of Total Deficiencies:25
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):8
Intakes received per 100 occupied beds (last three years):17.7
Percent of total intakes received that were facility self reported incidents (last three years):88
On-site complaint investigations (last three years):4
Complaint investigations resulting in citations (last three years):0
Complaint investigations resulting in citations per 100 occupied beds (last three years):0.0
Complaint Citations in deficiency category: Administration:0
Complaint Citations in deficiency category: Quality of Care:0
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:0
Complaint Citations across all deficiency categories (last three years):0

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/23/2019CERTIFICATION2
8/24/2016CERTIFICATION2
8/3/2017CERTIFICATION/COMPLAINT2
9/28/2018CERTIFICATION2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES218/3/201710/18/2018
LSCPLAN BASED ON ALL HAZARDS RISK ASSESSMENT138/3/201710/18/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY138/3/201710/18/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING218/3/201710/18/2018
LSCFIRE DRILLS228/3/201710/24/2019
HealthINFECTION CONTROL228/3/201710/26/2018
HealthINFECTION PREVENTION & CONTROL228/3/201710/26/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING228/3/201710/31/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE228/3/201710/31/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE228/3/201710/31/2019
LSCCOOKING FACILITIES228/3/20178/23/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE228/3/20178/23/2017
LSCAISLE, CORRIDOR, OR RAMP WIDTH228/3/20179/1/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG228/3/20179/1/2017
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE128/3/20179/18/2016
HealthRIGHT TO PARTICIPATE PLANNING CARE-REVISE CP218/3/20179/18/2016
HealthTREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES218/3/20179/18/2016
LSCCORRIDORS - CONSTRUCTION OF WALLS228/3/20179/29/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS228/3/20179/29/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE228/3/20179/29/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE228/3/20179/29/2018
LSCVERTICAL OPENINGS - ENCLOSURE218/3/20179/29/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE228/3/20179/6/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES218/3/20179/7/2017
HealthPASRR REQUIREMENTS FOR MI & MR128/3/20179/7/2017