Elderwood at Amherst

In the surveyor’s words

From the most serious findings on record at Elderwood at Amherst, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Dec 15, 2023

  Based on record review and interviews conducted during an Extended Recertification survey started on [DATE] and completed on [DATE], the facility failed to initiate cardiopulmonary resuscitation (CPR) to an unresponsive resident who had a full code status and advance directives in place for one (Resident #79) of three residents reviewed. Specifically, on [DATE] Resident #79 was found unresponsive, without a pulse, respirations, or blood pressure. Facility staff failed to check the resident's code status, failed to initiate emergency response, failed to activate the 911 (emergency medical response) system, and failed to provide cardiopulmonary resuscitation (CPR) for the resident who was a full code. Resident #79 expired on [DATE]. […]

• Actual harm, isolatedF689Aug 20, 2026

  Based on interview and record review conducted during survey, the facility failed to ensure each resident receives adequate supervision and assistive devices to prevent accidents for one (Resident #4) of three residents (Resident #4) reviewed for accidents. Specifically, on 11/04/2025, Certified Nurse Aide #3 failed to transfer Resident #4 using the sit-to-stand lift (a wheeled patient-handling device designed to help a person move from a seated position to a supported standing position) as per the care plan. This resulted in a laceration to the resident's left leg requiring a transfer to the emergency room and sutures (a stitch or row of stitches holding together the edges of a wound or surgical incision). This resulted in actual harm to Resident #4 that is not Immediate Jeopardy. […]

• No harm, potential for more than minimal, patternF607Dec 15, 2023

  Based on interview and record review during the Extended survey completed on 12/15/23, the facility did not implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. Specifically, the facility did not provide documentation that verified four (two Certified Nurse Aides, one Housekeeping Aide, and one Dining Service Associate) of six employees reviewed that worked in the facility and were subject to the New York State Nurse Aide Registry had been screened through the New York State Nurse Aide Registry prior to their first date worked at the facility. […]

• No harm, potential for more than minimal, patternF550May 3, 2022

  Based on observation, interview and record review during the Standard survey conducted from 4/27/22 through 5/3/22, the facility did not promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity and respect in full recognition of his or her individuality. Three (Units 1, 2, and 3) of three resident units reviewed for dignity with dining had an issue involving meals served on disposable plates. This involved Resident #s 9, 17, 48 and 72. The finding is: The facility policy and procedure titled Dignity dated 8/1/19 documented each resident has the right to be treated with dignity and respect. […]

• No harm, potential for more than minimal, isolatedF600Dec 4, 2025

  Based on observation, interview, and record review conducted during a Complaint investigation (#2675690) during an Abbreviated survey completed on 12/04/2025, the facility did not ensure the resident's right to be free from physical and mental abuse for two (2) (Residents #1 and #2) of three (3) residents reviewed. Specifically, Certified Nurse Aide #1 attempted to redirect Resident #1, a wandering resident to a seated position. The physical handling during this process was observed as aggressive. Resident #1 lost their balance, fell to the floor, and sustained a small abrasion to their side. A physical struggle occurred after Resident #2 unplugged a power cord; Certified Nurse Aide #2 responded aggressively, moving the resident against a wall to recover the cord. […]