Provider Name: ELDERWOOD AT LANCASTER
Address: 1818 COMO PARK BLVD, LANCASTER, NY 14086
Phone: (716) 683-6165
County: Erie (240)
Ownership Type: For profit - Limited Liability company
Certified Beds: 96
Average Residents Per Day: 80.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: 1818 COMO PARK BOULEVARD OPERATING COMPANY, LLC
First Approved Date: January 1, 1977
Affiliated Entity: ELDERWOOD (196)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.71809, LPN Staff Hours Per Day: 0.6256, RN Staff Hours Per Day: 0.9461, Licensed Staff Hours Per Day: 1.5718
Total Nurse Staff Hours Per Day, per resident: 3.28989
Weekend Nurse Staff Hours: 2.77017, Weekend RN Staff Hours: 0.6096
PT Staff Hours Per Day, per resident: 0.1488
Nurse Staff Turnover: 69.6, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0858, Case Mix LPN Hours Per Day: 0.8028, Case Mix RN Hours Per Day: 0.4584
Adjusted Nurse Aide Hours Per Day, per resident: 1.67807, Adjusted LPN Hours Per Day: 0.5750, Adjusted RN Hours Per Day: 0.7776
Total Adjusted Nurse Hours Per Day, per resident: 3.09810
Adjusted Weekend Nurse Hours Per Day, per resident: 2.60867
Health Survey Dates and Scores: Cycle 1: 2022-12-06 (Score: 4), Cycle 2: 2019-12-20 (Score: 4), Cycle 3: 2019-01-08 (Score: 4)
Total Weighted Health Score: 4.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1818 COMO PARK BLVD,LANCASTER,NY,14086 (42.8928, -78.685)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-02
Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-14
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-14
Type: Health, Deficiency: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-03-01
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0006, Version: New
Description: Conduct risk assessment and an All-Hazards approach.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-06
Type: Fire Safety, Tag: 0015, Version: New
Description: Address subsistence needs for staff and patients.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-06
Type: Fire Safety, Tag: 0911, Version: New
Description: Meet requirements for the installation and maintenance of electrical systems.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-06