Deficiency Index

Elderwood at Wheatfield

Niagara Falls, New York · CCN 335790

10 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
37
Surveys
10
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file8/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
123
Ownership
For profit - Limited Liability company
Chain
ELDERWOOD
County
Niagara
Medicare-certified since
1995

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Aug 14, 2024

817 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.953.37
Registered-nurse hours per resident day0.69—
Annual nurse turnover59.3%47.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD969.2%E17.7%F17.7%
No harm, potential for minimalA—B17.7%C17.7%
CMS’s current file: 13 of the 37 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF725Aug 14, 2024

    Based on observation, interview, and record review conducted during complaint investigations (NY00344374, NY00348550, and NY00347789) conducted during the Standard survey completed on 8/14/24, 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 one of one facility. Specifically, the facility did not meet their established minimum number of staff for each shift. Additionally, there was a lack of sufficient nursing staff to get residents out of bed and provide appropriate care according to residents' care plans and preferences. Resident #'s 1, 13, 15, 32, 55, 56, 76, 82, 86, 89 and 91 were involved. The findings are: Refer to F561 Resident Choices, scope and severity = D 1. […]

  • No harm, potential for more than minimal, patternF925Aug 14, 2024

    Based on observation, interview, and record review during the Standard survey completed on 8/14/24, the facility did not maintain an effective pest control program so that the facility was free from insects for one (Unit 1) of three resident units. Specifically, flies were observed in resident rooms, dining rooms and common (lounge) area on Unit 1. The findings are: Refer to F 584 Safe clean and comfortable environment. Facility was unable to provide a policy and procedure for pest control. Review of work order dated 7/29/24, Resident room [ROOM NUMBER], documented the resident's family stating flies were coming in from around open, air conditioner. […]

  • No harm, potential for more than minimal, isolatedF550Aug 14, 2024

    Based on observation, interview, and record conducted during the Standard survey completed on 8/14/24, the facility did not ensure that each resident was treated with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for one (Resident #59) of two residents reviewed for dignity. Specifically, Resident #59 was observed to have a hospice (specialized care for people nearing the end of life) nursing assessment completed in the dining room while they were being assisted with their lunch. […]

  • No harm, potential for more than minimal, isolatedF561Aug 14, 2024

    Based on observation, record review and interview conducted during a Complaint investigation (#NY00339558) during the Standard survey completed on 8/14/24, the facility did not ensure residents had the right to choose schedules, and health care consistent with their interests, assessments, and plan of care for three (Resident #1, #55, and #56) of six residents reviewed for choices. Specifically, Residents #1, #55, and #56 were not given showers twice a week as care planned and preferred. Additionally, Resident #56 was not gotten out of bed as care planned and preferred. […]

  • No harm, potential for more than minimal, isolatedF584Aug 14, 2024

    Based on observation and interview during the Standard survey completed on 8/14/24, the facility did not ensure housekeeping services necessary to maintain a sanitary, comfortable interior. Specifically, one (Unit 1) of 3 resident units had a strong urine odor present throughout the survey period. The findings are: The policy and procedure titled Cleaning Occupied Resident Room last modified 10/12/18 documented the room occupied by a resident will be maintained in a clean, hygienic, and attractive state, without disrupting resident health care, routines, or the privacy of the resident. […]

Read 20 findings in full →The most serious and the most recent: 20 of 37 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 14, 2024Standard12 findings
  • Mar 15, 2021Infection control1 finding
  • Jan 14, 2020Complaint2 findings
  • Dec 6, 2019Standard1 finding
  • Oct 15, 2018Standard4 findings
  • May 9, 2017Standard1 finding
  • Apr 15, 2016Standard8 findings
  • Feb 26, 2015Standard3 findings
Show the 2 earlier surveys
  • Nov 30, 2012—2 findings
  • Nov 2, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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