GreenField Health & Rehabilitation Center
5949 Broadway
Lancaster, NY 14086
7166843000
http:thegreenfields.orgServices: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy, Outpatient/Speech Language Pathology Therapy, Respite Care (Short Term)
| Behavioral Intervention: | |
| Pediatric: | |
| Pediatric Ventilator Dependent: | |
| Residential Health Care: | 160 |
| Transitional Care Unit: | |
| Ventilator Dependent: | |
| Total Number of Beds: | 160 |
Ownership: Voluntary--Not for Profit Corporation
Operated by: Niagara Lutheran Development Inc
5959 Broadway
Lancaster, NY 14086
Permanent Facility Identifier: 7711
Operating Certificate: 1467301N
Medicaid Certified
Medicare Certified
Medicare Number: 335182
Employee Flu Vaccination Rate: 74%
Occupancy Rate: 93%
| Measure Code | Measure Description | Average Score | Footnote | Processing Date |
|---|---|---|---|---|
| 430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8950 | 9/1/2020 | |
| 434 | Percentage of short-stay residents who newly received an antipsychotic medication | 0.4000 | 9/1/2020 | |
| 471 | Percentage of short-stay residents who made improvements in function | 75.4200 | 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 | 11.3580 | 11/1/2019 | |
| 404 | Percentage of long-stay residents who lose too much weight | 5.0970 | 11/1/2019 | |
| 405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 81.8180 | 11/1/2019 | |
| 406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0000 | 11/1/2019 | |
| 407 | Percentage of long-stay residents with a urinary tract infection | 0.4720 | 11/1/2019 | |
| 408 | Percentage of long-stay residents who have depressive symptoms | 3.0880 | 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 | 3.0370 | 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 | 9.1550 | 11/1/2019 | |
| 451 | Percentage of long-stay residents whose ability to move independently worsened | 8.7890 | 11/1/2019 | |
| 452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.5290 | 11/1/2019 |
| Number of Standard Health Deficiencies: | 11 |
| Number of Live Safety Code Deficiencies: | 4 |
| Number of Total Deficiencies: | 15 |
| 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): | 45 |
| Intakes received per 100 occupied beds (last three years): | 30.3 |
| Percent of total intakes received that were facility self reported incidents (last three years): | 67 |
| On-site complaint investigations (last three years): | 13 |
| Complaint investigations resulting in citations (last three years): | 1 |
| Complaint investigations resulting in citations per 100 occupied beds (last three years): | 0.7 |
| Complaint Citations in deficiency category: Administration: | 0 |
| Complaint Citations in deficiency category: Quality of Care: | 1 |
| 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): | 2 |
| Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
|---|
| Initial Survey Date | Survey Type | Total Visits Required |
|---|---|---|
| 42774 | CERTIFICATION/COMPLAINT | 2 |
| 43238 | CERTIFICATION/COMPLAINT | 2 |
| 43690 | CERTIFICATION/COMPLAINT | 2 |
| 43998 | COMPLAINT | 1 |
| Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
|---|---|---|---|---|---|
| Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 2/8/2017 | 10/1/2019 |
| Health | RESIDENT RIGHTS/EXERCISE OF RIGHTS | 2 | 1 | 2/8/2017 | 10/1/2019 |
| Health | DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | 2 | 1 | 2/8/2017 | 3/24/2017 |
| Health | INFECTION CONTROL, PREVENT SPREAD, LINENS | 2 | 2 | 2/8/2017 | 3/24/2017 |
| Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 2/8/2017 | 3/24/2017 |
| Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 2/8/2017 | 3/24/2017 |
| Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 2/8/2017 | 7/13/2018 |
| Health | CARE PLAN TIMING AND REVISION | 1 | 2 | 2/8/2017 | 7/13/2018 |
| Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 2/8/2017 | 7/13/2018 |
| Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 1 | 2/8/2017 | 7/13/2018 |
| Health | RESIDENT RECORDS - IDENTIFIABLE INFORMATION | 2 | 1 | 2/8/2017 | 7/13/2018 |
| LSC | EP PROGRAM PATIENT POPULATION | 1 | 3 | 2/8/2017 | 7/13/2018 |
| LSC | EP TRAINING PROGRAM | 1 | 3 | 2/8/2017 | 7/13/2018 |
| LSC | GAS AND VACUUM PIPED SYSTEMS - MAINTENANCE PR | 2 | 2 | 2/8/2017 | 7/13/2018 |
| LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 2/8/2017 | 7/13/2018 |
