Elderwood at Lancaster

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725Nov 22, 2024

  Based on observation, interview, and record review conducted during a Complaint investigation (#NY00360394, NY00317661) during the Standard survey completed on 11/22/24, the facility did not ensure that there was sufficient nursing staff on a 24-hour basis to provide care to all residents. Specifically, one of one facility reviewed for sufficient staffing the facility did not meet their assessed minimum staffing levels for Certified Nurse Aides to meet the needs of each resident. The findings are: Refer to F 677 Activities of daily living care for dependent residents. The undated policy and procedure titled Emergency Staffing Plan documented in the event of extreme staffing available internal float pool and 3rd party agency nursing staff and Certified Nurse Aides will be utilized. […]

• No harm, potential for more than minimal, widespreadF727Nov 22, 2024

  Based on observation, interview, and record review conducted during a Standard survey completed on 11/22/24, the facility did not ensure the Director of Nursing served as a charge nurse/Supervisor, only when the facility has 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, widespreadF840Nov 22, 2024

  Based on interview and record review during the Standard survey completed on 11/22/24, 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 involved Resident #23 and has the potential to affect 83 of 83 residents. […]

• No harm, potential for more than minimal, isolatedF600Dec 23, 2025

  Based on observation, interview, and record review conducted during the Abbreviated Survey (2615979), the facility did not ensure the resident's right to be free from verbal abuse for one (1) (Resident #1) of three (3) residents reviewed. Specifically, based on audio recording and facility surveillance footage, a maintenance staff member was verbally abusive to Resident #1. The finding is:The policy titled Abuse Prevention, Identification, Investigation, Protection and Reporting dated 4/30/24 documented the facility will provide protection for the health, welfare and rights of each resident residing in the facility. […]

• No harm, potential for more than minimal, isolatedF609Dec 23, 2025

  Based on interview, and record review conducted during an Abbreviated survey (2615979) the facility did not ensure that all alleged violations involving abuse are reported immediately but not later than 2-hours after the allegation is made if the events that cause the allegation involve abuse, to the Administrator of the facility and to other officials (including to the State Survey Agency) for one (1) (Residents #1) of three (3) residents reviewed for abuse. Specifically, an allegation of staff to resident verbal and physical abuse was not reported to the New York State Department of Health within the required (2) two-hour timeframe. […]