Williamsville Suburban LLC
163 South Union Road
Williamsville, NY 14221
7166326152
http:www.williamsvillesuburban.com/Services: Baseline Services, Outpatient/Occupational Therapy, Outpatient/Physical Therapy
Behavioral Intervention: | |
Pediatric: | |
Pediatric Ventilator Dependent: | |
Residential Health Care: | 220 |
Transitional Care Unit: | |
Ventilator Dependent: | |
Total Number of Beds: | 220 |
Ownership: Proprietary--LLC
Operated by: Williamsville Suburban, LLC
163 Union Road
Williamsville, NY 14221
Permanent Facility Identifier: 1378
Operating Certificate: 1421306N
Medicaid Certified
Medicare Certified
Medicare Number: 335647
Employee Flu Vaccination Rate: 80%
Occupancy Rate: 70%
Measure Code | Measure Description | Average Score | Footnote | Processing Date |
---|---|---|---|---|
430 | Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.9230 | 9/1/2020 | |
434 | Percentage of short-stay residents who newly received an antipsychotic medication | 0.7580 | 9/1/2020 | |
471 | Percentage of short-stay residents who made improvements in function | 57.9100 | 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 | 21.7310 | 11/1/2019 | |
404 | Percentage of long-stay residents who lose too much weight | 5.2450 | 11/1/2019 | |
405 | Percentage of low risk long-stay residents who lose control of their bowels or bladder | 60.0790 | 11/1/2019 | |
406 | Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.0090 | 11/1/2019 | |
407 | Percentage of long-stay residents with a urinary tract infection | 2.1560 | 11/1/2019 | |
408 | Percentage of long-stay residents who have depressive symptoms | 2.6180 | 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 | 1.9770 | 11/1/2019 | |
415 | Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1880 | 11/1/2019 | |
419 | Percentage of long-stay residents who received an antipsychotic medication | 6.8180 | 11/1/2019 | |
451 | Percentage of long-stay residents whose ability to move independently worsened | 21.3270 | 11/1/2019 | |
452 | Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.5380 | 11/1/2019 |
Number of Standard Health Deficiencies: | 35 |
Number of Live Safety Code Deficiencies: | 28 |
Number of Total Deficiencies: | 63 |
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): | 214 |
Intakes received per 100 occupied beds (last three years): | 112.4 |
Percent of total intakes received that were facility self reported incidents (last three years): | 40 |
On-site complaint investigations (last three years): | 45 |
Complaint investigations resulting in citations (last three years): | 4 |
Complaint investigations resulting in citations per 100 occupied beds (last three years): | 2.1 |
Complaint Citations in deficiency category: Administration: | 1 |
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: | 2 |
Complaint Citations across all deficiency categories (last three years): | 8 |
Survey Date | Deficiency Category | Stipulation Date | Fine Assessed |
---|---|---|---|
6/16/2005 | Quality of Care | 6/8/2006 | 1000 |
Initial Survey Date | Survey Type | Total Visits Required |
---|---|---|
1/18/2017 | CERTIFICATION/COMPLAINT | 2 |
3/30/2018 | CERTIFICATION/COMPLAINT | 2 |
4/19/2019 | CERTIFICATION/COMPLAINT | 2 |
6/1/2020 | COMPLAINT | 2 |
6/4/2018 | COMPLAINT | 2 |
Inspection Type | Deficiency | Severity | Residents Affected | Date of Initial Survey | Date Citation Corrected |
---|---|---|---|---|---|
Health | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 2 | 1 | 6/1/2020 | 3/14/2017 |
Health | SUFFICIENT 24-HR NURSING STAFF PER CARE PLANS | 2 | 2 | 6/1/2020 | 3/14/2017 |
Health | FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY | 2 | 2 | 6/1/2020 | 3/14/2017 |
Health | DIGNITY AND RESPECT OF INDIVIDUALITY | 2 | 1 | 6/1/2020 | 3/14/2017 |
LSC | PORTABLE FIRE EXTINGUISHERS | 2 | 2 | 6/1/2020 | 3/14/2017 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 1 | 6/1/2020 | 3/14/2017 |
Health | PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING | 2 | 1 | 6/1/2020 | 3/14/2017 |
Health | RES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE | 2 | 1 | 6/1/2020 | 3/14/2017 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC) | 2 | 1 | 6/1/2020 | 3/14/2017 |
