Elderwood at Lockport

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 13, 2026

  Based on interviews and record reviews conducted during survey, the facility failed to ensure that the residents' environment remained as free of accidents as possible, and that each resident receives adequate supervision and assistance devices to prevent accidents for one (1) (Resident #1) of three (3) residents reviewed for accidents. Specifically, on 12/24/2025, the facility failed to use two (2)-person bed mobility assistance, from lying to sitting on the edge of the bed, resulting in Resident #1 falling to the floor, sustaining a left hip fracture requiring an open reduction internal fixation (ORIF-surgical procedure to realign and secure broken bones with metal fasteners). This resulted in actual harm to Resident #1 that is not Immediate Jeopardy. […]

• No harm, potential for more than minimal, patternF725Jun 6, 2023

  Based on observation, interview, and record review conducted during Complaint investigations (#NY00309961, #NY00316113) during the Standard survey completed on 6/6/23, the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for three (East, West, North Units) of three resident care units. Specifically, the facility did not have adequate nursing staff based on the facility's established minimum number of staff for each unit and each shift. There was lack of answering resident call lights timely and providing toileting/incontinence care as planned. Resident's beds were not made, and residents didn't receive their medication on the East Unit the evening of 6/4/23. […]

• No harm, potential for more than minimal, isolatedF677May 2, 2025

  Based on observation, interview, and record review conducted during the Standard survey completed on 5/2/25, the facility did not ensure that residents who were unable to carry out activities of daily living, received the necessary services to maintain good grooming and personal hygiene for one (1) (Resident #6) of two (2) residents reviewed. Specifically, Resident #6 had a moderate amount of unwanted facial hair on their upper lip, chin, and neck. The finding is: The policy titled A.M. Care, dated 4/10/2018, documented AM (morning)care will be provided for all residents in preparation for breakfast and the daily routine. Part of AM care included assisting with grooming needs: shave or clip facial hair. […]

• No harm, potential for more than minimal, isolatedF880May 2, 2025

  Based on interview, observation, and record review conducted during a Standard survey completed on 5/2/25, the facility did not ensure that they established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (1) (Resident #54) of four (4) residents observed for infection prevention and control during care. Specifically, staff did not wear personal protective equipment including gowns while providing incontinent care for Resident #54 who had ESBLs (extended spectrum beta-lactamase-an infection caused by antibiotic resistant bacterial enzymes) in their urine. […]

• No harm, potential for more than minimal, isolatedF550Jun 6, 2023

  Based on observation, record review, and interviews conducted during a Standard survey completed on 6/6/23, the facility did not ensure each resident was treated with respect and dignity and care for each resident in a manner that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for one (Resident #66) of two residents reviewed. Specifically, the facility did not ensure Resident #1 was treated with respect and dignity by a Certified Nurse Aide (CNA) while providing morning care. The finding is: The policy and procedure (P&P) titled Dignity dated 8/1/19, documented each resident has the right to be treated with dignity and respect. […]