Elderwood at Grand Island

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Dec 6, 2024

  Based on observation, interview, and record review conducted during a Standard survey completed on 12/06/24, the facility did not ensure the Director of Nursing served as a charge nurse, only when the facility had an average daily occupancy of 60 or fewer residents. Specifically, the Director of Nursing worked as a charge nurse when the facility had a daily average census of greater than 60. The finding is: Review of a facility provided document titled Director of Nursing, last revised 2/2024, revealed the Director of Nursing ensures the health and well-being of our residents by being responsible for oversight and operations of the nursing department and its staff including staffing, training, and development, and management of personnel. […]

• No harm, potential for more than minimal, widespreadF840Dec 6, 2024

  Based on interview and record review conducted during the Standard survey completed on 12/6/24, the facility did not employ a qualified professional to furnish a specific service to be provided by the facility and the facility did not have that service furnished to residents by a person or agency outside the facility under an arrangement. Specifically, the facility did not have a dentist on their staff and did not have dental services provided by an outside person or agency under an arrangement. This had the potential to affect 78 of 78 residents. […]

• No harm, potential for more than minimal, isolatedF609Dec 2, 2025

  Based on observation, interview, and record review conducted during an Abbreviated survey (Complaint #2674904), the facility did not ensure that all alleged abuse violations were reported immediately but not later than two (2) hours after the allegation was made to the Administrator of the facility and to the State Survey Agency for one (1) (Resident #1) of three (3) residents reviewed. Specifically, staff did not report an allegation of physical abuse to the Administrator immediately which resulted in delayed reporting to the New York State Department of Health within the required time frames.The finding is: The policy titled Abuse Prevention, Identification, Protection and Reporting of Victims last revised on 4/30/2024 documented all facility staff were required to immediately report to… […]

• No harm, potential for more than minimal, isolatedF558Dec 6, 2024

  Based on observations, record review, and interviews conducted during a Standard survey completed on 12/6/24, the facility did not ensure that all residents received services that provided reasonable accommodations of the resident's needs and preferences for one (Resident #1) of four residents reviewed. Specifically, the call system was not within reach as planned and unable to be used if desired. The finding is: The policy and procedure titled, Call Light/Call Bell/Nurse Call System with a revision date of 9/6/18, documented the Unit Manager/designee will ensure residents will be provided access to a call light when not in a common area of the facility, and the call light will be answered promptly by all nursing staff and unit clerks/designee when a resident signals for assistance. […]

• No harm, potential for more than minimal, isolatedF656Dec 6, 2024

  Based on observation, interview, and record review conducted during the Standard survey completed on 12/6/24, the facility did not develop a comprehensive person-centered care plan for each resident, consistent with the resident rights and that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental, and psychosocial needs for one (Resident #18) of three residents reviewed for elopement. Specifically, Resident #18 was assessed as a high risk for elopement and did not have a comprehensive care plan developed with interventions to address their wandering and exit seeking behaviors. […]