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: 91%

Occupancy Rate: 83%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine81.15909/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication0.00009/1/2020
471Percentage of short-stay residents who made improvements in function88.09609/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased20.253011/1/2019
404Percentage of long-stay residents who lose too much weight4.142011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder61.364011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.751011/1/2019
407Percentage of long-stay residents with a urinary tract infection1.639011/1/2019
408Percentage of long-stay residents who have depressive symptoms1.667011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury1.630011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine49.457011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication2.717011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened23.836011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication3.529011/1/2019

Complaints

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

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
42950CERTIFICATION/COMPLAINT2
43371CERTIFICATION2
43761CERTIFICATION2
43958COMPLAINT1

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCFUNDAMENTALS - BUILDING SYSTEM CATEGORIES215/7/202010/18/2018
LSCPLAN BASED ON ALL HAZARDS RISK ASSESSMENT135/7/202010/18/2018
LSCROLES UNDER A WAIVER DECLARED BY SECRETARY135/7/202010/18/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING215/7/202010/18/2018
LSCFIRE DRILLS225/7/202010/24/2019
HealthINFECTION CONTROL225/7/202010/26/2018
HealthINFECTION PREVENTION & CONTROL225/7/202010/26/2018
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING225/7/202010/31/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE225/7/202010/31/2019
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE225/7/202010/31/2019
LSCCOOKING FACILITIES225/7/20208/23/2017
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE225/7/20208/23/2017
LSCAISLE, CORRIDOR, OR RAMP WIDTH225/7/20209/1/2017
LSCGAS EQUIPMENT - CYLINDER AND CONTAINER STORAG225/7/20209/1/2017
LSCCORRIDORS - CONSTRUCTION OF WALLS225/7/20209/29/2018
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS225/7/20209/29/2018
LSCFIRE ALARM SYSTEM - TESTING AND MAINTENANCE225/7/20209/29/2018
LSCSUBDIVISION OF BUILDING SPACES - SMOKE BARRIE225/7/20209/29/2018
LSCVERTICAL OPENINGS - ENCLOSURE215/7/20209/29/2018
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE225/7/20209/6/2017
HealthFREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES215/7/20209/7/2017
HealthPASRR REQUIREMENTS FOR MI & MR125/7/20209/7/2017