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
| Behavioral Intervention: | |
| Pediatric: | |
| Pediatric Ventilator Dependent: | |
| Residential Health Care: | 60 |
| Transitional Care Unit: | |
| Ventilator Dependent: | |
| Total Number of Beds: | 60 |
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
Employee Flu Vaccination Rate: 91%
Occupancy Rate: 83%
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.1590 | 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 | 88.0960 | 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 | 20.2530 | 11/1/2019 | |
| 404 | Percentage of long-stay residents who lose too much weight | 4.1420 | 11/1/2019 | |
| 405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 61.3640 | 11/1/2019 | |
| 406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7510 | 11/1/2019 | |
| 407 | Percentage of long-stay residents with a urinary tract infection | 1.6390 | 11/1/2019 | |
| 408 | Percentage of long-stay residents who have depressive symptoms | 1.6670 | 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 | 1.6300 | 11/1/2019 | |
| 415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 49.4570 | 11/1/2019 | |
| 419 | Percentage of long-stay residents who received an antipsychotic medication | 2.7170 | 11/1/2019 | |
| 451 | Percentage of long-stay residents whose ability to move independently worsened | 23.8360 | 11/1/2019 | |
| 452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.5290 | 11/1/2019 |
| Number of Standard Health Deficiencies: | 4 |
| Number of Live Safety Code Deficiencies: | 18 |
| Number of Total Deficiencies: | 22 |
| 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): | 12 |
| Intakes received per 100 occupied beds (last three years): | 26.5 |
| Percent of total intakes received that were facility self reported incidents (last three years): | 83 |
| 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 |
| Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
|---|
| Initial Survey Date | Survey Type | Total Visits Required |
|---|---|---|
| 42950 | CERTIFICATION/COMPLAINT | 2 |
| 43371 | CERTIFICATION | 2 |
| 43761 | CERTIFICATION | 2 |
| 43958 | COMPLAINT | 1 |
| Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
|---|---|---|---|---|---|
| LSC | FUNDAMENTALS - BUILDING SYSTEM CATEGORIES | 2 | 1 | 5/7/2020 | 10/18/2018 |
| LSC | PLAN BASED ON ALL HAZARDS RISK ASSESSMENT | 1 | 3 | 5/7/2020 | 10/18/2018 |
| LSC | ROLES UNDER A WAIVER DECLARED BY SECRETARY | 1 | 3 | 5/7/2020 | 10/18/2018 |
| LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 1 | 5/7/2020 | 10/18/2018 |
| LSC | FIRE DRILLS | 2 | 2 | 5/7/2020 | 10/24/2019 |
| Health | INFECTION CONTROL | 2 | 2 | 5/7/2020 | 10/26/2018 |
| Health | INFECTION PREVENTION & CONTROL | 2 | 2 | 5/7/2020 | 10/26/2018 |
| LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 5/7/2020 | 10/31/2019 |
| LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 5/7/2020 | 10/31/2019 |
| LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 5/7/2020 | 10/31/2019 |
| LSC | COOKING FACILITIES | 2 | 2 | 5/7/2020 | 8/23/2017 |
| LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 5/7/2020 | 8/23/2017 |
| LSC | AISLE, CORRIDOR, OR RAMP WIDTH | 2 | 2 | 5/7/2020 | 9/1/2017 |
| LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 5/7/2020 | 9/1/2017 |
| LSC | CORRIDORS - CONSTRUCTION OF WALLS | 2 | 2 | 5/7/2020 | 9/29/2018 |
| LSC | ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS | 2 | 2 | 5/7/2020 | 9/29/2018 |
| LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 2 | 5/7/2020 | 9/29/2018 |
| LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 5/7/2020 | 9/29/2018 |
| LSC | VERTICAL OPENINGS - ENCLOSURE | 2 | 1 | 5/7/2020 | 9/29/2018 |
| LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 5/7/2020 | 9/6/2017 |
| Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 5/7/2020 | 9/7/2017 |
| Health | PASRR REQUIREMENTS FOR MI & MR | 1 | 2 | 5/7/2020 | 9/7/2017 |