Health | HOUSEKEEPING & MAINTENANCE SERVICES | 1 | 2 | 6/1/2020 | 3/14/2017 |
Health | SELF-DETERMINATION - RIGHT TO MAKE CHOICES | 2 | 1 | 6/1/2020 | 3/14/2017 |
LSC | FIRE DRILLS | 2 | 2 | 6/1/2020 | 3/14/2017 |
LSC | GAS EQUIPMENT - CYLINDER AND CONTAINER STORAG | 2 | 2 | 6/1/2020 | 3/14/2017 |
LSC | HAZARDOUS AREAS - ENCLOSURE | 2 | 2 | 6/1/2020 | 3/14/2017 |
LSC | HAZARDOUS AREAS - ENCLOSURE | 2 | 2 | 6/1/2020 | 4/27/2018 |
Health | INFECTION CONTROL | 2 | 2 | 6/1/2020 | 4/27/2018 |
Health | INFECTION PREVENTION & CONTROL | 2 | 2 | 6/1/2020 | 4/27/2018 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 6/1/2020 | 4/27/2018 |
LSC | FIRE DRILLS | 2 | 1 | 6/1/2020 | 4/27/2018 |
Health | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 2 | 1 | 6/1/2020 | 5/11/2018 |
Health | NUTRITION/HYDRATION STATUS MAINTENANCE | 2 | 1 | 6/1/2020 | 5/11/2018 |
Health | REQUIREMENTS FOR DINING AND ACTIVITY ROOMS | 2 | 2 | 6/1/2020 | 5/11/2018 |
Health | RESIDENT RIGHTS/EXERCISE OF RIGHTS | 1 | 2 | 6/1/2020 | 5/11/2018 |
Health | SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | 2 | 1 | 6/1/2020 | 5/11/2018 |
LSC | ELECTRICAL EQUIPMENT - TESTING AND MAINTENANC | 2 | 2 | 6/1/2020 | 5/11/2018 |
LSC | EP TRAINING PROGRAM | 1 | 3 | 6/1/2020 | 5/11/2018 |
LSC | FUNDAMENTALS - BUILDING SYSTEM CATEGORIES | 2 | 2 | 6/1/2020 | 5/11/2018 |
LSC | POLICIES/PROCEDURES-VOLUNTEERS AND STAFFING | 1 | 3 | 6/1/2020 | 5/11/2018 |
LSC | PRIMARY/ALTERNATE MEANS FOR COMMUNICATION | 1 | 3 | 6/1/2020 | 5/11/2018 |
LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 6/1/2020 | 5/11/2018 |
LSC | SUBSISTENCE NEEDS FOR STAFF AND PATIENTS | 1 | 3 | 6/1/2020 | 5/11/2018 |
LSC | EXIT SIGNAGE | 2 | 2 | 6/1/2020 | 5/11/2018 |
Health | NOT EMPLOY/ENGAGE STAFF W/ ADVERSE ACTIONS | 2 | 1 | 6/1/2020 | 5/11/2018 |
Health | BASELINE CARE PLAN | 2 | 1 | 6/1/2020 | 5/11/2018 |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 6/1/2020 | 5/11/2018 |
Health | SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | 1 | 2 | 6/1/2020 | 6/14/2019 |
LSC | BUILDING REHABILITATION | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | CORRIDOR - DOORS | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | ELECTRICAL EQUIPMENT - TESTING AND MAINTENANC | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | ELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | EMERGENCY LIGHTING | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | EXIT SIGNAGE | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | FIRE ALARM SYSTEM - TESTING AND MAINTENANCE | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | GAS EQUIPMENT - PRECAUTIONS FOR HANDLING OXYG | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | HAZARDOUS AREAS - ENCLOSURE | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | PORTABLE FIRE EXTINGUISHERS | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | SPRINKLER SYSTEM - MAINTENANCE AND TESTING | 2 | 2 | 6/1/2020 | 6/14/2019 |
LSC | STAIRWAYS AND SMOKEPROOF ENCLOSURES | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | INFECTION PREVENTION & CONTROL | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | INCREASE/PREVENT DECREASE IN ROM/MOBILITY | 2 | 1 | 6/1/2020 | 6/14/2019 |
Health | FREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE | 2 | 1 | 6/1/2020 | 6/14/2019 |
Health | FOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | ESSENTIAL EQUIPMENT, SAFE OPERATING CONDITION | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | DISPOSE GARBAGE AND REFUSE PROPERLY | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | BOWEL/BLADDER INCONTINENCE, CATHETER, UTI | 2 | 1 | 6/1/2020 | 6/14/2019 |
Health | LABEL/STORE DRUGS AND BIOLOGICALS | 2 | 1 | 6/1/2020 | 6/14/2019 |
Health | ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.) | 2 | 1 | 6/1/2020 | 6/14/2019 |
Health | NUTRITIVE VALUE/APPEAR, PALATABLE/PREFER TEMP | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | RESPECT, DIGNITY/RIGHT TO HAVE PRSNL PROPERTY | 2 | 1 | 6/1/2020 | 6/14/2019 |
LSC | SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE | 2 | 2 | 6/1/2020 | 6/14/2019 |
Health | NUTRITION/HYDRATION STATUS MAINTENANCE | 2 | 1 | 6/1/2020 | 7/11/2018 |
Health | LICENSE/COMPLY W/ FED/STATE/LOCL LAW/PROF STD | 1 | 2 | 6/1/2020 | 7/7/2020 |